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Moon
Posted: Wed Jan 17, 2007 4:03 pm
Guest
If this happened to you, what would you do?

I worked for a small-sized MTSO that carries UnitedHealth. I left the
company and had been considering whether or not to accept the Cobra
offering. As it worked out, I needed to visit the ER due to abdominal pain.
Went in to the largest hospital in my state, got triaged and sent to
registration. Was told that the hospital was in contract negotiations with
the insurance company and I would have to accept responsibility for the
bill. I decided I would because of the Cobra issue was undecided anyway.
Now, if I had been life flighted in an unconscious state, I doubt they would
have rifled through my pockets and said, oh, we can't take her to the only
Trauma I hospital in the state...take her to the pauper's hospital!

The question now becomes that I have only a few days left to accept the
Cobra offering, but if I do and continue with this insurance carrier, I
would have to change all my physicians, have medical records forwarded, etc.
Would you do it? If you worked for that MTSO, would you consider it your
responsibility - a former coworker - to post who the MTSO is so those
employees can be aware and take measures? United did the same thing in
another city and it affected 800,000 subscribers. I doubt the MTSO (who is
posting help wanted ads weekly) is going to divulge the information that its
carrier has selective coverage prior to a new hire starting with them. That
would be bad recruiting, right? I have noticed another MTSO posting "have
your benefits been cut?" or something to that effect as their eye catcher
line.

p.s. I actually left the hospital to go to a different one, but got a bill
yesterday from the first one - $170 to be triaged and $65 to take my pulse
(you think I'm kidding you, but I'm not). I could just call my ex-hubby who
is system administrator for the hospital and ask that all the ER computers
crash for a day or two <G>

So, if this was you, WWYD?

Carol
Barbara Carlson
Posted: Wed Jan 17, 2007 4:20 pm
Guest
I'm not sure exactly all the details you describe, but we were covered under
United Health Medicare for a while. The agent who signed us up neglected to
tell us (and I'm guilty I did not read the fine print that was on a separate
page from all the benefits listing) that we would not be able to go to the
Hospital just 2 1/2 miles down the street from us, and that any and all
medical tests we might need were administered in Kendall 30 miles away where
the service was terrible, and all the specialists were also in the Kendall
area, when we had good specialists in our area. I had to travel 45 miles
for a bone density test, when there were 3 facilities that offered it within
4 miles of my home, including one of my own clients! Bob had what we
thought might have been heart problems and went to the "approved" ER 20
miles away and the care was terrible, and he wound up almost having major
surgery to remove his gallbladder when his tests were mixed up with another
patient! He probably had a kidney stone. We'll never know for sure!

Anyway, we left United Health very unhappy.

Barb C.
"Moon" <nextmoondance_2@bellsouth.net> wrote in message
news:Uhvrh.11287$653.6631@bignews5.bellsouth.net...
Quote:
If this happened to you, what would you do?

I worked for a small-sized MTSO that carries UnitedHealth. I left the
company and had been considering whether or not to accept the Cobra
offering. As it worked out, I needed to visit the ER due to abdominal
pain. Went in to the largest hospital in my state, got triaged and sent to
registration. Was told that the hospital was in contract negotiations
with the insurance company and I would have to accept responsibility for
the bill. I decided I would because of the Cobra issue was undecided
anyway. Now, if I had been life flighted in an unconscious state, I doubt
they would have rifled through my pockets and said, oh, we can't take her
to the only Trauma I hospital in the state...take her to the pauper's
hospital!

The question now becomes that I have only a few days left to accept the
Cobra offering, but if I do and continue with this insurance carrier, I
would have to change all my physicians, have medical records forwarded,
etc. Would you do it? If you worked for that MTSO, would you consider it
your responsibility - a former coworker - to post who the MTSO is so those
employees can be aware and take measures? United did the same thing in
another city and it affected 800,000 subscribers. I doubt the MTSO (who
is posting help wanted ads weekly) is going to divulge the information
that its carrier has selective coverage prior to a new hire starting with
them. That would be bad recruiting, right? I have noticed another MTSO
posting "have your benefits been cut?" or something to that effect as
their eye catcher line.

p.s. I actually left the hospital to go to a different one, but got a
bill yesterday from the first one - $170 to be triaged and $65 to take my
pulse (you think I'm kidding you, but I'm not). I could just call my
ex-hubby who is system administrator for the hospital and ask that all the
ER computers crash for a day or two <G

So, if this was you, WWYD?

