Appointment with new pulmo-dude

[Guest guest]

OMG!! I am so frustrated and anxious. We changed insurance carriers in the

enrollment period June-July time period. I was assured by all of my physicians

and medical equipment providers as well as National Jewish that they were all

participators. Well, let me tell you this whole medical care business is really

messed up. Did you know that if I OWN a concentrator that I can not get a tank

and IFILL from any other provider because of " rules " that exist in the industry?

It is kind of funny because I told the pulmo dude that I had a concentrator and

if he could arrange it I would prefer the same medical equipment provider as

they were contracted with the local PPO for my NEW insurance carrier. Something

got lost in the translation and I have been on the phone for 3 days now trying

to get a straight up answer. When you change insurance carriers, you have no

health records (though Blue Cross/Blue Shield has no problems with 'pre-existing

conditions'). How hard would it be for a company that does not care about

pre-existing conditions to request medical records for the last 2-3 years so

that they can see that I have been diagnosed with a condition that would warrant

action today as opposed to a month or two from now! Sorry, I am very upset and

have made my feelings known in several offices now. I can not believe that the

doctors all want their own CT scans because they do not want to take the time to

learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the

last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid

profile done ever 6 months for the last 3 years but they can't spot a trend?

Sorry... still venting. Is it any wonder there are such high costs associated

with medical care? I have taken Bruce's advice and do not go to any doctor's

office without my notebook of information and the CDs provided by Best Doctors,

National Jewish and the local CT scans that have been done over the last 3

years. I have my typed up medication list, and even a self written patient

history. The doctors seem to appreciate it, but some of the nursing staff get

their pants in a bunch because I am out of the norm and don't fit into their

neat little pigeon hole.

I now have a prescription for oxygen. We will just see how long it takes to get

it filled. It has been over 24 hours and it still has to be taken care of. I

have checked with all involved parties, but we all know how slow things seem to

go.

Thanks for listening.

Stefani

NSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

[Guest guest]

Stefani, I feel your pain, I bet if everyone told there individual

Horror Insurance Stories we could fill a book! I have become soo

proactive in the last 5 years because otherwise nothing gets done. And

getting a straight answer from the insurance company..Hah! I too have a

hand written (ms word) health history and prescription data, I even put

the prescriptions on 3x4 labels, list name, generic name, mgs and how

often, so they can just peel and stick and I swear it freaks them out.

I had one nurse insist I fill out their forms until I told her that her

forms were not big enough for all my data. I take 25 prescription meds

and 5 supplements, Ive had 7 surgeries in the last 5 years and I have

three doctors keeping track of my top 3 diseases and they give me 2

lines on a preprinted form. Makes you want to shake them till their

teeth rattle!

Take a deep deep breath LOL and just keep smiling and insisting they do

it right. Hang in there

Dyane, Phoenix, IPF 02, Psoriasis, Lipodermatosclerosis, Breast Cancer,

Diabetes, Fibromyalgia

>

> OMG!! I am so frustrated and anxious. We changed insurance carriers

in the enrollment period June-July time period. I was assured by all of

my physicians and medical equipment providers as well as National Jewish

that they were all participators. Well, let me tell you this whole

medical care business is really messed up. Did you know that if I OWN a

concentrator that I can not get a tank and IFILL from any other provider

because of " rules " that exist in the industry? It is kind of funny

because I told the pulmo dude that I had a concentrator and if he could

arrange it I would prefer the same medical equipment provider as they

were contracted with the local PPO for my NEW insurance carrier.

Something got lost in the translation and I have been on the phone for 3

days now trying to get a straight up answer. When you change insurance

carriers, you have no health records (though Blue Cross/Blue Shield has

no problems with 'pre-existing conditions'). How hard would it be for a

company that does not care about pre-existing conditions to request

medical records for the last 2-3 years so that they can see that I have

been diagnosed with a condition that would warrant action today as

opposed to a month or two from now! Sorry, I am very upset and have

made my feelings known in several offices now. I can not believe that

the doctors all want their own CT scans because they do not want to take

the time to learn how to use the viewer (for digital data) on a CD of 2

CT scans done in the last 3 months!! Same goes for blood tests. I have

had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years

but they can't spot a trend? Sorry... still venting. Is it any wonder

there are such high costs associated with medical care? I have taken

Bruce's advice and do not go to any doctor's office without my notebook

of information and the CDs provided by Best Doctors, National Jewish and

the local CT scans that have been done over the last 3 years. I have my

typed up medication list, and even a self written patient history. The

doctors seem to appreciate it, but some of the nursing staff get their

pants in a bunch because I am out of the norm and don't fit into their

neat little pigeon hole.

