ARGG insurance companys frustrate me so...I got a letter stating they do not want me on two antibiot

[greenbriar]

so I had pancreatitis and was given a shit load of medicine upon release


one medicine for my very agitated colon insurance outright denied hubby was going to pay for it out of pocket the pharmacy told him it was several hundred dollars

now I got a letter stating that they want reimbursement for one of the antibiotics as there wasn't a need for two at the same time...


Tomorrow I am gonna call...

I am going to ask them if they have ever had pancreatitis, ever had a potassium drip? an IV inflitrate? A arterial blood gas draw?

these people sit in an office and make decisions and have no FUCKING clue as to what really is best for the patient

[leftofcool]

1. And they don't care either

They are in business to make money, not pay for your antibiotics. Do you want the poor CEO of ARGG to be denied his gadzillion dollar bonus just because you had to have your potassium drip? (sarcasm)

[greenbriar]

2. I just want to do all the right things as I do NOT want to go back

and I fear that I will do something wrong that will land me back in the hospital

[nadinbrzezinski]

4. There are days I hate insurance companies

I learned to hate them back in the 80s, when Blue Shield \ Blue Cross denied the coverage on a PT of ours. He was in a bad accident, we took care of him as a john doe, until he regained consciousness two weeks later at which point we called family. They denied coverage because we were NOT a preferred facility, or even in their list. (Outside the US)

We never charged the family.

They still gave what they could. They understood that we were a charity hospital...

What we wanted from Blue Cross\ Blue Shield for two weeks, was one day at an American ICU, perhaps two. It included the ALS rig, the trauma room, the OR, the week and a half in ICU and three days in intermediate care, and the ALS rig to take him to the border.

I will never, ever forget that.

Good luck with them leeches. They are subhuman.

And I usually do not use those words, since they are VERY strong.

[leftofcool]

7. Yea, like any day of the week that ends in a "Y"

[Canuckistanian]

3. So, an insurance company is making medical decisions for you?

Does your doctor have any say in this?

Unbelievable.

[greenbriar]

5. I go see him tomorrow for a check up

this is an outrage

[leftofcool]

6. Probably not

The minute insurance companies start allowing doctors to have a say in medical treatements, people will start getting better and staying healthier, some may even be cured and then there would be no need for insurance companies

[sandnsea]

8. We need a database and a web site

To put in the stories of people who have actually died, starting with Andy. Then another section of people where the insurance bureaucracy got between the patient and doctor. And another section for people who have been rationed out of their health care due to a lack of money and end up at those health fairs in Wise VA.

[tularetom]

9. All insurance (health, auto, homeowners) is like a friggin casino

If you start to win (make a claim) they first deny that you have won, but if they are forced to pay out, they change the odds (raise your premium). If you continue to win (make more claims) they will ban you from the casino (cancel your policy).

My retirement gig is buying and remodeling old houses. I'm not making a lot of money at it but it keeps me busy. Yesterday I went to get homeowners coverage on a hoouse I had bought and the guy noticed that I had made a claim on my own homeowners policy about two years ago when the wind did some damage to the barn on the property. Then he tells me I'm fortunate because it didn't appear like the claim was enough to cause my premium on THIS property to be increased. I was astonished. There is apparently data that follows youu around and if your claims for the past five years exceed $2,000 they will ding you on ANY homeowners policy you take out.

I need the friggin coverage so I agreed to it. But I'm still pissed.

Hope you are feeling better. My cousin who is about 20 years younger than me, had pancreatitis and was hospitalized for several weeks, in a lot of pain.

[greenbriar]

11. it is the most painful thing I have EVER felt

oh god

[Toucano]

10. I am so happy you have a free market system where you get to choose your doctor

and a bean counter tells him or her how to practice medicine.