Monday, August 01, 2005

What's Wrong?

I'm going to be a little angry for a while. My doctor's office just told me my insurance doesn't cover a test I need done regularly. The obvious question that popped into my head was, well, how much is this test that I need to take regularly (or possibly die). $9 they said. And I was happy, for poor as I am, I can afford a $9 test once a month so I don't die.
So I made an appointment, and went to the doctor and as the nurse was getting ready to prick my finger the office manager came in and said, 'Not so fast, you can't pay for the test, because you are on Medicaid and we can't take your money. It's against the law to take money from people on Medicaid.'
And I was confused. I'd bore you with the details, but it comes down to this... Medicaid says the test is part of the doctor's visit, and my health care provider, part of a conglomerate with the initials C.C., doesn't like that it's considered part of the visit. They'd much rather have me get a blood draw, which they can bill, Medicaid for $9.
The problem is I have a condition called F5L Abnormality. It's not that uncommon, and it causes blood clots. For that condition I take coumadin, a popular blood thinner and rat poison. If I become a rat and my levels get to high I bleed to death like a poisoned rat or a hemophiliac, and if my levels get to low I tend to get blood clots from silly things like bumps and bruises AND BLOOD DRAWS! Obviously I need the finger prick test.
After much investigating, including the local head of Medicaid going, 'I've never heard of a law against paying for an uncovered procedure out of pocket', it was determined that my poor, beleaguered doctors office, which had been eating the $9 dollar fee for a few years now, who swore they had appealed to Medicaid to get me covered, was supposed to be eating the cost. Medicaid considers it part of the office visit.
They won't cover it. Now I'm going to have to switch doctors and drive half an hour in my 18-year-old car to go get a test (and since Medicaid doesn't like you going to more than one primary doctor I'll have to take this drive for every doctor's visit,) as opposed to my doctor who I've been going to for years.
Ahh, but there is an outside chance I can convince Medicaid that I need the machine to do the test, and they'll pay for the $1600 machine and the $9 tests and I can phone my results to the doctor and get my rat poison levels adjusted. That's probably not going to happen, and a part of me is glad, because I really hate Medicaid waste and abuse. If the machine was in the $50 range like some diabetic testers I wouldn't mind so much. I just wrote a ridiculous email to Medicaid, asking them if they would cover the lancets so that I could take them to my doctor's office and see if my doctor's office would let me use their machine...
It's funny when you get so frustrated you start thinking of completely irrational solutions to life's completely irrational problems. I once considered turning in my driver's license to see if I promised not to drive anymore they wouldn't make me pay the speeding ticket I got.
Well, this is the sort of thing that sets me off. For no particular reason, I'm going to be making completely irrational suggestions on how to fix the worlds problems on this bog. Anyone is welcome to comment or suggest. I don't pretend to believe that anyone who could do anything about it will actually listen, but sometimes it's just good to go on record so you can say 'don't blame me, I suggested...'
Anyway...

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