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I GOT MY SURGEON BACK!!!!!
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Elsa
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Tuesday, June 23, 2020 - 12:05 pm
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I spoke with the nurse again. As it turns out, my incessant bitching and her registering of the word, “grandfathered”, has led UHC to become aware of this error in their system. They are currently working to correct this, so grandfathered plans do not get things like this, attached to them going forward. 

I suspect A LOT of people will be spared!  So that’s good and I can even say, “worth it” since it’s over now. 🙂

The Saturn thing with this is incredible but it’s also a reminder to stand up for yourself. I was going through their requirements so I could have health care but I told every single person, they were wrong and eventually, they’d find out about it. “Don’t you think you should look into this now, because it gets any worse / goes any further?

I would not be surprised if I get a letter, eventually, where they inform people of this error and the correcting of it. The potential liability may be vast. My plan may be unique, but “grandfathered plans” in general may be far more common.  What a trip.

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Wednesday, June 24, 2020 - 6:18 am
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“incessant bitching”… you mean “persevering”!!!!!confused

(Also known as the “Pitbull effect”)

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Tuesday, June 23, 2020 - 1:40 pm
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What a service to all those others who would are in your same grandfathered situation! 

The Saturn/grandfather thing is just too perfect.

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Tuesday, June 23, 2020 - 1:51 pm
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Astrology is a trip. I bet the nurse has Capricorn ’round 25, too.
I wonder about the surgeon? Remember, I met him hours after a EF-4 flattened the town.

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Tuesday, June 23, 2020 - 1:51 pm
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Astrology is a trip. I bet the nurse has Capricorn ’round 25, too.
I wonder about the surgeon? Remember, I met him hours after a EF-4 flattened the town.

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Wednesday, June 24, 2020 - 6:51 am
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I had another thought… this is ridiculous but also might happen!

This is the Saturn return of my policy. It’s entirely possible, I live another 28.5 years. Can you imagine?

I’d be on the phone, telling the person, who may be 30 years old, “I’ve had this policy for 55 years!”

Talk about Saturn paying off in the long run.

It’s the best insurance, ever. One of the office gals at the local ortho place, said she’d never seen insurance like mine in her life. I better understand this now… to the bone, actually.

I remember being 25 years old. My boss said, whatever you do, make sure you stay long enough to become vested. He specifically told me, if I did this, I would be able to buy this insurance…

“I don’t really get sick…”

“You will. You will…”

Listen to your elders, man. Do it.

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Thursday, June 25, 2020 - 8:56 am
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Glad to read this is sorted. Best wishes for your surgery. 
For future reference, each state in the US should have a department of insurance and a department for consumer protection. I have used both and referred others to both with good results. 

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Tuesday, June 30, 2020 - 6:08 pm
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Insurance called. I missed the call and called them back. I was laser-focused.  Convo went like this:

Me: “Yes, ma’am.”
“Yes, ma’am that is my phone number.”
“Yes, ma’am. My address is &&&&&&”

“You’re having a back problem?”

“Yes, ma’am. I need surgery.”

“What caused you to have the back problem. Were you in an accident?”

“No ma’am. I have idiopathic scoliosis and my back has collapsed on the curve.”

“Oh!”

“Oh, is right.”

“I’m really sorry. I will put this through to be paid by your policy,”

“Thank you, ma’am. Have a good night.”

“You do the same.”

laughlaughlaughlaughlaugh

saturnsaturnsaturnsaturnsaturn

One more hurdle cleared. 🙂

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Tuesday, June 30, 2020 - 6:16 pm
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Yay!jupiter

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Tuesday, June 30, 2020 - 6:36 pm
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Main threat is covid cancellation now. And it’s a big one.

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Friday, July 10, 2020 - 8:44 am
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“Consequently, I do agree with your surgeon’s recommendation for a fusion
surgery..”

From the required “remote second opinion”. #nosurprise

Really hoping the allow my surgery with the covid deal. Our local hospital is banning “elective” surgery. I wonder, at what point, my surgery is not “elective”?  

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Friday, July 10, 2020 - 8:53 am
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Can you ask if you can go to a larger hospital farther away from home? People are into rebel mode and the cases are only going to go up.

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Friday, July 10, 2020 - 9:52 am
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Tam, I am already going into the city. There is only one neurosurgeon here and he won’t touch my back. I was also advised (more than once) to not allow him to touch my back.

It is the small hospital here that is doing this. I am not sure what’s going on in the city but last I heard, their covid problem was worse. But I also know these surgeons are pissed. They want to take care of their patients.

