Tuesday, May 10, 2011

Coercive Insurance Reps

A few things strike me as annoying thus far, one major annoyance is the lack of communication between all parties. Such as the doctor staff calling for an authorization of something from the insurance company, and then the doctor staff calling me and telling me I need to call the insurance and initiate the authorization, then call them back and give them the go ahead to get the authorization. All on a Friday afternoon!! So, enter my phone call with the insurance company, one which I already did a few months back to let them know that I was seeing this particular doctor and confirm they are "in network". After about 17 minutes, I am told that they will process this information (basically just basic information about me, DOB, name, address) and another representative will call me Monday, Tuesday the latest and at that point I will be able to have my doctor obtain authorization. Now the authorization mind you is the fact that, these people actually require science to make a baby. See my frustration. How can I diagnose myself or my husband, what good am I do these people. What I don't understand is why I needed to be the one to call, and answer to a few questions, I don't know you'll have to ask the people at my doctors office. Enter Monday morning, another over 15 minute conversation with a nurse who the insurance company contracts out, who asks me all kinds of questions, basic, invasive, unknown. Toward the end of our conversation I had had enough of her tone, and information suggestions which I said I was not interested in hearing about that she felt would be good to let me know about regardless of how I felt. Such as how many embryos is your doctor planning on transferring - two I said. Because of my age she feels that no more is necessary and there is great chances of them sticking and my going full term. Her reply was why not one, have you considered one embryo, the rate of success with one is just as with two from studies. I said no, I did not and I am comfortable with two. She continued with I feel I should inform you about single embryo transfer so that you can perhaps mention to your doctor you're interested in just doing a single embryo transfer. I said no that is ok, thank you thou. -- fit of anger as I move the phone from my ear as she goes into her spiel -- when she finished I said with my polite annoyed voice, we are going with our doctors plan of action. TIME OUT!! Who did she think she was? She probably works off commission for some pharmaceutical agency the insurance company uses to coerce their insured to do a procedure that the insurance company wants instead of the doctor/patient. I took note of this after she went into how ICSI may not be the necessary. HELLO you dumb broad, I just told you my Hubby's men drown upon impact when left to their own devises!! You think ICSI isn't necessary, have you seen the medical information from all our testing - NOPE! So take a seat. The last bit she asked me was about my life style... immediately I knew where this was going. Talk about BMI and exercise and healthy snacking. Apparently my height/weight equals obese BMI or so her calculations said. She then started to question by healthy living and laughed when I said I have weighted the same since about freshman year and regardless of my physical activity it stays the same. Obese?! 5'7'' 180/185 pounds may be obese by her book but let me tell you I am pretty darn active and eat super healthy. She wants me to watch my snacking and drink more water. Suck on an egg, lady. I was so ready to go through the phone at that point and just bite her head off!! end RANT

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