You’re gonna love this one… I just received an explanation of benefits from Independence Blue Cross stating that they are not fully covering the ambulance ride from the hospital to the rehab center after my hip surgery. I guess I should’ve just hooked my bed up to a car and rolled over that way. Ummmm idiots, I have no choice as to who the case manager at the hospital decides to use for transport.
The best part, my husband told the caseworker not to use American medical response, and she did anyways. 😳
I also received a second explanation of benefits in regards to my hip surgery. Again, I should’ve pre-certified breaking my hip first before I got the surgery. Logically, I understand the concept of precertification, but not in this case. So, we should’ve waited a couple of days before doing the surgery as I was lying there with a broken hip? What exactly am I supposed to do about this? They need to take it up with the fucking hospital and not me.
Thank you to those sending me your horror stories dealing with Independence Blue Cross/Anthem Blue Cross, etc. I’m so sorry you have to deal with this as well. Trust me, we will be heard!
Oh Independence Blue Cross… You’re just disgusting! Seriously how do the people that work there sleep at night knowing what they’re doing to people on the other end. They are now telling me that I may be billed $5670.09 for ￼￼my hip surgery because it was not pre-certified. So I guess I should’ve called them a couple days before my hip was broken to let them know that my hip was going to break. 😳 I know it’s not as simple as that, but come the fuck on! I seriously feel like they have my name on a list and it says, fuck with her so she goes crazy and dies. 😈
And contrary to what some ‘not so smart’ person in HR at my husbands work said, they only offer Independence Blue Cross and Kaiser, NOT United healthcare. And Kaiser doesn’t have an MS specialist so I am stuck with Independence Blue Cross. I will be looking into Medicare part B. We can’t really afford it, but I’ve got to do some thing.
I’m still trying to figure out why Comcast benefits called me directly. I think I’m going to call them back again and find out why. 🤔
I also had to send in an appeal for the ambulance ride in May after my suicide attempt. 😪 It’s really disgusting all the hoops you have to jump through when you have a chronic illness. Money is more important than human life. It doesn’t pay to be sick.
For a brief moment, I really believed today was starting out well. Then I receive a call from Independence Blue Cross. ￼I guess they feel trying to take your life is not considered an emergency and they are fighting me on paying for my trip to the hospital. I feel like they should just come to my house and shoot me, point blank, in my head. It would be so much quicker and so much less painful for me. Basically they will not allow me to go anywhere to get proper physical therapy and they won’t even give me real visits for my home for Physical Therapy. We can’t continue to pay for private visits, we live paycheck to paycheck and can’t expect help for the visits forever. ￼￼That speaks volumes to me about what is allowed in our country right now. Again, and I will scream it from the rooftops, I have never ever had this much trouble with my health care insurance until a certain orange idiot took over the White House. I think companies like Independence Blue Cross feel they can deny life-saving care for people because right now our government will allow it. Their internal doctors probably were not intelligent enough to get real jobs so they sit behind a computer to read papers regarding patients, without ever meeting the patient, and make life changing decisions.
At this time in my life I’m not too worried about karma since every day brings something more painful to my life. With that being said, I hope everyone of those people that is denying me the care I need has horrible and painful issues happen to them. I truly feel that’s the only way they will understand what it’s truly like to be ￼chronically ill. Better yet, I hope it happens to someone they love so that they can feel just as helpless and lost as my whole family feels.￼￼￼￼ Was that a bit harsh? Well you know what, it’s a fucking harsh world!
I don’t have over $5000 to be able to pay for that hospital visit. I shouldn’t have to pay for that hospital visit since we pay thousands of dollars a year to have Independence Blue Cross insurance. I don’t know how those people sleep at night. Well, I guess when you have no heart or soul it’s easy. Just remember that one day you disgusting people will have to answer for what you’ve done. While I don’t believe in the heaven and hell aspect of religion nor do I believe in the God that some believe in, if there were a hell… That’s where you people will end up! I’ll see you there, because you see I’m driving the bus… ￼￼￼
I will go on, and to those of you that are trying to blatantly and knowingly hurt￼ my life, be prepared because winter is coming!
