I’ve brought this up several times now that we were eligible for open enrollment last fall, but it’s worth repeating because this past winter, we had one heck of a battle with our insurance company. It left me refusing medical treatment when my doctor thought I had pneumonia, and it left us wondering how in the hell we would be able to afford health care (in general) if things didn’t work out in our favor. I guess I should start at the beginning and tell you the whole story!
Last fall, we got an email from my husband’s HR department with a list of all the available insurance plans. We’d been on our existing plan since we got married, and my husband had been with this particular insurance company for as long as he can remember. They were our first go-to choice for a host of reasons: they’re widely accepted, some of our doctors *only* accept that insurance provider, and we felt a sense of loyalty to them since they’d been our provider for so many years. Additionally, they’re one of the only providers (that we were aware of) that carried fertility coverage. But, our premium was significantly increasing so we wanted to explore more inexpensive options. We started by making phone calls: first, to my OB’s office to see if I even needed to repeat fertility treatments (I did) and then to our insurance company to help us interpret our 2013 benefits.
This is where things started to get very, very confusing for us. See, in 2013, our insurance plan was drastically changing. Not only was the premium increasing, but they were doing away with co-pays altogether and changing the way the deductible and co-insurance system worked. They were also introducing a new incentive plan were you could incur “incentive dollars” for completing health tasks that would be put toward your deductible and out of pocket max.
Sounds simple enough… except we didn’t know how the deductible worked. Was it per person? Divided by the number of people in our family? I called customer service on several occasions and was given a different answer each time. Wasn’t it their job to interpret our benefits? My head was spinning.
On top of all the confusion, we weren’t sure if this insurance plan was the best fit for our family. I have asthma, for instance, and take Advair. One phone call to my pharmacy and I found out that the out of pocket cost for this particular medicine was over $400. We weren’t sure if we could budget $400 per month for this medication, when we were used to paying $35 a month co-pay in the past. And since we still had no idea how the plan actually worked, we didn’t know how long we’d be paying out of pocket for or when (or if!) the co-pays kicked in.
I eventually asked to have my call escalated to a supervisor and she reviewed the plan with me carefully. We spent quite some time on the phone with one another and I was given, what I thought, to be accurate information. Based on the information she provided, staying with this insurance plan seemed like a no-brainier.
because this post is really long and whiny, here’s an adorable photo of me & The Kid to distract you.
I took careful notes every time I called our insurance company. I made note of the date and time of the phone call, the customer service agent’s name, and asked for a phone call reference number. In addition, each phone call was recorded (which is standard practice at our insurance company).
I went to get my Advair filled on New Year’s Eve, and I remember my pharmacist handing me a 3-month supply (something he’d never done before) and telling me he just saved me over $1200. My jaw dropped. What the heck was he talking about?! Their system had been updated with our new insurance information in preparation for 2013, and if I’d waited just one more day I would have had to pay the out of pocket price for my prescription. This was a HUGE red-flag and I came home fuming.
My husband and I called our insurance company on the next business day only to find out that all the information we’d been given during the enrollment period was incorrect. I spoke to a manager who pulled all of the calls I’d made and helped me file a grievance. She reviewed the information she heard on the calls and compared them to my notes, then confirmed that I was given incorrect information, even by the supervisor that I’d spoken to. She said we’d have a resolution within 30 days. She reviewed the correct plan information with me so we at least knew what our plan really entailed.
In the meantime, we were in limbo. We filed a complaint with my husband’s HR and OPM, but we also were not qualified to switch insurance companies since open enrollment season had closed. Our insurance company didn’t offer an immediate solution, either, so until a decision was made we had to use the insurance plan as it was designed.
Late last month, we were notified that the Grievance Team had determined that I was given correct information by a supervisor so we’d lost our case. They cited a specific date, and that was that. I was so angry I cried. First they admitted we’d been given wrong information, and now I was being told I was given correct information? Why were we given conflicting information over and over again by this company?
I reviewed my notes when I got home, and specifically looked for the time my call was escalated to the supervisor. This was the call when she clarified everything, and carefully reviewed all the information with me. This was the call I made that swayed our decision to stay with this insurance company. This was the call that was later proven to be incorrect, when I’d gone to pick up my prescription on New Year’s Eve.
distraction with pony tail adorableness!!
I filed another complaint and we waited to hear back from the Grievance Team. In the meantime we started crunching numbers and trying to figure out how we were going to manage this financial burden we were now facing. It took two days to hear back from our insurance company, and this time they found in our favor. We were elated and definitely did not expect this decision!
