When this posts it will mark the anniversary of a scary moment where I thought my transplant listing would be completely derailed.
On the 8th, a year ago, I was in a very serious car accident that could have ended my life. I remember that time because I fought so hard to recover & it was excruciatingly difficult. I was hit head on by a reckless driver as I was going to exercise.
I have an interim case manager from my insurance company helping me while my assigned case manager is away on temporary medical leave.
But as much homework as I’ve done on trying to clarify a few benefits & find information & details in my plan (now that my listing is imminent) I’ve unfortunately been given a lot of mis-information by the agents I’ve been speaking with. Even after they’ve put me on hold to clarify with their supervisors.
I actually am lifting this from a Facebook post I made last night referencing this video interview that I watched yesterday morning & then expounding a little.
While some of it irked me, I did at least appreciate the opportunity to see this man’s thought process.
Yes, he’s the most prominent person to champion the trend of raising drug prices to increase profit margins.
But — he’s not the only one.
I get to join the rest of the people who are adjusting to new insurance plans this year. My company changed coverages, albeit the changes are somewhat slight. Some are actual improvements, some are definite changes. Most straightforward but a few that should be simple are anything but that.
I’m having a heck of a time trying to figure out my prescriptions. The prices & classifications (tiers) are not the issue. It’s where I can get them from & how many pills at a time. It doesn’t really say, for sure, in a clear manner.
Many people don’t realize this but many common issues regarding premiums & claims were present before healthcare reform. I even experienced them myself for a few years when I made the mistake of selecting a plan that looked good on paper, but in reality was quite the opposite. (I even found an error but was never given a way to be able to submit proof to have it corrected). This was back quite awhile ago, & also part of what prompted me to take a position in customer service in health insurance when I found an opening a few years ago. I learned so much. Some knowledge I’m glad I have & other knowledge I wish I didn’t…
Even though it was written by a doctor, this post still rang true for me. I took several of these calls over time as a customer service rep, & I would try to help people sort out the messes. In fact, even after my promotion, this most likely was what I would be doing yet today (if I was still at work and not on disability). I’d be helping both employer groups & members. I’m still in “recovery” mode…because part of me misses helping people, but part of me doesn’t miss troubleshooting messes like this in the slightest, especially when it came to dealing directly with specialty pharmacy issues…
Everyone remembers hearing about the the giant hullabaloo that was the Comcast-Time Warner merger. Some may even remember the 2000 case US Versus Microsoft. Well, now we come full circle, but I’m not sure as many people know about this potential monopoly, though they should care…