My wife had to have surgery on her mouth to fix two impacted wisdom teeth. Her teeth were not going straight up they were growing sideways pushing at her molars. The dentist told her she had to get this surgery done otherwise she would have severe problems down the line. We have duel dental insurance and at that time health insurance. Between these three the procedure was extremely cheap. The place she had the procedure royally botched the operation and caused a whole new set of problems. She was sent to another dentist, when he saw how badly his colleague screwed up he offered to have all visits with him for free. It was because of this shitty dentistry my wife had to go have a serious surgery because the infection was eating away at her jawbone. After the surgery she had to take hardcore antibiotics through an in-home IV. The whole thing was a complete nightmare, but we did not realize there were other issues to come about. This time it was not her mouth it was the insurance companies screwing up.

When my wife received the first bill she noticed the insurance company did not cover everything they were supposed to. When she called the insurance company she had to jump through all these hoops, talk to many different representatives, and really press the issue until she found out the insurance company miscoded many of the services to the tune of over one thousand dollars. The representative she spoke to said she would make notes in her account and said she would fix it. We also received bills from the dentist’s office after he said all services would be covered. My wife continued to fight this as well. We had to go to some out of network providers specifically for the in home IV antibiotics. We received a referral and before my wife accepted she contacted the insurance company to ensure it would be covered and they gave the okay. Sure enough it was coded as no approval out of network.

She has been dealing with this for months. Every time she calls she has to jump through the same hoops as the time before; only to hear “oh yea we miscoded. We will fix right away.” My wife has been in pain for over two years and she still has nerve damage in her mouth. On top of this she still has to deal with the insurance company which has now sent us to a heavy duty collection company. This has gotten so frustrating for her it will bring her to tears. I wish I had better knowledge of how this all works so I can call and help.

I wonder how many people have to deal with “miscoding?” I wonder how many people just pay their bill unaware they are getting screwed. In the film “Sicko” by Michael Moore it addresses how insurance company employees are trained to miscode varies procedures which would normally be covered. It is no secret insurance companies are crooked. They try to find anyway to get out of covering our healthcare needs. This is no secret yet nothing really gets done to hold these bastards accountable for their crimes against the people. We all pay high premiums month in and month out. For many of us we also have such high deductibles to pay before coverage even sets in.

During the healthcare debate there were a lot of lies, rhetoric and fear mongering going on to try and turn the people against Obama. Some of these same people were the ones who voted for him because of his healthcare reform. I remember seeing rallies were people were freaking out and shouting at people for this reform. I remember people spitting on a sick man holding a sign saying he was dying and has no coverage. I am sure these protesters were either well to do and had cheap coverage, or they were ignorant and had no idea what Obama was actually trying to do. Either way the healthcare bill as it stands sounds like it will do very little to stop insurance companies from bending us over and giving us the high hard one. I am amazed with how crooked people know they are and how much these insurance companies are screwing us; we have yet to rally together and demand change. This is further proof how we are indoctrinated into a frame of mind allowing us to be taken advantage of and just accept it and go about our days. I think we not only owe it to ourselves, but also our children the chance to live in a just and fair society. Don’t you?

Advertisements
Comments
  1. Unfortunately, this is the system WE created and the new watered-down health care reform bill won’t change this problem one iota. Insurance people give patients the runaround everyday. It’s their job to do so.

    Why? Because most people eventually give up in frustration and pay the overcharges. This saves money for the corporation — more money saved means greater profit.

    The saddest part is that these sorts of issues won’t go away as long as we continue to maintain a FOR-profit health care system. At the end of the day in this system, shareholders far count more than sick people.

    • Tim Lundmark says:

      Rambling,
      My blog posts go directly to my facebook account and there is one of my friends who is far right who commented on my post. The jist of it was he feels he should not have to pay for someone else. There were a few other things about his tax dollars and how he thinks what counts his him and fuck everyone else. I respect the man for his opinion, but I think this further shows we are more consumed with personal greed and less concerned about our fellow man. It is sad what we have become

  2. Oops! I transposed the words “far” and “count” in my last sentence.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s