Tag: Insurance Company

  • Day’s Going Sideways

    Oh, this day has been fighting very hard to slip out of my control and get me either to give up, or go in another, more angry, direction. But I have been pushing back.

    The main culprits are credit card and insurance payments, those bastard brothers who have caused many heated phone calls to call centers looking for explanations. In both of these cases, the phone center people were very nice, and actually did help me. The credit card people refunded a charge no questions asked, but it will take three days to hit my account. The insurance will take fifteen days before they will be authorized to refund the account. Both issues were resolved (I’ll believe it when the money hits our account) but I am left wondering if this is just an example of “threshold of tolerance” polices – you know, when a company makes getting what you want such an annoying burden, that you give up rather than follow through.

    But, I’m not letting this shit on my day, damn it!

    I got chores, and errands, and pick-ups, and phone calls, and blog posts, and journaling, and hopefully starting a second draft of this story, and then homework, making dinner, dog walking, and I’m sure there is something else in there I’m forgetting…

  • My Insurance Wants Me Dead

    A couple of posts back, I had mentioned that I went to the cardiologist, as I was thinking I was close to death because my jaw hurt and I was short of breath going up the stairs. Sure, being out of shape and having a cavity might have been the easy and logical conclusion for my ailments, but I went to the doctor anyway. Now, I wouldn’t characterize his response to me as flippant, but he did not believe my demise was imminent. He ran some tests, nothing bad came back, but to be safe, he thought I should come back and get a stress test.

    And then my insurance stepped in. Word came from The Castle, via a voice mail from a number that was identified as a “Spam Call” that the procedure that was requested by my doctor was denied. No justification or explanation was given by the AI voice that delivered this information. But, the voice went on, if I felt that this decision was incorrect, I could appeal by calling their automated phone line, or visit their website to use their automated IM chat service. Either way, I was promised that I would not have to talk to a human, and in the reverse, they created a system where the people of the insurance company didn’t have to talk me. Thusly, human interaction is eliminated.

    I find it odd, that the for-profit health insurance industry, specifically the company we have, likes to remind us that they are in the “people business” and that “our health is their business” as well. And the more I thought about it, I don’t think I have ever spoken to a human at the insurance company in the three years we have been with them.

    Then I started to think that maybe this insurance company is headquartered in one of those empty Midtown Manhattan office buildings. That it’s just a building full of computer mainframes, and rows and rows of empty cubicles and offices. That these computers make decisions based on bottom lines and liability probabilities, which in the end, the algorithm decided that seeing if my life was at risk wasn’t worth it. I was just a datapoint. Datapoints for as far as the eye can see…

    Now I have to call my cardiologist and see if he can get this denial changed. I guess he has the phone number that connects you to a person, or a better automated AI system.