Let's take the second one first...
Ok, I did better at the show this weekend than I'd initially thought. I only lost 88 cents so I essentially broke even - as long as I get paid nothing for the hours and hours of prep, set up, attendance, driving, etc. Still, as (initially) I thought I'd lost $300, it could be worse.
I am absolutely exhausted. It was good to see my sister and our display looked very nice.
But, honestly? The real show didn't feature the vendors... it featured the attendees. Who sported (*don't click the links if you are easily offended*) deelyboppers
, carrying around large quantities of booze which they drank through straws
... including in rainbow colors
, and, lest you jewelry wearers feel ignored, many (many) also adorned themselves with blinking pins
and stickers that said "I love orgasms... don't you?" I never made it to the main ballroom but I'm told it held loud music, a lot of beer, and male strippers.
One of the women on the jewelry making forum I belong to said I should probably be grateful that my jewelry didn't sell better - any woman prone to wearing deelyboppers shaped like male genitalia probably wouldn't exactly be a good representative for my "art". I'd like to think that the weekend was an aberration for these women. There can't really be *that* many crass women around, can there?
This is not to say that there weren't classy women there too - there were and some of them were really very nice... They were definitely outnumbered though.
Alrighty, on to the second point... being screwed. Or, rather, on having Screw You Health Insurance...
For those who have been wondering, nope, we still have no resolution.
I spoke with "member services" on the 25th. At that point, Member Services had heard nothing about it. The woman's supervisor said if it's that close to when I'm supposed to have the baby, it's usually treated as still being in-network but can't say specifically because they have no word that HCC will be OON.
Ok, then the 29th, I heard from our state legislator. Her contact in the industry had come back saying that talks hadn't broken down, that they expected to reach a deal, and that I would likely be covered under a transitional care plan even if they didn't.
On the 1st (while I was gone), we received a letter from Oxford Health that the hospital would be OON as of April 1 and that "women in their second trimester of pregnancy may be eligible for transitional care and should call member services to discuss it." Note that it does not say "second trimester or later" and also does say "may be eligible" not "will be eligible"...)
So, on Monday (3/3), I called Member Services. After being on hold from 3:45 - 3:59 p.m., I learned that Member Services just got word of the hospital termination that morning. She transferred me to the medical management department who can handle the transitional care issues.
I held on the line from 3:59 - 4:19, when medical management finally picked up and thought I was a provider, then when I told her I was a member asked (with annoyance) "were you transferred up here?!" She advised that the hospital wasn't showing as terminated in her
system but that she would submit the request for the transitional care for me "for the hospital only". (quoted language made me nervous - what about the OB, etc.?) I asked if there was anything else I needed to do or if I was all set for the pregnancy and she said there was nothing else I needed to do - that someone would be getting in touch with me. They have to review it and one of the coordinators will be getting in contact with me. She did not seem terribly confident and seemed to be brushing me off. I got off the phone at 5:35 p.m.
It gets worse. The medical management coordinator woman called me this morning (3/4/08). She said, flatly, "we don't do transitional care for facilities". I told her that wasn't what the letter I received said and read her the language. She asked me to fax the letter and said she'd get back to me "in a couple of days". I faxed the letter to her and tried to call to confirm her receipt (I got a confirmation but I figured better safe than sorry). Unfortunately, the number she called in from was a general number for the entire Northeast Region of United Healthcare and I don't have her last name. I guess I'll just have to pray that she actually will call back.
I have an appointment with my OB on Thursday and I will definitely be talking to him then about what he sees my options as. I'm also going to have John ask the insurance agent again about switching insurance. I've also emailed my state legislator with an update. I think it's time to get the Office of Health Care Advocate involved.
One thing I have been very surprised by in all of this is how very high a percentage of the general population loathes
health insurance companies. And even more surprising? The loathing transcends political and ideological viewpoints. Liberals, conservatives, Republicans, Democrats - everyone
hates insurance companies.
And my daughter (who's stayed dry the last two days for the most part) just wet her pants. Gotta go.
Labels: bad show, health insurance, potty training