i have had enough!

i just can't help feeling like this whole mess with the insurance company is NOT my fault -even though it very likely is.

let me start at the beginning. i will try and keep it short and as nonboring as possible.

when we moved here i started going to a clinic. i had heard good things about them from folks i worked with. the insurance covered said clinic. so i picked a PCP and off i go for a visit.

the dr i picked for my PCP got harder and harder to get in to see right after i became her patient. i went for one visit. ONE!(this was several years ago now) and after that she dropped back to working part time. every time i called for an appt it was like a month before she could see me - for ANYTHING! so i always ended up going to see a certain other dr.

i called the insurance company about changing my PCP to the other dr i was always going to see and they said "as long as that clinic files their insurance as a group you can see any dr there without any problems." so i continue going to see the new dr there and have had no issues with insurance claims or anything.

until now.

when i went in in september it all surfaced!

my original PCP had retired. so to the insurance company i was doctor-less. so when the bill went to them along with me lovely referral for prenatal care it was all kicked back.
i tried and tried to explain to the insurance that i had been going to this particular dr for 3 yrs and i was not a new patient. but to them -and to their damn computers - i was.

i guess the issues was that even though i was seeing a different dr than my original PCP that i could never get in to see ,all of my insurance claims were filed under theoriginal pcp's tax id #. so here i go to get a pregnancy test - a $165.00 pregnancy test! - and now i have to foot the bill for it?? even though she's been my dr for how long??

i called the insurance company to see if they were going to pay it and the lady tells me that my new dr -who really isn't my new dr to anyone but their computers- was only my dr as of sept 15th of this year. my office visit was for sept 9th. so even though i went in on the 9th and they submitted a referral on that same day for prenatal care they didn't get the request to have my pcp changed to my NEW/OLD dr until the 15th -when we found out the referral had been kicked out due to being submitted by a dr other than my pcp -even though i'd been seeing her for years.

are you following me here?

so i called the clinic and left a message with the nice woman at the referral desk to see if there was another way around this.
i also called the insurance ppl and left a message with the supervisor that was helping me get my pcp changed in the first place.

i just want to scream!
maybe i'll call the billing department at the clinic and see if they have any brilliant ideas.

stupid stupid stupid.

on the bright side:
i was able to drink coffee this morning! i
have missed my coffee! the sight and the smell of it have repulsed me for so long!since the day i got pregnant pretty much.
and then yesterday i see it!
in the refrigerated section at the grocery store!
my beloved limited edition international delight pumpkin spice coffee creamer!
you can only get around the fall/winter holidays.
and it finally comes in a normal sized BIG 32 oz bottle!
for years i have had to by small bottles of it.(i think about half the size or a normal flavor) i'd buy 5 or 6 bottles at a time and stick them in the freezer. i'd stock pile enough to get me at least thru the spring. it's the best stuff!
so whether i could stand it or not i was having a cup of coffee this morning.
and it was lovely!!!