Pray for my insurance...

Heather M.
on 1/24/08 1:40 pm - Modesto, CA
because at 7am CST, one hormonal, pissed off female is going to as politely, and gentilely, as possible eviscerate which ever unfortunate customer service representative picks up the other end of the phone. For Ro and Melissa, they know I'm working on getting pregnant, now that I'm 13 months out, and my surgeon has given me his blessing. So, I'm hopped up on fertility meds, already.. fighting being a major WITCH, and wanting to kill small dust bunnies and/or torture them. I've had two oh-so-pleasant pelvic ultrasounds this week (yes, the lovely INVASIVE ones), and am scheduled for an IUI procedure in the morning and Sunday. Only to have my OB/GYN office call at 5pm tonight, and tell me the insurance is saying they won't cover it unless I go to a Sutter doctor (I work for Sutter). Well, the OB/GYN is supposed to be in the Blue Shield PPO network, as I've been assured numerous times by Customer Service for our self-insured Sutter plan *detect the bitterness, yet?*, but every time the office calls to inquire on benefits or eligibility they are told NO.. then I call, and get, "Yes, you're right, Mrs. McDaniel, I don't know why the other representative told you that!" And when I called customer service tonight at 6:20pm, after getting that message on my cell from the OB/GYN, guess what?! They close at 6pm, because they are CST, not PST. ARRRHGGGGHH!! So... pray, pray... long and hard.. because after a week of one medication and two nights of injections, two ultrasounds (I won't even mention the amount of water I had to drink today to get my bladder to fill ), and 3 doctor visits, I'm ready to lodge a formal complaint through my HR department, and then drive to our Sacramento corporate offices for the self-funded plan and "discuss" why no one can get the exact same information from our Third Party administrator when they call. Okay, me and my pissed off eggs are going to bed.. cross your fingers. I have a feeling this month is going to be a wash, and a waste of money. *sighs* *thumbs up*
(deactivated member)
on 1/24/08 4:37 pm
YOU are TOO SWEET! Seems like you've been through a lot lately, but don't give up! Hope that the insurance co. gets their act together soon. Wishing all good things for you... Smooch! Ro
MelissaF
on 1/25/08 6:04 am - Northwood, IA
oh my gosh... SOUNDS LIKE a ridiculous amount of "runaround" if you ask me. Sorta like when I was trying to get approved for RNY.. hang in there do what you must and never let them get the best of you.. gosh third parties.. just makes me ill how much of a joke it can be. Sometimes I wonder how our country gets by with its health care system/insurance carriers.. honestly. People down Canada all the time because of their "across the board plan" and having to wait forever for a procedure/surgery/etc.. anymore, I just wonder how much of that is a BAD thing.. I am sorry you are going through this, hang tough, try to DEstress.. conception happens best when a mother isn't ready to kill a third party insurance company Bubble bath and perhaps a piece of SF dark chocolate might do the trick?? ;) I am here for you always.. vent to me anytime.. you poor girlie.. Hugs!
Heather M.
on 1/25/08 9:40 am - Modesto, CA
Thanks to Jennifer and Barbara at FiServ and Aniyada (our Third Party administrator and precertification administrator), I was able to get everything cleared up this morning at 7am. When I went in tp the office at 8:15, the precertification papers were waiting on the fax for my doctor (who is in network, thank you very much!), and I got my authorization and was able to do the IUI. Helps to have done medical billing for 15 years, as well as having worked at Blue Shield myself. Have to do it again on Sunday. So here's hoping mom, who passed away before getting to meet my DH, but left me a baby blanket she made while fighting her terminal cancer, finally gets a grandbaby for that blanket! Oh, and it be nice if one of the damn baby showers I'm always attending and crocheting blankets for, was for MOI!
MelissaF
on 1/25/08 10:14 am - Northwood, IA
Oh that is terrific news.. so excited for you! I will keep my fingers crossed for you! Now you can relax and let nature take its course
(deactivated member)
on 1/25/08 11:20 am
Hi, Heather... Great News... You've won a battle with the machine! Love the thought of your mom's blanket holding her grandbaby (((Big Hug))) Ro
inDIANAw
on 1/26/08 9:04 am - Columbus, IN
Heather..I am praying for you. I sooo know what you are going through as we did YEARS of infertilty treatments and fighting the insurance companys. I remember the shots oh so well (my husband was on them too). I can also relate to the other post you made about the baby showers..if I had to sit through 1 more shower that was not mine I thought I would scream. You will have your day and you will be a GREAT mom Your mom is watching over you and smiling and we are all praying!! Big Hugs Diana
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