When that idiot of a doctor told me via FaceTime that there’s nothing more they can do for me, I am end-stage MS, and he’ll put in a call to hospice, I almost said “you’re right!￼” But after talking to some amazing friends and getting the best support in the world, he can kiss my fucking ass! Dr. Kareti at AV Neuroscience, you seriously pissed off the wrong woman.￼￼ Telling someone over the phone that they are at their end, in a sense, was about the most disgusting thing a doctor could do. Aside from the fact the whole time he was shuffling papers on his table and talking to a nurse, what he did was unconscionable. What if I had been alone? What if I had no support system? He quite possibly could’ve sent someone over the edge by doing that. ￼
Now, I’m gonna show him just how incompetent and how wrong he is! Tell me I can’t asshole… I’m gonna show you I fucking can! You’ve just given me more strength than you know. I will admit that I was frightened of the places my mind went to after the phone call. But I made it through with so much help from my friends! I’m going to keep going even if I have to crawl.
I’m going to Keep fighting. One things for sure is I’m not going to be silent when I don’t receive the best healthcare possible. I have a remote call with my pain management doctor today and I will be informing him of the conversation I had with the neurologist. I’m curious to see if he’s going to agree with him or not. ￼
I’m tired, I’m scared, I’m frustrated, I’m angry, but the warrior in me is going to rise from the ashes, just like the Phoenix!!
I think doctors forget, or simply don’t care how they speak to their patients, and how those words can affect them￼. Tonight in a very blasé tone while shuffling papers and speaking with the nurse that was in the room via FaceTime, Dr. Kareti from AV neuroscience, told me I am end stage MS and there’s nothing more they can do for me.￼￼ The humorous part is the that their doctors office is why I’m trapped in bed from pain from hip contractures. No one found the break at L1 when I fell October 2013 which landed me in the bed.￼ No one got me the little kickstand boots to keep my legs in proper position. ￼￼￼ I mean if I had known then what I know now I could’ve done all this stuff on my own. Unfortunately I’m not a doctor and that’s why I was going to doctors because I thought they would know what to do. ￼￼And now, there’s nothing more they can do for me. Oh wait, I forgot, they can contact hospice for me… ￼
Oh oh oh… I tried telling him about the Physical Therapy fuck up and the visits or lack there of, and he just blew it off.￼￼￼ I mean he was really busy looking at papers on his desk and handing things to the nurse. ￼I must’ve interrupted him with my FaceTime appointment.￼
So to sum it the fuck up￼, ￼basically because I have severe pain and am unable to get out of my bed, I should just throw in the towel.
Game on bitch!
Have courage and be kind
… I just read this again and I should probably just burn it down because the pain is terrible and the pain is just so intense right now I shouldn’t be blogging about anything. But I’m gonna leave it I just felt the need to say sorry. I’m a little lost and so angry.￼ I seriously can never catch a break.
So… the only way I can get to my doctors is by gurney transport. I got the name of the people I used from the representative at Independence Blue Cross. I sent him the receipts explaining that it should be done at in-network rate blah blah blah. I received my explanation of benefits and it looks like procedure codes are missing etc. Seriously! 🤦🏻♀️ according to this they’ll only pay $100?! I don’t think so! I got the names of this service from the person that works in the executive offices at Independence Blue Cross. Then after I took these trips I was told that they don’t even cover these trips at all. WTF!! 😳 I’m dying over here at the incompetence of the people that work at Independence Blue Cross!￼￼￼￼
Oh my gosh and I almost forgot… so during this time I guess they will allow me FaceTime/phone appointments ￼with my doctors. Although we’re not actually sure yet until they call my insurance company. So, if you’ll allow this now, why the fuck can’t I do FaceTime/phone appointments with my doctors all the time! I have a need for this, I am bedridden!￼ I am unable to get out of my bed because Independence Blue Cross took me out of rehab much too early and fucked my life. And as we know they’re denying me rehab and have been denying me rehab since August of last year.￼ I’ll be finding out in the next few days if in fact they will approve or deny my FaceTime/phone appointment￼ set for next week. Independence Blue Cross, you damn well better allow me these over the phone appointments now and for as long as I will need them! ￼￼￼
So I’m going to be calling all of my doctors and getting over the phone appointments right now. I will also be getting my doctors together to get rehab going again! And NO Independence Blue Cross, my rehab won’t be done in the nursing home it will be done where I need it to be done, in an acute rehab facility! Are you so daft that you don’t understand I’ve been bedridden for over six years I need real help, not 10 to 20 minutes every couple of days! ￼￼Your doctors that work and get paid for by your company are incompetent buffoons if they don’t understand this. Money over human life! You’re all disgusting!