Carol
Jeannie Wilson
Posted: Wed Jan 17, 2007 6:44 pm
Guest
"Moon" <nextmoondance_2@bellsouth.net> wrote here for all to
seenews:Uhvrh.11287$653.6631@bignews5.bellsouth.net:

Quote:
If this happened to you, what would you do?

I worked for a small-sized MTSO that carries UnitedHealth. I left the
company and had been considering whether or not to accept the Cobra
offering. As it worked out, I needed to visit the ER due to abdominal
pain. Went in to the largest hospital in my state, got triaged and
sent to registration. Was told that the hospital was in contract
negotiations with the insurance company and I would have to accept
responsibility for the bill. I decided I would because of the Cobra
issue was undecided anyway. Now, if I had been life flighted in an
unconscious state, I doubt they would have rifled through my pockets
and said, oh, we can't take her to the only Trauma I hospital in the
state...take her to the pauper's hospital!

The question now becomes that I have only a few days left to accept
the Cobra offering, but if I do and continue with this insurance
carrier, I would have to change all my physicians, have medical
records forwarded, etc. Would you do it? If you worked for that MTSO,
would you consider it your responsibility - a former coworker - to
post who the MTSO is so those employees can be aware and take
measures? United did the same thing in another city and it affected
800,000 subscribers. I doubt the MTSO (who is posting help wanted ads
weekly) is going to divulge the information that its carrier has
selective coverage prior to a new hire starting with them. That would
be bad recruiting, right? I have noticed another MTSO posting "have
your benefits been cut?" or something to that effect as their eye
catcher line.

I wouldn't start bad-mouthing a company simply because of the plan they
offer. Heck, I would imagine that many would be tickled pink to have any
medical benefits as an at-home MT in the first place. When DH and I were
both self employed without benefits, we paid 767.00 per month just for
asthma/allergy meds for me and my son. It was 125.00 each just to walk
into the allergy doc's office and we were there all the time. I'd much
rather switch my records, etc. than not have any benefits at all.
Judity
Posted: Wed Jan 17, 2007 6:44 pm
Guest
((The question now becomes that I have only a few days left to accept
the
Cobra offering))

When I left the bank, Carol, I decided to stay on Cobra and pay for my
insurance that way. Before the Cobra period ran out, I switched over
to just paying for my health insurance myself, and the cost went WAY
down.

Now, I don't know if Cobra works this way with all insurance companies,
but be sure to check out both amounts before you sign any papers.

Judity
HOME OF THE RED FOX Amazon.com link:
http://tinyurl.com/vnot9
or read any of my other stories in the link below
http://judity.Writing.Com/
Moon
Posted: Wed Jan 17, 2007 7:02 pm
Guest
I didn't really see it as bad mouthing a particular company, more than "if
your employer uses XXX insurance check it out first." As of now, there is
no notice by the insurance company that it no longer participates with that
hospital system. In both instances, the cessation of coverage happened
without notice. In the case of the Denver hospital system, people already
in the hospital were being transferred to different hospitals if they had
non-life threatening conditions or if approved and already scheduled for
procedures, being rescheduled to other facilities. Geez, I'd want my family
to know how to proceed just because my hospital and insurance company had a
falling out, and I'd rather they be aware it _could_ happen than being hit
between the eyes. But, that's just me.

I guess part of what got my goat about this was that I was not told of this
falling out with my physicians/hospital system while being offered Cobra.
Sort of like, give us your money and heeheehee just try to get coverage for
procedures while you are paying out the arse for it. For some of the
services, I would have to make a 300-mile round trip to Atlanta. They do
have a private policy I could switch to, but I've already been told that my
height/weight proportion would prevent me from being underwritten. And, I
wasn't exactly expecting to be needing expensive services so I have waited
until I need to come up with a couple grand just to get me through this
month...and of course, money isn't growing on trees despite global warming
<G>.

