alfreda89: 3 foot concrete Medieval style gargoyle with author's hand resting on its head. (Chai anime)
alfreda89 ([personal profile] alfreda89) wrote2006-10-28 01:15 am

O.M.G.

Rapture! Unbelievable! My medical insurance company has actually told me that I have EARNED OUT! And there's a check!

(No, of course it's not a royalty check -- my lousy insurance has hit my huge deductible.) I have finally received reimbursement on name brand meds that have no generic/you buy upfront. If covered/deductible met, they pay 80%. The other reason I keep them, even with riders, is because after a certain point, they pay 100%.

I haven't seen any recent policies that offer 100%. For a little peace of mind, I put up with their pickiness. (Sometimes it doesn't matter if a doctor says: "There is no sign of X in Y." The insurance company replies, Oh, No, that code always means X -- it has no other meaning. And you have an exclusion rider on X."

The surgeon was quite offended, but I expected it, and wouldn't let him do an MRI just to confirm, until we'd examined other options.

Too bad the debt has doubled in five years -- maybe we could have arranged basic insurance for everyone, and caught a bunch of people before they became seriously in danger of dying from things that are a snap to fix up front.

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