We now have a letter in our hands stating their acknowledgement of their mistake, the stated resolution, and how our policy will work for the 2013 benefit year. It’s a huge weight off our shoulders. If I hadn’t been so careful in my note taking, I don’t know if this case would have been found in our favor. I was able to cite specific examples, dates, times and I even jotted down some exact quotations used in the conversations!
In the middle of this whole mess, my husband got two phone calls while at work from representatives explaining how our insurance actually plan worked. Neither of these representatives were aware that we had filed a grievance, and these calls spoke volumes to us. They told him that many, many people were confused on how their plan worked and it was their job to explain the ins and outs of the 2013 benefits. Interesting!!
Having to deal with our insurance company is something I’ve found that we have to do on a regular basis, especially when needing fertility treatments. We’re both very disappointed in what happened, and are left feeling dissatisfied in a company that we’ve been with for over five years as family. I worry that if I hadn’t kept such careful records, that as resolution never would have been found.
I’m glad to have this financial burden behind us, and this case found in our favor. We really are our best advocate!
Have you ever had an issue with your health insurance? How did you resolve it?
blogger / persimmon / 1214 posts
OMG this makes my blood boil. Yes, I’ve had issues, not as severe as yours but issues none the less. My favorite is that every single time I call to ask how much something will cost I get the response, “well I can’t tell you until the procedure has been completed and billed for.” Well that’s helpful.
persimmon / 1250 posts
Good job winning your case.
I had a similar issue with my former insurance company regarding breast pump reimbursement. I made 4 phone calls prior to the purchase, documented all the calls and call information. Right from the beginning, I received conflicting information on what stores were permissable to purchase the breast pump from, the max value that would be reimbursed, etc. which is why I made 4 phone calls total until I felt comfortable with the information I received.
Well, when it came time to file the claim, it was rejected because it wasn’t purchased from an unauthorized dealer (I was told that buying from Target would be fine if there were no authorized dealers within 50 miles) so I filed an appeal which they found in my favor. I was eventually reimbursed but not the full amount so I filed another appeal since I was told on multiple occassions that there was no cap on the reimbursement amount. That 2nd appeal was denied because even though they acknowledged that I may have received incorrect information, they couldn’t give me the full because policy forbade it.
By that time, the claim and appeal had taken up so much of my time, I just wrote off the $100 loss. Still pisses me off when I think of it.
I ALWAYS take copius notes when I speak to large organizations that may have less than fully trained staff (phone company, cable, etc) cause you never know when you’ll need to refer back.
blogger / clementine / 955 posts
@Mrs. Stroller: We’ve had that problem before. My favorite was when we got billed twice for my blood getting drawn — once for the blood draw, and a second for the doctor to read the results. SERIOUSLY?
GOLD / nectarine / 2187 posts
Glad it worked out in your favor but sorry you had to go through the stress of dealing with it. One week before DD was born, DH was let go from his job with a severance package that stated the company would cover the cost of COBRA for six months (we had separate insurance). About 4 weeks later he went to make a doctor’s appointment and was informed that he no longer had insurance (COBRA or otherwise). We frantically found that the severance required that he sign-up for COBRA with paperwork he was never given/sent. Luckily we were able to get him onto my insurance but had we found out two days later he would have been outside of the allowed change of status window and would have been left without insurance until my open enrollment period 8 months later.
blogger / persimmon / 1214 posts
@Mrs. Jump Rope: I must commend you on the use of cute pictures to keep me from hollering at my computer screen ;)
blogger / clementine / 955 posts
@Mrs. Stroller: YAY! it worked :)
GOLD / persimmon / 1095 posts
So what happened after winning your case? Did you get to leave for another plan? I hope you are able to be away from the $400 a month meds, that sounds horrible. I am dying to know what provider this is so I can avoid them!!! So sorry you had to deal with this, but glad you kept such great notes and kept on top of it.
blogger / clementine / 955 posts
@KJfromNJ: We can explore other insurance options next year during open enrollment, but we have that option every fall. We cannot switch insurance plans in the middle of the year.
GOLD / persimmon / 1095 posts
@Mrs. Jump Rope: oh no! So even though you “won” you have to stick with their plan? That stinks. Talk about a shallow victory. Thinking of you guys still then, I hate how confusing and frustrating this stuff can be!
blogger / clementine / 955 posts
@KJfromNJ: We still have their coverage, but it’s now re-written that our coverage is under the terms and conditions we were lead to believe we’d have.
Does that make sense?
GOLD / persimmon / 1095 posts
@Mrs. Jump Rope: oh! That is better!
