When It Comes To Insurance, It’s Never “The End Of It”
I was unemployed and had to get on state-funded medical insurance. Not long after I signed up, I found a full-time job. The catch was that I had to work for them for a year before I could get their insurance, which meant I had to stay on the state insurance.
The year passed, and I started asking the higher-ups when I would get their insurance. I was told “soon.”
A couple of months pass, and now it’s December. They once again tell me “soon”, but this time, they give me a stack of forms to fill out. I tell them I need an exact date so I’ll know when to cancel my current insurance. They say they’ll let me know when they know.
Christmas is on a weekend that year. The Friday before, I’m told that my new insurance will start on January 1st. I call my current insurance, and they tell me I can’t cancel online or on the phone; I have to go in person. The office will be closed the Monday after Christmas. AND they fail to mention that I can make an appointment.
On Tuesday, I go to the local office and wait for two hours. A lady calls me back to her office. I have to explain three times why I’m there. Either she doesn’t understand, or she thinks I don’t understand. She finally gets it.
Insurance Lady #1: “Oh! Your new insurance starts on January 1st.”
Me: “Yes.”
Insurance Lady #1: “So, you need to cancel this insurance as of December 31st.”
Me: “Yes. December 31st will be the last day.”
I sign a few forms, and that should be it.
In late January, I have a doctor’s appointment. Fortunately, I’m able to keep going to the same practice. I give my new insurance card to the receptionist, and she scans it and starts typing on her computer.
Receptionist: “You still have [Former Insurance].”
Me: “No. I canceled that.”
Receptionist: “This shows that it’s still active. You have to cancel in person.”
Me: “I did go in person.”
Then, she tries to argue about what insurance to use. I finally convince her to bill the correct one.
I call and make an appointment at [Former Insurance]’s office. I see a different lady. And again, I have to explain three times why I’m there.
Insurance Lady #2: “If you canceled, then you should be canceled.”
Me: “Yes. But the receptionist at my doctor’s office said it was still active.”
She takes a minute to look up my information.
Insurance Lady #2: “Huh.”
Me: “What?”
Insurance Lady #2: “It shows you were here on [date]. Insurance was canceled. But it also shows that it’s active.”
Me: “Oookay. How do we fix it?”
She leaves the room for a few minutes. When she comes back, she does something on the computer.
Insurance Lady #2: “It should be fixed now.”
“Should”?! I don’t have a lot of faith in “should”.
Me: “Can I get that in writing?”
She rolls her eyes but prints out an official letter. I carry it in my purse for a year just to be on the safe side. And that should be the end of it.
Fast forward a few years. I’ve been diagnosed with stage two breast cancer. I’ve had two surgeries. My oncologist has ordered a few tests and procedures before I start chemotherapy. First up is genetic testing. He wants to know if I have the breast cancer gene. Spoiler alert: I don’t.
I’m at the cancer center talking to the lady responsible for getting approval from insurance.
Approval Lady: “I’m sorry this is taking so long. [Former Insurance] can drag their heels with this stuff.”
Me: “I don’t have [Former Insurance]. I have [Current Insurance]. The receptionist scanned my card when I came for my first appointment.”
She checks her computer.
Approval Lady: “Oh, my gosh! You’re right. I’m so sorry. I don’t know how that happened.”
She fixes (?) something in the system. I get approval for the genetic testing the next day. And that should be the end of it.
A few months later, I’ve finished chemo and I’m about to start radiation. My oncologist wants to check on my heart. He orders an echocardiogram. This will be the second one since my diagnosis. I’m talking to the approval lady again.
Approval Lady: “I’m sorry this is taking so long. [Former Insurance] can drag their heels with this stuff.”
Again? Seriously?!
Me: “I don’t have [Former Insurance]; I have [Current Insurance].”
Approval Lady: “Oh, my gosh! That’s right. Didn’t this happen to you before?”
Me: “Yes. Does this kind of thing happen a lot?”
Approval Lady: “No.”