I've written before in the journals that I have Chron's Disease -- which, knock wood -- has been in complete remission for about three years. I am on a drug called 6MP, and need to have blood work done every month just to check things like C Reactive Protien etc.
So, when my Cobra insurance ran out, I switched to something called a conversion plan which took effect in January. So what happens when I submit my first claims for the blood tests: all rejected.
Many hours on the phone, being passed around from one person to another, until finally someone tells me that prevention tests are not covered. In fact anything that is coded as prevention, including things like a colonoscopy are not covered (which I'm planning to get next month).
After all sorts of aggrevation, I am told that if the tests and procedures are coded as "treatment" then they are covered.
These idiots are unbelievable. One person says, well if you look in your policy you'll see that preventive stuff isn't covered. Really cold about it. Screw them.
So after listening to this idiot, I say -- so, basically nothing is covered that I need covered. That's right. Read your policy.
I go and find my policy. Nothing at all about prevention not being covered.
Call back. Another half hour wait. I get someone else who says, did you look in your Certificate of Insurance guide?
(This is beginning to sound like a Marx Brothers routine. What, you don't have a horse breeder's guide?"
I never received anything like that, I say.
So he gives me another number to call. Another wait. And they say they don't take care of that, you need to call so and so.
I call so and so. They send me back to the first person.
Eventually, I get to a supervisor and say, "Do you have any idea what the Certificate of Insurance is?"
She says, she thinks she knows what it is.
Well, how am I supposed to know what's covered and what's not.
She passes me on to someone else. Eventually, Diane says she'll send me one, no problem.
So, the whole day, so far, has been spent trying to figure this out. Everything on their side is set up to make this difficult if not impossible. Well, you know how that goes.
Eventually, it gets straightened out (I think) and I find the correct codes and resubmit the paperwork, but at the end of a long day on the phone someone says, as they have been trained (you could be splayed out on the sidewalk dying) -- another movie comes to mind: Hopsital.
"Is there anything else I can do to help you?
Yeah, but I don't think you'd do it.
- - -
Anyway -- I have a few rolls of film to develop, and some color film at the lab. I'm interested in seeing how some of the Albanian demonstration footage came out.