>

> I now have a prescription for oxygen. We will just see how long it

takes to get it filled. It has been over 24 hours and it still has to

be taken care of. I have checked with all involved parties, but we all

know how slow things seem to go.

>

> Thanks for listening.

>

> Stefani

> NSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

>

[Guest guest]

medical insurance is the most frustrating thing -- spend hours on hold -- to find out that you need to call a different number -- then it's back and forth -- forth and back -- have you dealt with prior authorization yet? -- that's lots of fun

you, the doctors' office, the nurse, the insurance company -- then start all over again

CT scans from other hospitals aren't good enough -- they like to get their own on their own equipment

been there, done that, got the diagnosis instead of a T-shirt!!! lol

Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania

Donate Life Listed 1/09 Inactive 4/09

www.transplantfund.org---

Subject: Appointment with new pulmo-dudeTo: Breathe-Support Date: Friday, July 10, 2009, 3:31 PM

OMG!! I am so frustrated and anxious. We changed insurance carriers in the enrollment period June-July time period. I was assured by all of my physicians and medical equipment providers as well as National Jewish that they were all participators. Well, let me tell you this whole medical care business is really messed up. Did you know that if I OWN a concentrator that I can not get a tank and IFILL from any other provider because of "rules" that exist in the industry? It is kind of funny because I told the pulmo dude that I had a concentrator and if he could arrange it I would prefer the same medical equipment provider as they were contracted with the local PPO for my NEW insurance carrier. Something got lost in the translation and I have been on the phone for 3 days now trying to get a straight up answer. When you change insurance carriers, you have no health records (though Blue Cross/Blue Shield has no problems with 'pre-existing conditions') .

How hard would it be for a company that does not care about pre-existing conditions to request medical records for the last 2-3 years so that they can see that I have been diagnosed with a condition that would warrant action today as opposed to a month or two from now! Sorry, I am very upset and have made my feelings known in several offices now. I can not believe that the doctors all want their own CT scans because they do not want to take the time to learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years but they can't spot a trend? Sorry... still venting. Is it any wonder there are such high costs associated with medical care? I have taken Bruce's advice and do not go to any doctor's office without my notebook of information and the CDs provided by Best Doctors, National Jewish and the local CT scans

that have been done over the last 3 years. I have my typed up medication list, and even a self written patient history. The doctors seem to appreciate it, but some of the nursing staff get their pants in a bunch because I am out of the norm and don't fit into their neat little pigeon hole.I now have a prescription for oxygen. We will just see how long it takes to get it filled. It has been over 24 hours and it still has to be taken care of. I have checked with all involved parties, but we all know how slow things seem to go.Thanks for listening.StefaniNSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

[Guest guest]

Stef,

I hear ya....we've probably all been there. The years when my son was a teenager and required things that my insurance balked at...the time right after my diagnosis when my insurance company (Aetna at the time) freaked at the sudden onslaught of claims. The hours and hours I spent on the phone...mostly on hold listening to what could only loosely be called "music".

Take a deep breath and try not to comtemplate murder. We do all understand.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

To: Breathe-Support Sent: Friday, July 10, 2009 3:31:31 PMSubject: Appointment with new pulmo-dude

OMG!! I am so frustrated and anxious. We changed insurance carriers in the enrollment period June-July time period. I was assured by all of my physicians and medical equipment providers as well as National Jewish that they were all participators. Well, let me tell you this whole medical care business is really messed up. Did you know that if I OWN a concentrator that I can not get a tank and IFILL from any other provider because of "rules" that exist in the industry? It is kind of funny because I told the pulmo dude that I had a concentrator and if he could arrange it I would prefer the same medical equipment provider as they were contracted with the local PPO for my NEW insurance carrier. Something got lost in the translation and I have been on the phone for 3 days now trying to get a straight up answer. When you change insurance carriers, you have no health records (though Blue Cross/Blue Shield has no problems with 'pre-existing conditions') . How

