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Friday, August 3, 2012

Insert Jeopardy Theme Music Here

I am sitting and waiting.  God I hate waiting.  I am waiting for some woman to call me back.  Waiting for a phone call.  Quite possibly the worst kind of waiting.  I also hate health insurance red tape and snooty doctor's office employees. I would say that I hate health insurance but they keep things from costing like a million dollars so I don't hate them, I just hate their red tape.  Let me start at the beginning.  My daughter went to see a specialist who wanted to refer her to another specialist.  So after much schedule juggling (they told me initially that they couldn't get her in before she left for school), we went to see this other specialist on Wednesday.  We sat in the office for about 45 minutes just to have a woman come out and tell us that she couldn't be seen because they didn't have a referral.  Even though when I scheduled the appointment, I asked the person if they had the referral and she said yes.  Then the woman changed her story and said well we didn't have the right kind of referral and that it had to be from her PCP anyway.  So we drove to the PCP's office and stood there while they made the referral.  I also asked them to call and make me another appointment to avoid being told again that they couldn't get her in before she left for school.  They made the appointment for the next day because like the other specialist, the PCP thought she should see the new specialist right away.  So, Thursday we go to the new specialist again.  When I get there to check in and give my daughter's name, the same woman from the day before jumps up and literally runs over with our file to state that we still don't have the right kind of referral.  I said that we got one from the PCP and she said it still wasn't right.  I stated that we stood there while they did it and I didn't know what more to do.  Then this nice lady offered to call the PCP's office and explain to them what was needed.  She came back and assured me that Lori at the PCP's office would be calling me but that we couldn't see the new specialist until after Lori had called because then it would be covered by our insurance.  I asked if I would have trouble rescheduling before my daughter left for school and she said that her name was Kathy and I was to ask for her when I called if there was any trouble.  So I waited all day yesterday for this Lori to call.  I waited all through this morning for Lori to call.  Lori never called.  So at 11 am I took it upon myself to call insurance.  They said that the referral was good as of Thursday afternoon and that we were good to go see the new specialist.  So I called the new specialist's office and was told she can't have an appointment until the end of September.  I told the woman on the phone that I was told to ask for Kathy if there was a problem with the scheduling.  She said maybe I meant Chris and I said no, I mean Kathy and she said well Kathy is out to lunch right now but can I take your name and number and have her call you back?  I gave her my name and number.  Its 1 pm.  Apparently they take really long lunches at that office because she still hasn't called me back.  Oh and did I mention that the PCP is on vacation next week so its not like his office will be able to help me get an appointment.  This whole thing is just one big mess.  My hubby already called his HR department to find out if we could switch to a PPO (where you choose your doctors and specialists, it just costs more) instead of our HMO especially since our daughter will be going away to college and won't have access to her PCP to get referrals and such.  They said that moving to college was not a life change so we would have to wait until the next calendar year to switch to the PPO.  They said that if she were a spouse who was going from part-time emplyment to full-time employment or vice-versa that those circumstances are considered a life change but not moving to another state away from your family (and PCP).  That's not a life change at all.  Whatever.  So I wait.  I hate waiting.  She's not going to call is she?  She is never going to call and I am going to have to call them back again and go through the whole process over again.  Have a nice vacation PCP.  I'll just be here waiting.  Have a great three hour lunch Kathy.  I'll just be here waiting.  Have control over my life health insurance company.  I'll just be here waiting.  No.  I'm not waiting anymore.  I'm calling again because if you want something done, you have to be forceful and push or people just walk all over you or forget about you.  That's it.  I'm calling again.  No more waiting for me. . . . Ok, I'm back.  I got an appointment and she said that I needed to call my insurance to have them fax the referral approval to the new specialist's office.  I called insurance.  They don't do that.  They said they do things electronically and that I would have to call the PCP's office to get that done.  I called the PCP's office and they said they are doing it.  I will call back to the new specialist's office to confirm that they have it on Monday.  Good Lord!  Finally, all my ducks are in a row.  Thank you ducks.  Thank you for finally lining up even though getting you there was more difficult than herding cats.  Don't ask where I got that comparison from.  It's been a long week.  At least I'm done waiting :)

1 comment:

  1. Wow. Just, wow. And I thought we had a rough time getting seen out in town when we were dealing with the Navy bases & TriCare! Best of luck to ya! (and I hope all is alright with daughter - loves to you all!)

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