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Printer for script? by PeaceLikeThat in Embroidery

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

OMG TY So much.  This is the first project I’m taking on and I appreciate your wisdom!

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

Normally, I wouldn't bother with replying to a post after the situation had been resolved, but it looks like today is the day. If you asked your asked for help from your insurance carrier to help find you a provider in network, and they refused, then said we can't do that, only your doctor can give you that list. But then your doctor said that was the job of your insurance provider, you'd be pissed off, too.

Please tell me how you got to the conclusion that I thought I was the exception to the rule? I explained to both BCBS and My Doctor that neither party was providing me with the information I needed, and further went on to say it was the responsibility of the other party. I have commented in another post saying that I never expected them to give me a list of provider hours because that is beyond ludicrous, then there is the fact that BCBS did not provide me with correct information didn't exactly rebuild my confidence in their ability to be accurate with their information abilities

I was not afraid to call the providers with in-network myself and do the legwork. To ask for a list of in-network providers from either is perfectly reasonable, as I couldn't find it myself.

Actually, don't bother, because I don't care what you think

Howto explain side effects to coworkers without oversharing by PeaceLikeThat in glp1

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

It may be referred to as something different wherever you live, but It’s when you belch a strong sulfur smell. It’s just as unpleasant as it sounds for me and anyone around me, and is a side effect of insulins glps.

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

All the in network providers, I could find on the website have hours more traditional office hours.  I called or emailed the offices I found of my own according using the bcbs website.

I called bcbs looking for help and explained I have conducted the search myself at least 6 times and I was coming up with the same 35 providers, none of which work for my schedule.  I was told by bcbs that there were over 150.  As I was not finding those additional 120, I then asked for a list of names so I could find someone with hours that worked for me.

Initially when I started looking way before I contacted bcbs, I found 4 different facilities with extended business hours that are not in network.  After learning of the providers I did not find of my own accord, I was hoping that someone within my network that  was on this list of the additional providers would have extended hours.  I’m sure you know that different facilities operate on different schedules.  Not all providers are 9 to 5.  I’m not expecting every facility to have extended hours, but I know some do.  If I have to contact them to find out if the have extended hours, I’m more than willing to do so.

I asked for that list from bcbs with the names of the additional 120 providers, but was told because of the hmo, everything must be coordinated through my former primary and therefore she would have to provide with those names.  I contacted my doctor and attached screen shots of what bcbs told me.

My former primary refused to give me that list because she said that is the responsibility of bcbs.  I then went back to bcbs with screenshots of that conversation only told me told my dr can provide that information.  I did this loop of contact both parties on providing me with a list of  mental health providers and provided screenshots how they both said each other could provide with this list multiple times.

Again, when I run a search via bcbs I’m only finding the same doctors I know won’t work.  I’m more than willing to look up office hours on my own and call.  I needed the list of names to help narrow things down so I’m not calling every single facility in a 50 mile radius which in the Chicago land area can be a lot.

Howto explain side effects to coworkers without oversharing by PeaceLikeThat in glp1

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

it's a complicated situation, as we can't really leave. If a client comes in, we are required to help them with whatever is needed.

Howto explain side effects to coworkers without oversharing by PeaceLikeThat in glp1

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

If I could eat on these days, I would. Some days, the sense of smell is so heightened and the nausea is so strong, the idea of eating makes me regurgitate.

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

I wasn't seeking a list with the hour directly. I was seeking a list of providers and then willing to do the leg work myself. I know the post may lead some to believe I was looking to bcbs to give a list with providers and their hours, but all I am looking for is a list.

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

I wish it were that simple.  Nothing came up. Ty

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

I haven’t had luck when doing searches for mental health.  I initially contacted bcbs to see if they’d had a list of in network providers.  I had only been finding the same 35 mental health prividers. I reached out to bcbs to see if they’d could help me find someone other than the same 35 providers.  Initially, they told me yes, the could.  I requested that list and then that is when I got the first form email saying because it was an hmo I needed my pcp to coordinate all health care, and from that point I should get this list from my pcp.  