There really are not enough. I’m in a pretty dark place right now I’ve never been afraid of not being able to get out of it. But my problems at this time start with MS and of course that disgusting corporation Independence Blue Cross. I am very angry right now… SOOO angry. They are literally killing me right now by not allowing me the medical necessity rehab and the ability to get to my doctors.￼￼￼ How do you people that are bedridden get to their doctors. I know, they go broke trying to pay for it on their own, ￼Because Independence Blue Cross won’t. I’ve barely able to wake up the past few days because the fatigue from the stress and the depression is taking over right now. Fuck Independence Blue Cross fuck, the people that work for them that deny life-saving care just a big fuck you! I really hope Karma finds every last one of you and does her thing. Because you truly deserve what’s coming to you. I’m sorry but to work for a corporation where consciously know that you will be denying people life-saving care, you already have something fucked up in your make up. Because I know I could never work in a place like that, so yes, you’re already fucked up in the head.￼ So sorry if this hurt anyone’s feelings… ￼bahahaha no I’m not! I only speak the truth.
I’m sorry it’s a little dark today, but I can barely keep my eyes open and when they do open the tears just stream down my face. I’m angry and I’m broken and no one gives a fuck.￼￼￼
But no matter how I feel always, have courage and be kind.￼ 🖤
I would love to say that Independence Blue Cross is actually ‘working’ for me and that we have gotten my non-emergent transport taken care of￼. Unfortunately that’s not the case. I’ve actually been to a couple appointments using the non-emergent transport. Sadly I see future problems with this. When I called to get the pre-certification for transport I was told I wasn’t the one that should be calling￼ 😳⁉️ I was informed that my doctor needs to call every and explain that I’m bedridden thus needing the gurney transport. ￼Are they fucking kidding me? My doctor has to stop his practice to contact this ridiculous company to tell them that I am in fact, bedridden and need this service. Again, are they fucking kidding me?￼ So I put a call in to Jason to see what we could do about this. We spoke for a couple days as he was trying to find out the correct information for me regarding pre-certification. On March 6 I was told he would call me back on Monday, March 9 and let me know how I go about it. ￼￼￼My doctors appointment was for March 13 and he never called me back during that week.￼ 🤔 My appointment at my doctors was on Friday the 13th. I was not going to cancel my appointment, so I ￼went ahead and got my transport and will definitely be billing them for that trip as well. The total now out of my pocket thanks to no help from my insurance company, is $940. ￼￼
Should I have called him and asked why he wasn’t calling me back? That’s a big no. When someone tells me they’re going call me back, that’s what they’re supposed to do. I’m shocked at the incompetence of Independence Blue Cross and they are rent-a-docs and their employees.￼￼ The worst part about all of this is it’s seriously is fucking with my health. I know I sound like a broken record, but without rehab I have nothing. I think it’s finally time I either, shit or get off the toilet… I know that analogy is not the best but 😂￼￼ I really am not over exaggerating when I say this is life or death for me. I think maybe it’s time I go public. I think it’s time I show people what companies like Independence Blue Cross do to people who truly need their help. I think it’s time I take back my life, adjust my crown, and remind people who the hell they’re dealing with.
