Wednesday, January 22, 2014

Got another letter!

This time it's from our health insurance provider,  Insurance we almost lost due to the new unaffordable health care act, because my husbands employer got more people to sign up, and all were willing to pay a little more, we can keep it at least for another year, next year will be debatable.

That being said, let me give you some back ground info on me, I'm a former smoker, I smoked for almost 30 years, I escaped the long term damage, I do however need albuteral from time to time, as I work in a cooler, it's 33 degrees in there. My saving grace was probably good nutrition and exercise.

I still may develope problems, nobodies fault but my own!

My husband is a skin cancer survivor, it can reoccur at any time, both of his arms from wrist to shoulder were affected, he worked all during his treatment, didn't miss a single day.

He's worked for the same employer for 34 years, paid into this insurance company, BCBS the entire time,  other then giving birth and his skin cancer, well baby visits, etc, there were many years, we never used the insurance we had, didn't need to we were healthy.

Now, I am 52 years old, like I said, I work in the cooler, what do I do?

I unload the truck, I may get 3 or 4 pallets of product, we are talking almost 7000 poumds of , meat, milk, cheese, vegetables, any fresh food.

My job is to unpack these pallets and put the product into backstock, I can usually do my truck in about an hour and a half, thats a lot of weight I have to move, my job isn't finished there, if someone needs something sliced, I have to stop what I am doing and go slice, then clean the slicer.

I then have to weigh the meat and cheese and fill holes, stock milk, sour cream , salads, veggies etc.

So, thats what I do.

Now back in the fall a week before Thanksgiving, things got crazy at work, plus I was doing a lot of leaf raking and yard work, getting my house and yard ready for the winter and for the holidays.

Well, it took it's toll on my back especially my left shoulder, I was in pain, I woke up one morning ready to pull my hair out, motrin wasn't working.

So, I went to the chiropractor( not sure if thats spelled right) had my back and neck adjusted, paid for it out of my own pocket, no problem.

The pain got worse, I actually went to work like that, the next day, I called my doctor , I was afraid I ripped or did something really bad, at this point, I can't pinpoint any situation that actually caused the pain, it wasn't an accident, I just woke up in pain.

So the doctor tells me, it's a muscle spasm, no serious problem, told me to take a couple days off work, not more raking, he gave me a script for muscle relaxers and told me to alternate between hot and cold on that shoulder. After a couple days, I was good as new. Haven't had a proble since.

 

well, we just got a letter from BCBS, THEY ARE INVESTIGATING MY INJURY!

REALLY! REALLY! A F*CKING MUSCLE SPASM

It has been brought to their attention, that I was recxently treated for an injury,( an accident injury), I never said it was an accident, I don't know what caused it. overuse would be my guess.

They want to know, was it an auto accident, motorcycle, injury at work, injury at home? a fall, at home or elsewhere, did someone do this to me?

Did I file a lawsuit?

Am I getting ready for disabilty? wth

 

My first thought was maybe the doctor overbilled, nope went back an looked at the claim, only charged me for the office visit and I paid my co-pay.

Second thought, Are they trying to pass the buck off onto, my employer, car insurance, someone elses car insurance, my home owners.

Third thought, are we going to go through this everytime we go to the doctors? Are they going to decide we are high risk and charge us more?

Fouth thought, I wonder how much overhead all this investigating will cost, cause it will be passed on to us!

 

This is the same company, who won't let me have my albuteral when I need it, I paid my last script out of pocket, beacuse I was 3 days early and the insurance wouldn't cover me until the day they say I can have it.

Fifth and final thought, when does their BS rationing cost someone thier life?

Friday, January 3, 2014

Jap, I'm going to mow your lawn

Just opened my mail today.

Received a letter from my car insurance company...

Dear Mr. and Mrs Sully16

We have some great news, first Thanks you for your business.

The state of Michigan requires drivers to carry Personal injury protection ( pip) benefits as a mandatory part of automobile insurance. This unique coverage provides comprehensive benefits in the case of an auto-related injury.

WHY AM I RECEIVING THIS LETTER?

Because your auto policy is currently providing you with " EXCESS MEDICAL COVERAGE"  This means if you are injured in an auto accident your health insurer is the ( PRIMARY) payor and is expected to pay your medical bills first, We ( insert company name) is the excess payor and is expected to pay your medical bills only after your health insurer has paid.

Because ( insert company name) is designated as the excess medical coverage payor, you are receiving a discount on your auto insurance.

Health insurance plans are constantly changing, especially group plans offered through employers. Many major health insurance carriers in Michigan are no longer providing primary medical coverage for auto-related injuries. Because of this , we need to verify that auto insurance policies with excess medical will actually be paid first by your health care provider, Again, the reason is that customers with excess medical coverage, such as you, receive a discount based on ( company name) being the excess payor.

 

WHAT SHOULD I DO NEXT

Option 1

In order to retain your discount, we need to verufy you are still eligible for the " Excess medical coverage" dicount.

To do so, we need documentation to verify that your health provider is the primary payor,Acceptable documentation would include a copy of your health insurance plan and verification of coverage from your health insurer.

 

Option 2

Unless you verify eligibility your renewal will automatically change your PIP from excess to "Primary" at your upcoming renewal. A premium INCREASE will occur as a result of no longer being eligible for this discount.