Thursday, March 11, 2010

ARRRGHHHHHHHHH!!!!!!!!!!!!!!!

As if the pain is not enough today, I just got a call from Dr. Santore's office....... at first I thought maybe they were just calling to confirm and remind me of my appointment on Tuesday...... Ummm wrong!   She called to tell me that they recieved the authorization letter from Blue Cross, but she called them just to make sure it was good, and they informed her that they cancelled that authorization number on March 1st!!  WTF!!!   Seriously?!?  This is really happening??!  Ughhhhhhh!!!   Then she goes on to tell me that with my particular insurance the way they bill is that they bill my Medical Group (Scripps Clinic) instead of my Insurance Company anyway, so the authorization has to come from my Medical group and not my Insurance......... WHY IS EVERYTHING SO DIFFICULT!???     So by this point in the conversation I'm crying and flipping out because i'm so damn frustrated!!!   I tried explaining everything to her that i've been going through for the last 3 months trying to get in to see Santore....... and she asked me......... " Whats wrong with you? Do you have Dysplasia? Is that your problem?" .......... Now ok..... I understand that she was asking me that because she wasn't sure of the exact reason of why I was wanting to see Santore, and she was going to see if they had another doctor she could referr me to....... but " What's wrong with you?"  "is that your problem?" ........... was the WRONG thing to say to me at this point........ I just started crying more.......  So then I ask her how much it would be if i cam to see him without insurance..... and she said its anywhere from $250-400 ....... and I asked her if they could bill me, and she said No...... that I would have to pay cash at my appointment......... I DON'T HAVE THAT KIND OF MONEY!! ....... again, more crying......  She told me that she wouldn't cancel my appointment, and for me to try calling my Medical group and see what I can find out.......... So I called the nurse at the doctors office who was doing the referral to Dr. Santore, and who was handling putting in the authorizations....... She's been really good to me through this whole thing and really trying to help me, but she, herself can only do so much........ So i call her freaking out..... and she tells me that they are crazy, and that I DO have authorization from my Medical Group...... she checked the computer and she said that I have authorization from BOTH my Medical Group AND my Insurance Company......  and she gave me an authorization number from Scripps Clinic....... So i call the lady back at Santore's office and tell her, and she said she was going to call the other doctors office and have them fax a copy of the authorization to her to make sure its really an authorization because they have problems with Scripps Clinic and sometimes people think its an authorization when it really isn't..........  she said if she doesn't call me back then everything is ok....... and if she does, then there is a problem...... she hasn't called back yet......... I don't think i've ever wanted my phone to NOT ring so much in my life.   This is ridiculous!! ........... and just think, i'm going to have to go through the whole thing again just trying to get them to approve the surgery itself!!!   All of this is just to have a damn consultation with Dr. Santore!!! 
I am emotionally and physically exhausted!!  I'm done with today!!   Can I just start all over with tomorrow please!!   :(

1 comment:

  1. You are just having soooo much trouble with your insurance. And all you want is to feel better. And then to ask what is wrong, could have been worded a lot differently. But at least there is a positive no phone call. Things are going to begin to look up for you. You hang in there. Your consultation is almost here. And then you will have strenth to deal with whatever the insurance company throws at you.

    ReplyDelete