hard would it be for a company that does not care about pre-existing conditions to request medical records for the last 2-3 years so that they can see that I have been diagnosed with a condition that would warrant action today as opposed to a month or two from now! Sorry, I am very upset and have made my feelings known in several offices now. I can not believe that the doctors all want their own CT scans because they do not want to take the time to learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years but they can't spot a trend? Sorry... still venting. Is it any wonder there are such high costs associated with medical care? I have taken Bruce's advice and do not go to any doctor's office without my notebook of information and the CDs provided by Best Doctors, National Jewish and the local CT scans that

have been done over the last 3 years. I have my typed up medication list, and even a self written patient history. The doctors seem to appreciate it, but some of the nursing staff get their pants in a bunch because I am out of the norm and don't fit into their neat little pigeon hole.I now have a prescription for oxygen. We will just see how long it takes to get it filled. It has been over 24 hours and it still has to be taken care of. I have checked with all involved parties, but we all know how slow things seem to go.Thanks for listening.StefaniNSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

[Guest guest]

when on hold, i sit in front of my computer and play solitaire over and over and over and over again

Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania

Donate Life Listed 1/09 Inactive 4/09

www.transplantfund.org---

Subject: Re: Appointment with new pulmo-dudeTo: Breathe-Support Date: Friday, July 10, 2009, 8:18 PM

Stef,

I hear ya....we've probably all been there. The years when my son was a teenager and required things that my insurance balked at...the time right after my diagnosis when my insurance company (Aetna at the time) freaked at the sudden onslaught of claims. The hours and hours I spent on the phone...mostly on hold listening to what could only loosely be called "music".

Take a deep breath and try not to comtemplate murder. We do all understand.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

From: sfshaner <sfshaner (AT) gmail (DOT) com>To: Breathe-Support@ yahoogroups. comSent: Friday, July 10, 2009 3:31:31 PMSubject: Appointment with new pulmo-dude

OMG!! I am so frustrated and anxious. We changed insurance carriers in the enrollment period June-July time period. I was assured by all of my physicians and medical equipment providers as well as National Jewish that they were all participators. Well, let me tell you this whole medical care business is really messed up. Did you know that if I OWN a concentrator that I can not get a tank and IFILL from any other provider because of "rules" that exist in the industry? It is kind of funny because I told the pulmo dude that I had a concentrator and if he could arrange it I would prefer the same medical equipment provider as they were contracted with the local PPO for my NEW insurance carrier. Something got lost in the translation and I have been on the phone for 3 days now trying to get a straight up answer. When you change insurance carriers, you have no health records (though Blue Cross/Blue Shield has no problems with 'pre-existing conditions') .

How hard would it be for a company that does not care about pre-existing conditions to request medical records for the last 2-3 years so that they can see that I have been diagnosed with a condition that would warrant action today as opposed to a month or two from now! Sorry, I am very upset and have made my feelings known in several offices now. I can not believe that the doctors all want their own CT scans because they do not want to take the time to learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years but they can't spot a trend? Sorry... still venting. Is it any wonder there are such high costs associated with medical care? I have taken Bruce's advice and do not go to any doctor's office without my notebook of information and the CDs provided by Best Doctors, National Jewish and the local CT scans

that have been done over the last 3 years. I have my typed up medication list, and even a self written patient history. The doctors seem to appreciate it, but some of the nursing staff get their pants in a bunch because I am out of the norm and don't fit into their neat little pigeon hole.I now have a prescription for oxygen. We will just see how long it takes to get it filled. It has been over 24 hours and it still has to be taken care of. I have checked with all involved parties, but we all know how slow things seem to go.Thanks for listening.StefaniNSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

[Guest guest]