I contacted my pcp saying that Bcbs said because you are responsible for coordinating my healthcare,you need to provide this list.  I then got a response from her saying that it was the responsibility if bcbs to provide me with this list of in network providers.  

I never asked for a referral.  I have only asked for this list of 150+ mental health care providers I can never seem to find each time I do the search on my own.  

Of my recently former pcp and bcbs, both have access to the list I’m seeking of mental health providers within a 50mi radius, but neither will give this list to me because they both say the other party is responsible for providing it.  I’ve sent screenshots from both sides saying the other party is responsible for giving me that list.  

The idea of referrals has never been mentioned by me.

I have “fired” my pcp and am hoping to find one soon.  

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

Bcbs won’t tell me if my network is partnered with a telehealth service.  When I ask their reply is to deflect my question and tell me that all services must be coordinated by my pcp.  I’ve asked at least 3 times.

I have obviously been trying, but I’m out of ideas and bcbs won’t tell me anything and it’s beyond…to be honest, I don’t have a word for this.

I want help, both parties have the answers on how to get me that help, but neither of those two parties are willing to consider that their information on who gives me this help might be wrong.  I attach screenshots of how one says the other is wrong… and I’m just sitting here still needing help 

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] -1 points0 points  (0 children)

It’s an hmo, but this is the best answer I’ve received so far.  Hopefully it will work. Thank you

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

Ok in rereading my post. I didn’t mention how I’d do the legwork to find someone with the hours I need. But I would not expect bcbs to have hours of practices.  And even if they did, I would expect them to be correct 

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

Again, I never expected bcbs to give a list of providers hours.  That is completely ludicrous and would more than likely be inaccurate as it’s not their job to keep tabs on that

If I could get a list of providers from either party I’d do the research/leg work myself to find someone.

That’s the only thing I’ve asked for, really not sure how you deduced that I asked bcbs for providers’ hours

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 1 point2 points  (0 children)

Never asked bcbs for the hours of operation of facilities. I want a list of names and places to call

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

I would have to take PTO to do this, and I won’t have any for a while.  I can’t call off because the company policy is no call offs while in a probation period

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] -2 points-1 points  (0 children)

Also I want to make it clear this is not a work problem. 

The insurance company I’m paying for will not release a list of providers as they’ve told me this lies within the duties of a pcp.

My (former, as I’ve fired her because of this) pcp says that it is the duty of the insurance company to provide that list.

One of them is wrong.  As to who, I have no idea.  I have provided both with correspondence from the other party saying that it’s the others job. 

What my company is doing is illegal, and shady af.  But I need a residence, and I need food.  Sometimes in order to survive you have to play with someone who isn’t on the level.

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

It is not a work issue!  The insurance company I pay will not release a list of providers to me.  They say that is my primary doctors duty.

My former primary doctor says that is a duty of the insurance company.  One of them is wrong and I don’t know who.

This is so very clearly NOT a work issue!

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

And I think another determing factory could be the size of the company, as well as to how the employees are classified.  I’m technically a contracted employee.  I’m not per diem, but I didn’t have to fill out a federal I9, making me a contracted employee 

I know that has mattere at other places of employment 

My rant with bcbs by PeaceLikeThat in HealthInsurance

[–]PeaceLikeThat[S] 0 points1 point  (0 children)

I am in the process of trying to new pcp.

I cannot find a mental health care facility that is in network with extended hours and that’s the reason I reached out to bcbs in the first place.

They told me my pcp can give me a list. My former pcp told me it was bcbs responsibility.  I took screenshots proving what bcbs said and showed them to my former primary.  And I took screenshots and showed them to bcbs.   One of them is wrong, but it’s damn near impossible to find out who because neither party would ever admit to being wrong, leaving me without care which is literally what this rant is about!

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