Tag Archives: insurance

Health Care Crisis

Here’s a letter I just sent my Congressman (my senators are useless). If you feel the same way, feel free to use parts of it as needed.

Dear Sir:

First of all, thank you for voting to release the Epstein files. These survivors were not molested by Republicans or Democrats, but by rich, entitled men (and Ms. Maxwell) who have been accustomed to having a lifetime of transgressions swept under the rug. It’s nice to know that there is some common ground inside the Beltway.

That said, I know that President Trump hates “Obamacare” and wants to kill any idea that particular president put forth. My answer? Fix it, don’t kill it.

[Insert personal – fact-based and apolitical – reason why this issue is important to you and your family. I used availability and affordability, plus loss in a poor county of both Medicaid and SNAP which are relied upon heavily here, that my husband and I will make it through but many here won’t, and that when housing and food are issues one $2K check from the government is not going to go to preventive health care.]

You know these people depend on you. The vast majority of them voted for you. Please don’t leave them behind.

Finding fixes to the ACA or a full-scale replacement requires time, dedication and honest conversations across the aisle. Unless and until Congress is willing to do that, please extend the subsidies. The ACA was years in the making and required a sustained, concerted effort by many talented government folks. A quick fix in terms of a $2K check would be an insult to the people who depend on you and your colleagues to do the best for us, the citizens of the great state of Texas.

Thank you.

Respectfully,

Checks and Balances

Last month I got a dunning notice from my car insurance company. It said that while my payment was due on the first and they received it on the first, my insurance was being cancelled because it may take a couple of days for my bank to clear the payment. Hold that thought.

I made an error on my apartment payment this month because they instituted a new payment system that charges horrendous fees for using it and it is a violation of our lease agreement. This is a high-end place and we pay dearly to live here but the garage is leaking and ruining our cars and everything is extra. Park? Extra. Pet? Extra per month.

They cashed the check for less than the amount due, an error on my part partially because I haven’t written a check in nearly ten years but will not pay extra for their scheme. Legally I shouldn’t have to pay for the number I missed because of dyslexia or old age, but morally I stepped up to the plate and addressed the issue the moment I learned of it, with a note of apology.

Back to insurance. I was doing insurance analyst work for a state legislature many years ago and sent my car insurance payment in to my broker back home a few days before it was due. The check came back with a brokers’ office stamp that it had been received by the office on the first, the due date. The bank stamp says it was deposited on the 2nd (before internet banking) and a cancellation notice went out that day.

I received the notice by mail two days later that my car insurance was gone and was new at this insurance business but learned a lot that day. Like there was a 15 day grace period in my state. I called my broker and he had his secretary (before they were called administrative assistants) tell me he was in a meeting or out of the office six times. It was a town with one flashing stop light, and just the two of them in that office.

One of the few perks of a job that paid next to nothing and let me work alongside fellow bright youngsters was the occasional legislative reception. Free food! That night was for insurance so I was invited. I shook hands with the Insurance Commissioner who I’d known as a lobbyist several months beforehand. He asked what was wrong.

The car insurance debacle was explained. He laughed and said he wanted to deal with this one personally. The Commissioner gave me his private number, asked me to call his secretary in the morning and give him the information.

Later the next morning the Commissioner gave me a call and said I should be expecting a call from my car insurance broker but it may be a few minutes because he may have soiled his trousers. He then said it was the most fun phone call he ever made.

A while later the broker called me and asked what the problem was, that my insurance was never cancelled and why would I even think it had been cancelled? It must be a billing error, so sorry Miss. He never knew that I knew the Commissioner and never told me he’d called. I don’t think my rates went up much after that incident.

Last month GEICO, owned by one of my favorite entrepreneurs, sent me a cancellation email because my payment, due on the 1st and paid online by phone at their offices for immediate authorization, was paid on the 1st. The reason for cancellation was that our banks now hang on to payments for a day or two to get the “float.”

I looked up our state’s insurance laws and there is a ten day grace period. I called in, talked to a supervisor and our car insurance was no longer cancelled. In school they call these tactics to scare long-term customers bullying. It is in the adult world as well. Fight injustice. Don’t let it get you down, just think through it and find the best way to right things. It is your words and your voice that will make a difference for all.

I learned the hard way. Read and learn, dear reader. It’s nasty out there with hail and rain and thunder. My sweet car has been beaten up enough by calcium deposits from the garage roof not to take her out today. I’ll wait for a break in the storm and run to the grocery store for dinner. The sun is trying to peek out amidst heavy rain and hail. Time to run! Dee

 

 

Healthcare Point and Shoot

My husband and I are tied up back to back in a darkened room on what a layman would call a Lazy Susan, add blindfolds. Spin us around and where we land are our healthcare decisions.

I know larger companies are trying to do the best for themselves and their employees, but things have gotten out of hand. Will no pre-existing conditions in 2014 actually help people get insurance?

As always the rich get richer and the poor get poorer. Insurance companies don’t sell insurance, they take peoples’ money and invest it to make themselves money then deny claims by people who gave them that money in the first place.

Sometimes I want to live in a small farm town where I could run the local B&B and just pay the local doc if I get bronchitis. Now I know my relatives all live in these small towns and are helicoptered out if there’s a major problem.