And now I think it’s clear if I can’t even correctly follow a blog post that I DEFINITELY am not good at following insurance changes, haha!
pea / 24 posts
Ugh, this stresses me out just reading it! I can’t imagine. But good for you for not backing down and for being so diligent. This reminds me of every bill we got after my son’s birth, my husband would yell across the house, “Argh! What is insurance even for?!”
blogger / clementine / 955 posts
@akr1984: LOL
We are still paying on my daughters birth, and she’s 17 months old! Every time we get a bill my husband says, “Well Chloe, we’re one month closer to owning you!”
guest
My husband works at a small company without insurance benefits (just a stipend) that we’ve always been enrolled in private insurance since we’ve gotten married (4 years ago). When I got pregnant and found out the high cost of co-pay for the hospital stay, I wanted to know what it would cover.
The rep stated it would only cover “normal” delivery. I was so frustrated with her because it was my first delivery and I had no idea what was classified as normal. I asked her who gets to define the word “normal,” for instance…some would consider an emergency c-section normal (there is a 1 in 3 c-section rate in the United States) while some would consider it a abnormal because it is a surgery. It was so frustrating because she clearly had no idea and kept wanting me to transfer to the nurse on call.
Nurse on call said c-section was normal. Nurse when I went to my next appt said c-section was not. Doctor I saw that day said c-section was normal. Midwife said it was not. I even called the hospital and they said it was normal.
Armed with these conflicting answers, I called back the insurance company and they still couldn’t answer. so apparently, insurance rules are just made up on the spot.
blogger / papaya / 11732 posts
@Mrs. Jump Rope:
1. your daughter is ridiculously cute.
2. your insurance company sucks and I’m so sorry you had to go through that… will you be changing during open enrollment this year?
3. Also it’s kind of interesting that through your husband’s company you can choose from multiple insurance companies. We have only one option and we aren’t happy with them.
blogger / clementine / 955 posts
@Mrs. Pen:
1. Thank you! You are so kind :)
2. We aren’t sure, but we will be sure to explore options again!
3. He is a federal employee so we have a wide variety of options!
GOLD / grapefruit / 4197 posts
Good job for being on top of things!
For us, we got a very very very cheap plan because even if you pay completely out of pocket (have a HUGE deductible)–having any insurance at all gives you a discount through most providers. That alone was worth paying for insurance.
Insurance in the US is such a headache. I miss being a marine wife and having the family clinic for FREE. I went more often and I think I felt better about my overall health then. Now I try to prevent any doctor visits. Bad idea.
PS love the cute photos you added in
blogger / cantaloupe / 6388 posts
We were initially denied coverage for our second daughter’s birth. Like you, I fought and fought. Spent over 6 hours on the phone with people and many many more on our insurance companies online help service.
I was so glad to start using the online chat service because I could just print out the conversation after we completed the chat. It was autopopulated with the names, dates and times… and contained the conversation word for word.
When the supervisors tried to deny us, I sent them copies of the conversation and they immediately found in our favor.
All I can say is thank goodness for your meticulous notes! (And I must recommend the online chat for communication if your insurance company has one. It saved our butts!)
GOLD / cherry / 111 posts
@Mrs.JumpRope your insurance with FEP? I worked there for several years and can attest to how difficult it is to attract/retain good customer service reps!
…that being said, I am impressed with your note-taking — definitely instrumental in not only understanding health insurance but CYA if you get told wrong info.
blogger / clementine / 955 posts
@KayKay: we have FEHB, but our insurance is through a public company. We do not have insurance directly through DHs federal employer. Sorry is that is too vague!
GOLD / cherry / 111 posts
@Mrs.JumpRope ahh – makes sense! sorry that you’re dealing with this. healthcare costs are SO confusing, even for those of us that work in the industry!
GOLD / kiwi / 600 posts
Oh goodness, I just got nauseous from even reading your title. Insurance is a b*. I’m so happy to have it, but honestly, it shouldn’t take a rocket scientist to work it…and yet, they continue to surprise us. We’ve had so many insurance dramas over the years it’s ridiculous, and we’re not even 30. Copious notes have been my savior on more than one occasion. Good for you for winning, and hooray for being able to breathe again. That is a great feeling :)
GOLD / pomegranate / 3760 posts
Umm WOW, that’s crazy! So glad you are organized and that everything worked out in the end. Insurance is so frustrating!
olive / 79 posts
I could say A LOT about issues I’ve had with health insurance companies (which only seem to get worse as the years go on), but I’ll just say, it’s not right that you should even have to second guess seeking medical care when you have insurance, for fear of what it might cost or what kind of headache it might induce by a go-around with the company afterwards. The healthcare system is a nightmare.
coffee bean / 29 posts
Wow, I am glad I live in Canada when it comes to health insurance! It’s bad enough when I have to deal with our insurance provider for extended health benefits like chiropractic, massage, orthotics and sometimes dental.