I need to think on it more. <geez, that sounded Gomer Pylish, didn't it?>

Carol
"Jeannie Wilson" <jwilson421@comcastspamkills.net> wrote in message
news:Xns98BBADF1887DEjwilson421comcastnet@216.196.97.136...
Quote:
"Moon" <nextmoondance_2@bellsouth.net> wrote here for all to
seenews:Uhvrh.11287$653.6631@bignews5.bellsouth.net:

If this happened to you, what would you do?

I worked for a small-sized MTSO that carries UnitedHealth. I left the
company and had been considering whether or not to accept the Cobra
offering. As it worked out, I needed to visit the ER due to abdominal
pain. Went in to the largest hospital in my state, got triaged and
sent to registration. Was told that the hospital was in contract
negotiations with the insurance company and I would have to accept
responsibility for the bill. I decided I would because of the Cobra
issue was undecided anyway. Now, if I had been life flighted in an
unconscious state, I doubt they would have rifled through my pockets
and said, oh, we can't take her to the only Trauma I hospital in the
state...take her to the pauper's hospital!

The question now becomes that I have only a few days left to accept
the Cobra offering, but if I do and continue with this insurance
carrier, I would have to change all my physicians, have medical
records forwarded, etc. Would you do it? If you worked for that MTSO,
would you consider it your responsibility - a former coworker - to
post who the MTSO is so those employees can be aware and take
measures? United did the same thing in another city and it affected
800,000 subscribers. I doubt the MTSO (who is posting help wanted ads
weekly) is going to divulge the information that its carrier has
selective coverage prior to a new hire starting with them. That would
be bad recruiting, right? I have noticed another MTSO posting "have
your benefits been cut?" or something to that effect as their eye
catcher line.

I wouldn't start bad-mouthing a company simply because of the plan they
offer. Heck, I would imagine that many would be tickled pink to have any
medical benefits as an at-home MT in the first place. When DH and I were
both self employed without benefits, we paid 767.00 per month just for
asthma/allergy meds for me and my son. It was 125.00 each just to walk
into the allergy doc's office and we were there all the time. I'd much
rather switch my records, etc. than not have any benefits at all.
VickieHerndonCMT
Posted: Wed Jan 17, 2007 9:17 pm
Guest
Carol, email me at my VHOne@aol.com address. My Comcast is still not fixed.


"Moon" <nextmoondance_2@bellsouth.net> wrote in message
news:Uhvrh.11287$653.6631@bignews5.bellsouth.net...
Quote:
If this happened to you, what would you do?

I worked for a small-sized MTSO that carries UnitedHealth. I left the
company and had been considering whether or not to accept the Cobra
offering. As it worked out, I needed to visit the ER due to abdominal
pain. Went in to the largest hospital in my state, got triaged and sent to
registration. Was told that the hospital was in contract negotiations
with the insurance company and I would have to accept responsibility for
the bill. I decided I would because of the Cobra issue was undecided
anyway. Now, if I had been life flighted in an unconscious state, I doubt
they would have rifled through my pockets and said, oh, we can't take her
to the only Trauma I hospital in the state...take her to the pauper's
hospital!

The question now becomes that I have only a few days left to accept the
Cobra offering, but if I do and continue with this insurance carrier, I
would have to change all my physicians, have medical records forwarded,
etc. Would you do it? If you worked for that MTSO, would you consider it
your responsibility - a former coworker - to post who the MTSO is so those
employees can be aware and take measures? United did the same thing in
another city and it affected 800,000 subscribers. I doubt the MTSO (who
is posting help wanted ads weekly) is going to divulge the information
that its carrier has selective coverage prior to a new hire starting with
them. That would be bad recruiting, right? I have noticed another MTSO
posting "have your benefits been cut?" or something to that effect as
their eye catcher line.

p.s. I actually left the hospital to go to a different one, but got a
bill yesterday from the first one - $170 to be triaged and $65 to take my
pulse (you think I'm kidding you, but I'm not). I could just call my
ex-hubby who is system administrator for the hospital and ask that all the
ER computers crash for a day or two <G

So, if this was you, WWYD?