Where do they take them? The place I will not go this year or ever. Near where JFK died nearly 50 years ago. We hope to see other historic sites on our trip for Thanksgiving but not the Texas Book Depository.

Are you an “acceptable risk” whether it comes to health insurance or property/casualty (auto and home) insurance?

My guess is you don’t want to figure out the health insurance until next year, as there’s no way with juvenile onset diabetes you can be covered. Cynically, Dee

From when we first moved here… newly found

When I started as an insurance analyst for the state at the ripe old age of 22, a few months went by and my car insurance was cancelled. It was due on the first of the month. I sent it early so it would get there on time but it arrived on the first day of the month and they took it across the street to the bank on the 2nd so they cancelled my insurance.

The state had a mandatory 15-day grace period. Of course they cashed my check. I called and they said there was no way to reinstate my policy, back home a seven-hour drive away. I called the insurance broker several times and his secretary always told me he was unavailable.

Wouldn’t you know there was a reception that night and the state insurance commissioner was there. I’d known him since he was a lobbyist. He asked “What’s up?” and I told him. He asked me to call him directly the next morning with the broker’s name and number, stating that he wanted to deal with this issue personally.

Before noon he called and said “I love my job! I love doing this stuff!” A few moments later a shaken insurance broker called me, apologized profusely and said my policy was never cancelled. Whatever gave me that idea in the first place? Of course he knew he cashed my check and cancelled my policy in the same heartbeat.

So, like AIG (this wasn’t AIG) insurance is an ephemeral thing. It’s something you never want to have to use. No one wants to have a car accident or get cancer. The slimiest ones are those who go door-to-door and sell single-illness coverage to poor folks. Dante has a special place for those people.

Today I spent three hours on the phone with our car insurance company changing our address and getting rental coverage that doesn’t just cover us but the 99% of our lives we have in storage. It took three companies and two calls to our temporary state’s insurance office to get things straightened out. Then I took on the phone company. Remember when the Supreme Court told Ma Bell to break up? It’s back in business and called ATT. No, you can’t call this line they directed you to because you no longer have a combined bill. You only have three cell phones (sounds combined to me) and not a land line or a modem as well. Gimme a break.

Over forty years ago my great uncle told my father he was taking him off the will as executor as he moved too much. In this economy people need to move to get jobs, even temporary jobs. We’re lucky, in a way, as we don’t have to rip kids out of school to move halfway across the country. Taking the dog out of Urban Tails and Doggie Daycare isn’t a biggie.

I want to make it easy for corporate execs like Jim to move short-term with a minimum of effort. Right now it takes me a couple of weeks to enter a place and at least that much time to leave. There must be an easier way and I aim to find it. In the meantime, I spent too much time on the phone today with these blood-suckers, walking Zoe to get her nails cut and trying to find a summer gig for one of my fav musicians.

Jim’s out with Zoe looking at the cranes. Cool birds. Keep cooking. Not cranes, of course. It’s the next day and the cable/modem guys were here for a couple hours today as I was unable to get online yesterday to send this. Thursday, when the expanded cable and modem were installed, the guy reported a problem that is not only affecting us but everyone up here in this part of the world, homes and businesses alike so they had crews out making repairs to the main line to give us more power. Cheers, Dee
Cheers! Dee

The Worst Patient’s Wife

That intern’s comment will go down in history. Now I have a herstory for you. It’s from the third eye, the other person in the room. First, I’ve news for that intern, that “worst wife” is probably the best patient advocate in history. I would certainly have her by my bedside to set things straight if I was in the hospital.

I’ve done it, been by the bed. We took shifts waiting for the doctor and having a list of questions that needed to be answered the next day. Then we’d miss the doc. Or the doc would come for two minutes and we couldn’t ask if there would be complications with X or why wasn’t s/he getting Y??? We had spent 24 hours getting that list of questions down to the bone and still they weren’t answered.

We didn’t know how to “work the system” or mess things up so people would actually talk to us. Ask the nurses and they’re great and can take care of a lot of things especially when THEY can call the doctor and get more pain meds or whatever is needed, but ask any questions and they say “ask the doctor.” There goes another 24-hour round of waiting for the doctor and asking a question if there’s time to do so.

I have an idea. Let’s start with insurance companies. They hedge their bets and really are investment entities that are not accountable nationally. Yes, they’re regulated state-by-state, by their choice. They exist to make money for themselves.

Now doctors. I’m not concerned about them after they get out of residency because they’re making money and will make more once we take care of the insurance companies.

Now, the nurses, if they were paid a living wage without being unionized, and didn’t have to spend time switching shifts and juggling vacation time they are our first line of defense and are there for patients and would even have more time for them.

Make insurance companies subject to national laws. Make sure a certain percentage of their income goes to paying claims. That means hospitals, doctors and nurses will have more money and more time to spend with patients that will lead to better care. Do I know why this didn’t happen in the recent Health Care Bill? Yes! When I was a starving legislative analyst making 14K per year I knew which lobbyist parties to crash. Insurance and banking. And who got bailed out by the taxpayers and are now giving the green to their top employees? You got it. I probably got six shrimp out of that deal for what I’m paying now in taxes. And I’m not talking about the lobbyists.

No matter what, always be kind to your nurses. They can make magical things happen. And the Helgas of the world who make your life miserable in recovery will become your best friend upon your release, just like a drill sergeant. They made you whole. Cheers, Dee