It’s some weeks ahead. Once I get utter confirmation my surgery is improved, I will email the scheduler to see what’s happening. I guess that means, I might go sooner in order to get in?

I just don’t know. But I can tell you it’s a horrible burden. My friend (ret. nurse) had to delay her surgery… it was bad situation and now it seems she’ll be stuck with a permanent limp. The doctors are her FRIENDS. I’m just saying, covid aside, people need care are paying a high price… never mind, I pay $714 a month for insurance which I can’t use.

I mean, that’s cheap if you’re going to have surgery like mine but when you pay it and can’t get care, it’s galling.

I know someone with a bad back… he got to a point where it was considered inoperable. I am afraid of a situation like that. I really hope I can just get in and get out… five days and change me life.

See, I am waiting for this outcome. It’s possible I die or otherwise can’t continue working. These are drastic transits on my body. But it’s also possible I get supported which will be sign to me to continue..

It’s iffy right now for me, more than people understand. I have going on here than people know or understand. So I’m pretty anxious to get the verdict, one way or the other. I either rise again in the spring (to garden) or I never ride on a mower again.

It is very hard to work with my level of pain. VERY HARD. I can’t take drugs and function at this job. So I want them to fix this and if they can’t, then I am done here. I will go on disability because believe me, I am disabled… or I will be, if I have to take drugs. I’m at end game – look at the transits!

I am fixing my mower and I told my neighbor, who thinks I should sell it, I would do that and get a new mower, but first I have to have this surgery. I just have to know that I am going to be functioning. A lot can go wrong.

You bleed a lot and they capture your blood and give it back to you. Two days after surgery, the often have to give you a transfusion. I will consider myself lucky if I don’t need it. It’s just and ordeal, any way you turn it, made MUCH by the insurance company’s mistake.

Sorry for the rant but now everyone is caught up. 🙂

Bottom line, it’s up to God. OBVIOUSLY.

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Friday, July 10, 2020 - 9:52 am
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Tam, I am already going into the city. There is only one neurosurgeon here and he won’t touch my back. I was also advised (more than once) to not allow him to touch my back.

It is the small hospital here that is doing this. I am not sure what’s going on in the city but last I heard, their covid problem was worse. But I also know these surgeons are pissed. They want to take care of their patients.

It’s some weeks ahead. Once I get utter confirmation my surgery is improved, I will email the scheduler to see what’s happening. I guess that means, I might go sooner in order to get in?

I just don’t know. But I can tell you it’s a horrible burden. My friend (ret. nurse) had to delay her surgery… it was bad situation and now it seems she’ll be stuck with a permanent limp. The doctors are her FRIENDS. I’m just saying, covid aside, people need care are paying a high price… never mind, I pay $714 a month for insurance which I can’t use.

I mean, that’s cheap if you’re going to have surgery like mine but when you pay it and can’t get care, it’s galling.

I know someone with a bad back… he got to a point where it was considered inoperable. I am afraid of a situation like that. I really hope I can just get in and get out… five days and change me life.

See, I am waiting for this outcome. It’s possible I die or otherwise can’t continue working. These are drastic transits on my body. But it’s also possible I get supported which will be sign to me to continue..

It’s iffy right now for me, more than people understand. I have going on here than people know or understand. So I’m pretty anxious to get the verdict, one way or the other. I either rise again in the spring (to garden) or I never ride on a mower again.

It is very hard to work with my level of pain. VERY HARD. I can’t take drugs and function at this job. So I want them to fix this and if they can’t, then I am done here. I will go on disability because believe me, I am disabled… or I will be, if I have to take drugs. I’m at end game – look at the transits!

I am fixing my mower and I told my neighbor, who thinks I should sell it, I would do that and get a new mower, but first I have to have this surgery. I just have to know that I am going to be functioning. A lot can go wrong.

You bleed a lot and they capture your blood and give it back to you. Two days after surgery, the often have to give you a transfusion. I will consider myself lucky if I don’t need it. It’s just and ordeal, any way you turn it, made MUCH by the insurance company’s mistake.

Sorry for the rant but now everyone is caught up. 🙂

Bottom line, it’s up to God. OBVIOUSLY.

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Friday, July 10, 2020 - 12:59 pm
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I just emailed the gal. She has not heard of canceling elective surgeries and will contact me if she does.

I have the PAT appointment scheduled and my surgery time too.  I will be leaving at 4 am to get there… which is great. I’m an early riser!

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