Carol
Guest
Posted: Thu Jan 18, 2007 6:56 am
While badmouthing a company because of the insurance they offer may
not be very gracious <G>, weighing carefully a decision whether to
join that company based on their insurance is good business!

Having gained considerable knowledge of the various insurances by
virtue of billing in our office, I can tell you that I would weigh
*heavily* a decision to join a company that offers United Healthcare.
The same goes for self-insured companies--the beauty of being
self-insured being *absolute* power. Often self-insured companies,
instead of "sharing" the risk of insuring the obese, smokers, etc.,
simply make exclusions on coverage. IE, quit smoking or lose your
job--and they enforce this by mandatory blood tests to check for
nicotine. Alcohol consumption, treatment for depression, etc.--they
can monitor these things and make exclusions that, while "good
business", may be interpreted by some as abuse of an employees civil
rights. Check out what Scotts Lawn Care Company in Marysville, OH has
done about employees who smoke, e.g.

Obviouisly YMMV--not all self-insured companies abuse the system, but
the potential is there, and one should be advised to check out how a
self-insured company handles their power. As for UHC (cited above),
the best example I can think of right now of their shenanigans is
their tendency to refuse payment for a pt's visit to a primary care
facility for depression. UHC typically wants to deny payment and shift
the visit to the pt's mental health clause of their policy--a clause
that entails another deductible for the pt and more out-of-pocket
expenses. Now c'mon--a brief bout of depression (divorce, work stress,
a death in the family, etc.) is NOT mental illness and CAN be
appropriately treated by a primary care physician. I'm not referring
to chronic depression, but a visit or two, or maybe even treatment for
several weeks.

Anne/OH

On Wed, 17 Jan 2007 17:02:20 -0600, "Moon"
<nextmoondance_2@bellsouth.net> wrote:

Quote:
I didn't really see it as bad mouthing a particular company, more than "if
your employer uses XXX insurance check it out first." As of now, there is
no notice by the insurance company that it no longer participates with that
hospital system. In both instances, the cessation of coverage happened
without notice. In the case of the Denver hospital system, people already
in the hospital were being transferred to different hospitals if they had
non-life threatening conditions or if approved and already scheduled for
procedures, being rescheduled to other facilities. Geez, I'd want my family
to know how to proceed just because my hospital and insurance company had a
falling out, and I'd rather they be aware it _could_ happen than being hit
between the eyes. But, that's just me.

I guess part of what got my goat about this was that I was not told of this
falling out with my physicians/hospital system while being offered Cobra.
Sort of like, give us your money and heeheehee just try to get coverage for
procedures while you are paying out the arse for it. For some of the
services, I would have to make a 300-mile round trip to Atlanta. They do
have a private policy I could switch to, but I've already been told that my
height/weight proportion would prevent me from being underwritten. And, I
wasn't exactly expecting to be needing expensive services so I have waited
until I need to come up with a couple grand just to get me through this
month...and of course, money isn't growing on trees despite global warming
G>.

I need to think on it more. <geez, that sounded Gomer Pylish, didn't it?

Jeannie Wilson
Posted: Thu Jan 18, 2007 10:21 am
Guest
anne@munge.com wrote here for all to
seenews:0qiuq21fiflivj3t7vcsdcirjuaet511fl@4ax.com:

Quote:
While badmouthing a company because of the insurance they offer may
not be very gracious <G>, weighing carefully a decision whether to
join that company based on their insurance is good business!

Yes, it is but the person asked the question about whether or not to post
about the company, IIRC
Phyllis Nilsson
Posted: Thu Jan 18, 2007 11:03 am
Guest
When I got laid off from the hospital where I worked, I opted for COBRA.
Had I not, I'd not have been able to afford the insurance. After the COBRA
period ended (I believe it was 18 months), I switched to regular health
insurance and had I not been working at home, could never have afforded it.
Several years later, my insurance cost me $616 a month just for me, not
family or even husband coverage. If I had it to do again, I would still
take the COBRA coverage.