Joyce, Shands at UF did all the pre stuff and I didn't have to do one thing.. When I went in to see the transplant coordinator she already had everything set and OKed. I was very surprised. It was Aetna. Have you talked to the financial Dept about doing all that? Love and Prayers, Peggy IPF 2004, FloridaWorry looks around, Sorry looks back, Faith looks up. medical insurance is the most frustrating thing -- spend hours on hold -- to find out that you need to call a different number -- then it's back and forth -- forth and back -- have you dealt with prior authorization yet? -- that's lots of fun you, the doctors' office, the nurse, the insurance company -- then start all over again CT scans from other hospitals aren't good enough -- they like to get their own on their own equipment been there, done that, got the diagnosis instead of a T-shirt!!! lol Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania Donate Life Listed 1/09 Inactive 4/09 www.transplantfund.org--- On Fri, 7/10/09, sfshaner <sfshaner (AT) gmail (DOT) com> wrote: From: sfshaner <sfshaner (AT) gmail (DOT) com>Subject: Appointment with new pulmo-dudeTo: Breathe-Support Date: Friday, July 10, 2009, 3:31 PM OMG!! I am so frustrated and anxious. We changed insurance carriers in the enrollment period June-July time period. I was assured by all of my physicians and medical equipment providers as well as National Jewish that they were all participators. Well, let me tell you this whole medical care business is really messed up. Did you know that if I OWN a concentrator that I can not get a tank and IFILL from any other provider because of "rules" that exist in the industry? It is kind of funny because I told the pulmo dude that I had a concentrator and if he could arrange it I would prefer the same medical equipment provider as they were contracted with the local PPO for my NEW insurance carrier. Something got lost in the translation and I have been on the phone for 3 days now trying to get a straight up answer. When you change insurance carriers, you have no health records (though Blue Cross/Blue Shield has no problems with 'pre-existing conditions') . How hard would it be for a company that does not care about pre-existing conditions to request medical records for the last 2-3 years so that they can see that I have been diagnosed with a condition that would warrant action today as opposed to a month or two from now! Sorry, I am very upset and have made my feelings known in several offices now. I can not believe that the doctors all want their own CT scans because they do not want to take the time to learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years but they can't spot a trend? Sorry... still venting. Is it any wonder there are such high costs associated with medical care? I have taken Bruce's advice and do not go to any doctor's office without my notebook of information and the CDs provided by Best Doctors, National Jewish and the local CT scans that have been done over the last 3 years. I have my typed up medication list, and even a self written patient history. The doctors seem to appreciate it, but some of the nursing staff get their pants in a bunch because I am out of the norm and don't fit into their neat little pigeon hole.I now have a prescription for oxygen. We will just see how long it takes to get it filled. It has been over 24 hours and it still has to be taken care of. I have checked with all involved parties, but we all know how slow things seem to go.Thanks for listening.StefaniNSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

[Guest guest]

Peggy

every thing has been settled with for several months -- i was just responding to Stefani

Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania

Donate Life Listed 1/09 Inactive 4/09

www.transplantfund.org---

Subject: Re: Appointment with new pulmo-dudeTo: Breathe-Support Date: Friday, July 10, 2009, 8:49 PM

Joyce, Shands at UF did all the pre stuff and I didn't have to do one thing.. When I went in to see the transplant coordinator she already had everything set and OKed. I was very surprised. It was Aetna. Have you talked to the financial Dept about doing all that?

Love and Prayers, Peggy

IPF 2004, Florida

Worry looks around,

Sorry looks back,

Faith looks up.

medical insurance is the most frustrating thing -- spend hours on hold -- to find out that you need to call a different number -- then it's back and forth -- forth and back -- have you dealt with prior authorization yet? -- that's lots of fun

you, the doctors' office, the nurse, the insurance company -- then start all over again

CT scans from other hospitals aren't good enough -- they like to get their own on their own equipment

been there, done that, got the diagnosis instead of a T-shirt!!! lol

Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania

Donate Life Listed 1/09 Inactive 4/09

www.transplantfund. org

From: sfshaner <sfshaner (AT) gmail (DOT) com>Subject: Appointment with new pulmo-dudeTo: Breathe-Support@ yahoogroups. comDate: Friday, July 10, 2009, 3:31 PM

OMG!! I am so frustrated and anxious. We changed insurance carriers in the enrollment period June-July time period. I was assured by all of my physicians and medical equipment providers as well as National Jewish that they were all participators. Well, let me tell you this whole medical care business is really messed up. Did you know that if I OWN a concentrator that I can not get a tank and IFILL from any other provider because of "rules" that exist in the industry? It is kind of funny because I told the pulmo dude that I had a concentrator and if he could arrange it I would prefer the same medical equipment provider as they were contracted with the local PPO for my NEW insurance carrier. Something got lost in the translation and I have been on the phone for 3 days now trying to get a straight up answer. When you change insurance carriers, you have no health records (though Blue Cross/Blue Shield has no problems with 'pre-existing conditions') .