I know this blog is kind of all over the place but I really feel like I’m losing my mind. I know I’ve said this before but I really feel like I’m on an episode of punked. Real life really is stranger than fiction. I just want to get better. I just need the proper medical help that my doctors feel I should have. Sadly no one gets it until they get it and the way these people are making me feel, I hope they do get it. 🤭 I really don’t like feeling that way but I do believe that for every person that is keeping life-saving medical care from me, because they’re putting money first, ￼Karma will be introducing herself at some point. Good luck! ￼￼￼
Yesterday was an eye-opening experience for me being out of bed really for the first time since August 18, 2019. I am in so much pain today and sleep did not come easily last night. I now understand fully and completely ￼that in-home therapy is not gonna help me at all. I need to be in a place where they re-train my body to move again and help me deal with the pain in my hips. It’s going to be a process and it has to be hard-core.￼ I was up all night thinking about the night I fell on October 10, 2013 and how everything led up to where I am now. I need neurological physical therapy in a facility, NOT at home. I’m going to need the proper medications for the pain and I need to learn how to move again. When I say I’m like a newborn baby, I’m not being sarcastic. I know it’s hard to believe. 😊 I am now going to make an appointment with the neurologist so he gets on board with my pain management doctor about hard-core rehab. The ambulance service comes early Friday morning to take me to my pain management ￼doctors appointment. I’m scared to death. I was only in my chair for a couple of hours and the edema was so bad yesterday it really freaked me out. I’ve never had it that bad.￼ I know that I’m going to be in a lying down position, but that’s how my legs were yesterday I think it was more about the upper half of my body. I don’t even know how to explain it. What I have realized is if something doesn’t happen quickly I’m seriously screwed. I don’t think it’ll ever come back. I don’t think I’ll ever be able to move right again unless something happens now. ￼They’re hoping that I am too ill and too tired to fight. We all know it’s about money not about anybody’s health or well-being. I am tired. I am fed up. I am so close to breaking. But unfortunately for them, that’s when my strength shows up!￼ This IS life or death for me. That’s not an overstatement! If something doesn’t change quickly I will not be here much longer. My body is breaking more and more every minute I’m trapped in this bed. Somethings got to give!!￼ I know I know this is really in your face. But I will never back down from this because it is my life! I’ll say that again, this is my life!￼ so now it’s time to get all my ducks in their proverbial row, get to all my doctors appointments via stretcher, and bring it!￼ I’m seriously tired just thinking about it. Please universe give me strength!
I’m probably the only bedridden person that can actually jump through hoops. Actually I’m probably not. I got an email, not a phone call, giving me the same information regarding non-emergent transport. Not sure he actually spoke with them regarding accepting Blue Cross as only one of the three actually accept this insurance. I completely understand why the other two don’t, as Blue Cross doesn’t pay!￼￼￼ That in itself is disgusting to me. I was told once I found one that could help me that I should call to get pre-certification. Today I did that with the one company that actually takes independence blue cross. But alas, it is not I that calls for the precertification. I called the pre-cert phone number which took me to Accolade, not Blue Cross. Accolade informed me that I need to go through my doctor to show proof that I need an ambulance ride to and from my doctor to be allowed this service￼. You know being taken by stretcher to and from my doctors. ￼Yeah, because everyone wants to go by stretcher to their doctors appointments. Are they fucking kidding me?! ￼The Accolade rep did help me out by calling and taking care of all of this BS for me. The first person that actually helped and has done what they say they’re going to do. And she isn’t even a Blue Cross employee.￼ As of now, I have an appointment on the 28th and will be picked up at 7:30 AM so I can finally see my doctor again. But, I’m not holding my breath.￼
I wish I could say that I am no longer stressed regarding this, but this is only the beginning. I need to get to my neurologists office as well as my urologists office. I had to put off surgery to remove all the bladder stones because of my inability to get out of my bed. Yes I will say that again, I had to keep putting off my surgery because I could not get out of my bed and was turned away from Independence Blue Cross for inpatient rehabilitation. ￼I wonder, do I have to go jump through these hoops every fucking time I need to see my doctor(s)? Do I need to prove that I need to go by ￼stretcher again and again?￼￼￼ I truly am disgusted by Independence Blue Cross. ￼^^ Me, every time I have to talk to these people and every time I have to send an email when they cannot return an actual phone call.￼ And I will say it again and again, how the fuck do these people sleep at night knowing that they are withholding care from another human being that needs specific care?!￼ I will get my inpatient rehabilitation! I will get the care that I need! I will not allow this despicable company to be in charge of my health care over my own doctors! ￼ People we need to stand up and say no more! We need to write to our representatives, call them out, acquire an attorney if needs be, we need to say… We are not going to take this any more! ￼￼Do I seem angry, a little pissed off… You have no idea! ￼
Have courage to those who try to keep you down, and be kind!! ￼