Moon wrote:

Quote:
If this happened to you, what would you do?

I worked for a small-sized MTSO that carries UnitedHealth. I left the
company and had been considering whether or not to accept the Cobra
offering. As it worked out, I needed to visit the ER due to abdominal
pain. Went in to the largest hospital in my state, got triaged and sent to
registration. Was told that the hospital was in contract negotiations
with the insurance company and I would have to accept responsibility for
the
bill. I decided I would because of the Cobra issue was undecided anyway.
Now, if I had been life flighted in an unconscious state, I doubt they
would have rifled through my pockets and said, oh, we can't take her to
the only Trauma I hospital in the state...take her to the pauper's
hospital!

The question now becomes that I have only a few days left to accept the
Cobra offering, but if I do and continue with this insurance carrier, I
would have to change all my physicians, have medical records forwarded,
etc.
Would you do it? If you worked for that MTSO, would you consider it your
responsibility - a former coworker - to post who the MTSO is so those
employees can be aware and take measures? United did the same thing in
another city and it affected 800,000 subscribers. I doubt the MTSO (who
is posting help wanted ads weekly) is going to divulge the information
that its
carrier has selective coverage prior to a new hire starting with them.
That
would be bad recruiting, right? I have noticed another MTSO posting "have
your benefits been cut?" or something to that effect as their eye catcher
line.

p.s. I actually left the hospital to go to a different one, but got a
bill yesterday from the first one - $170 to be triaged and $65 to take my
pulse
(you think I'm kidding you, but I'm not). I could just call my ex-hubby
who is system administrator for the hospital and ask that all the ER
computers crash for a day or two <G

So, if this was you, WWYD?

Carol

--
Toledo,Ohio
Jeannie Wilson
Posted: Thu Jan 18, 2007 12:31 pm
Guest
Phyllis Nilsson <phyllisnilsson@buckeye-express.com> wrote here for all
to seenews:0vadnX7SNP_nFzLYnZ2dnUVZ_uSgnZ2d@buckeye-express.com:

Quote:
When I got laid off from the hospital where I worked, I opted for
COBRA. Had I not, I'd not have been able to afford the insurance.
After the COBRA period ended (I believe it was 18 months), I switched
to regular health insurance and had I not been working at home, could
never have afforded it. Several years later, my insurance cost me $616
a month just for me, not family or even husband coverage. If I had it
to do again, I would still take the COBRA coverage.

Moon wrote:


Our COBRA coverage was WAY cheaper than our individual/private coverage
that we had to get when it ended and it covered nothing preexisting and no
well care, immunizations, routine screening, etc. at all
Moon
Posted: Thu Jan 18, 2007 1:08 pm
Guest
Yes, I did originally talk about naming the company, although I don't think
this forum would be where I would do it. But, if I were a prospective
employee of that company, I would appreciate that someone say something
about either this or that company has United and this is a trend for United.
It wouldn't have to be done in a manner bad mouthing the company. I've
always advocated being an informed consumer and I see more insurance
companies pulling more reasons not to cover services...I want to make an
educated decision that the company that is promising healthcare can deliver
what I anticipate that it will. If my anticipation of coverage if
misguided, then it falls on me to have all the information I can garner to
prevent disappointments/financial hardships down the road.

Carol
"Jeannie Wilson" <jwilson421@comcastspamkills.net> wrote in message
news:Xns98BC58A61A13Cjwilson421comcastnet@216.196.97.136...
Quote:
anne@munge.com wrote here for all to
seenews:0qiuq21fiflivj3t7vcsdcirjuaet511fl@4ax.com:

While badmouthing a company because of the insurance they offer may
not be very gracious <G>, weighing carefully a decision whether to
join that company based on their insurance is good business!

Yes, it is but the person asked the question about whether or not to post
about the company, IIRC
 
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