My insurance woes …

Dude.  I’m headed for the white house. I can feel it … this is going to be a loooong drawn out process which will result in me heading to D.C., dialysis machine in hand to give a speech to congress on why they need to take peritoneal dialysis training off the Government No Pay List.

Friday I called our insurance again, trying to get some answers, but of course I ran into another dead end.  I have gotten a different answer to the same question at least 6 times now.  So I called the claim representative i was talking to a liar.  This apparently offended her … opps !  She told me that because Andrews dialysis training is on the NO PAY LIST that we can’t appeal it. That the only option we have is to pay the bill, and that she’s sorry to be the bearer of bad news but that’s simply how our insurance works.  Then she informed me that the reason Peritoneal Dialysis Training is on the NO PAY LIST is because it’s considered an “educational class” and then proceeded to compare our son being on dialysis to diabetes.  What a Douche Bag.       Then she suggested that I google the Government No Pay List and take it to our finance person at the hospital  ????   Yeah, that’s what I’m gonna do.  “Excuse me, but can you please not bill us with any of these codes, our insurance is acting like a bunch of assholes and won’t cover our care if you do”.

So after being reduced to tears, I got pissed.  And woke up Saturday morning ready to fight !  Oh, hells yeah. IT IS ON !   First I googled the “white House”  because I wanted to write President Obama a nice little letter about our situation, so I was looking for his mailing address and to my surprise there was an area called “contact us” or something like that where you can e-mail him !  I’m not retarded, I’m sure he has more pressing matters than to check the millions of e-mail he probably receives daily, but somebody reads them, and I figured if it sounded urgent enough that maybe I’ll actually get a response ! I even included my home number in case he has time to call me ! 

And today I’ve already sent an e-mail to one of our state senators Barbara Boxer, and printed a privacy release form from Dianne Feinstein’s web page to which I’ll add a letter requesting her help in this matter !  I’ve figured out who I need to talk to, his name is  Daniel Chen.  He is the  Constituent Services Representative for issues of the Military including TRICARE, which happens to be our insurance.   Yo, Daniel Chen if you happen to google your name and come across this , gimme a call ~ or shoot me an e-mail, PLEASE !

I figure a lot of laws, policy’s, and policy changes have happened because someone pissed off the wrong mom.  I’d like to add myself to that list !  So I’m going to use what little free time I have to fight the fight ! Even if my family has to be the example and we get stuck having to pay these ridiculous bills … it’ll all be worth it to me if I can make a difference and spare the next family unfortunate enough to have their child diagnosed with kidney disease , one BIG FAT HEADACHE !



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DOOOOOOOOOD. I would NOT want to be on your bad side. I hate that you’re going through this, but I LOVE the attitude you possess about it.

Washington better WATCH OUT…I think you’re going to make your point. :0)

Hannah I’m going to email you offline about this. *hugs* Hope they all regret the day they denied that claim.

Hi there! Delurking… ;O)
I am SELF pay, with no insurance at all.. and have had several trips to hosp. over last few years.. they WILL probably take it off the bill.My husband calls and annyoys people all the time to get them to reduce the bills. We also make very small payments so that it is long and drawn out.. and makes me NUTS because I want it done.. but after a couple of years.. They usually make my husband a deal where its either greatly reduced or eliminated ! Its just annoying and takes forever but you CAN get them to take it off ;o))

I hope it works out for you soon, so you can concentrate on being that mama.. instead of all this yuck!

Dude I know this sounds crazy, but in fighting a recent medical bill. I found out that it doesn’t matter what people say on the phone. Send the company that is billing you a written letter of “dispute of payment” along with your account number and copy of the bill. Don’t ask me why they need it in writing but apparently once you send it in writing bills just suddenly poof away like magic. Love ya!

Had a friend with Tricare and a “no govenment pay” code. She sent a simple letter, supporting documents and bill, she received a reimbursment and no questions.
Hope that helps.

Hello. Gosh I am so sorry to hear what you are going through with Tricare. My hubby is in the AF and sometimes I really can’t stand them. I am currently pregnant with my 2nd son who suffers from LUTO, however we are now beyond intervention as his kidneys have already failed. We plan to carry to term then comfort care post birth. I saw your story on babies911 at the time I still had hope for our lil guy but it soon went away when there was just nothing they could do anymore. I’m glad I found your blog, and wish to continue to follow it. As I feel we are linked through this horrbile condition called LUTO.

-steph

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  • profile Howdy! My name is Hannah and this is my blog! While pregnant with my second child and on house arrest, I mean bed rest, due to some serious complications... I figured it'd be cheaper if I started blogging rather than shop online, so here I am ~ blogging about my MIRACLE baby, and at times my crazy ass pre-schooler! BTW, I've learned that just because I'm a REALLY GOOD online shopper, does not make me "computer savvy!" Read more About Me!




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