Wednesday, February 21, 2007
The One Where I Rant!!
There are many things to like about my job and working for a big innercity hospital, but one of my favorites is that I have nothing to do with insurance. We take all comers and someone else deals with insurance. Now as a patient, I am having to deal with insurance and it STINKS! Before going to Sloan Kettering for any of my evaluations, I had to call to make sure that insurance would cover it. I had three phone conversations with three different insurance people who all said different things, but the jist was the same- they are contracted with the parent company for my insurance so it should be no problem in the big picture but the out of pocket maximum might be different. I was OK with these facts so we proceeded, and I even made it through the private hospitals wallet biopsy. So no problem, right, WRONG. We got a notice from the insurance my dad had when he was working (he retired years ago) under which I was covered until 1995, (Yes, folks 1995, ie. over a decade ago, not to mention that I have had about 4 insurance carriers since then) saying that they have rejected the bill for my hospitalization. Hello people. How did they even get this information and better yet why are all of the doctors bills proceeding correctly. Strange- So, I am now spending countless hours trying to figure this out. The really weird part is that the hospital seems to have no record of sending bills to this company and can't even match the amounts. I have gotten all of this information with only 2 hours on the phone. I can hardly wait to see how many hours it will take before this is fixed. Help!!