How hard would it be for a company that does not care about pre-existing conditions to request medical records for the last 2-3 years so that they can see that I have been diagnosed with a condition that would warrant action today as opposed to a month or two from now! Sorry, I am very upset and have made my feelings known in several offices now. I can not believe that the doctors all want their own CT scans because they do not want to take the time to learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years but they can't spot a trend? Sorry... still venting. Is it any wonder there are such high costs associated with medical care? I have taken Bruce's advice and do not go to any doctor's office without my notebook of information and the CDs provided by Best Doctors, National Jewish and the local CT scans

that have been done over the last 3 years. I have my typed up medication list, and even a self written patient history. The doctors seem to appreciate it, but some of the nursing staff get their pants in a bunch because I am out of the norm and don't fit into their neat little pigeon hole.I now have a prescription for oxygen. We will just see how long it takes to get it filled. It has been over 24 hours and it still has to be taken care of. I have checked with all involved parties, but we all know how slow things seem to go.Thanks for listening.StefaniNSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009

[Guest guest]

Oh Sorry Pink. When I thought about it I realized you were already through all that stuff... OD.. Love and Prayers, Peggy IPF 2004, FloridaWorry looks around, Sorry looks back, Faith looks up. Peggy every thing has been settled with for several months -- i was just responding to Stefani Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania Donate Life Listed 1/09 Inactive 4/09 www.transplantfund.org--- Subject: Re: Appointment with new pulmo-dudeTo: Breathe-Support Date: Friday, July 10, 2009, 8:49 PM Joyce, Shands at UF did all the pre stuff and I didn't have to do one thing.. When I went in to see the transplant coordinator she already had everything set and OKed. I was very surprised. It was Aetna. Have you talked to the financial Dept about doing all that? Love and Prayers, Peggy IPF 2004, Florida Worry looks around, Sorry looks back, Faith looks up. <pastedGraphic.tiff> medical insurance is the most frustrating thing -- spend hours on hold -- to find out that you need to call a different number -- then it's back and forth -- forth and back -- have you dealt with prior authorization yet? -- that's lots of fun you, the doctors' office, the nurse, the insurance company -- then start all over again CT scans from other hospitals aren't good enough -- they like to get their own on their own equipment been there, done that, got the diagnosis instead of a T-shirt!!! lol Pink Joyce R (IPF 3/06) IFA 5/09 Pennsylvania Donate Life Listed 1/09 Inactive 4/09 www.transplantfund. org From: sfshaner <sfshaner (AT) gmail (DOT) com>Subject: Appointment with new pulmo-dudeTo: Breathe-Support@ yahoogroups. comDate: Friday, July 10, 2009, 3:31 PM OMG!! I am so frustrated and anxious. We changed insurance carriers in the enrollment period June-July time period. I was assured by all of my physicians and medical equipment providers as well as National Jewish that they were all participators. Well, let me tell you this whole medical care business is really messed up. Did you know that if I OWN a concentrator that I can not get a tank and IFILL from any other provider because of "rules" that exist in the industry? It is kind of funny because I told the pulmo dude that I had a concentrator and if he could arrange it I would prefer the same medical equipment provider as they were contracted with the local PPO for my NEW insurance carrier. Something got lost in the translation and I have been on the phone for 3 days now trying to get a straight up answer. When you change insurance carriers, you have no health records (though Blue Cross/Blue Shield has no problems with 'pre-existing conditions') . How hard would it be for a company that does not care about pre-existing conditions to request medical records for the last 2-3 years so that they can see that I have been diagnosed with a condition that would warrant action today as opposed to a month or two from now! Sorry, I am very upset and have made my feelings known in several offices now. I can not believe that the doctors all want their own CT scans because they do not want to take the time to learn how to use the viewer (for digital data) on a CD of 2 CT scans done in the last 3 months!! Same goes for blood tests. I have had a CMP, A1c and Lipid profile done ever 6 months for the last 3 years but they can't spot a trend? Sorry... still venting. Is it any wonder there are such high costs associated with medical care? I have taken Bruce's advice and do not go to any doctor's office without my notebook of information and the CDs provided by Best Doctors, National Jewish and the local CT scans that have been done over the last 3 years. I have my typed up medication list, and even a self written patient history. The doctors seem to appreciate it, but some of the nursing staff get their pants in a bunch because I am out of the norm and don't fit into their neat little pigeon hole.I now have a prescription for oxygen. We will just see how long it takes to get it filled. It has been over 24 hours and it still has to be taken care of. I have checked with all involved parties, but we all know how slow things seem to go.Thanks for listening.StefaniNSIP (cellular) 6/2009, Diabetes II 2/2006, Sleep Apnea 4/2009