I am so thankful it is Friday, it’s been a long week for me. I mentioned last Friday that I was having trouble getting repair work done on my chair, well I can update you on the progress I’ve made, and would like to offer a warning to anyone who has Medicare as their primary insurance coverage.
I mentioned the government does not want to be responsible for buying or maintaining equipment for mobility issues, this is one way to reduce the medicare claims. I had ordered my chair from the country’s largest provider believing at the time this would guarantee they would be around when I needed repairs. WRONG!! The government seeing they processed more insurance claims than other, smaller companies, forced them out of business. They closed their doors this week when their ability to process medicare claims was revoked.
Now this gets even better. The gentleman working on my claim informed me that Medicare denies ever paying for the chair in the first place, (they did on September 22, 2011) and since they didn’t pay for the chair they aren’t responsible for repairs and has refused to authorize what needs to be done. Funny, they also paid for 2 new batteries the first week of June. His office has submitted the claim 3 times and each time is told the same thing, it wasn’t paid for and claims are denied. It turns out I am not the only one this is happening to as currently my vendor has 3 other clients experiencing the same thing.
My children will tell you that I can be nice, but don’t mess with me, or as the Hulk would say, “You won’t like me when I’m angry”. That part of my personality came out this week. No I don’t scream and yell, I am very nice about it, but I will get what I need. I sat down with all the numbers of those parties involved in the initial authorization of my chair, from Medicare to my doctor and physical therapist who submitted paperwork to get it approved, to my secondary insurance. If the answer was the paper trail I was going to find it. The first phone call was all it took. :-) I placed a call to Medicare informing them that I was missing some paperwork they sent me (true enough I naively tossed it out) and asked if they could send me a copy. I started with the payment for the batteries, that was found, so I pressed my luck and lo and behold so was the paperwork covering payment of the chair. The paperwork is being mailed to me!!
Note to those in charge, when you want to deny ever doing something be sure to wipe out all the records.
The lesson for everyone who has government insurance, keep every scrap of paperwork sent to you no matter how mundane it might seem. If you rely on government insurance to pay for mobility equipment, keep a paper trail NOW! Call and replace any paperwork you don’t have for every repair, every visit by technicians, every thing. Get it now and protect yourself. I am fortunate in having Muscular Dystrophy, and if you or a loved one has MD you should know that $500 is set aside each calendar year to help you pay for repairs or upgrades to your equipment.
If I hadn’t found the paperwork, another round of evaluations to prove I needed a chair would have been needed, then submitted it to Medicare to have a new chair built for me. What do you think my odds would have been that my claim for a new chair would have been denied?
Rant over, it’s time for my Friday Faves, and just to make up for the depressing start to this post I have a wonderfully, hilarious link for you to end this week’s faves, hope you enjoy it as much as I did.
- Ingrid at Now At Home Mom, found my weak spot….CHOCOLATE! She created this mouth-watering chocolate and banana panini. Who will be the first one to try this and tell me how it tastes?
- Real Food Charlie has created a “beauty tea“. I’ve often thought about making my own teas, and this recipe may be the one I try first.
- Ren is an aspiring writing tutor, that’s not what caught my eye, it was what Ren found at the Farmer’s market, something not seen around here.
- I like to keep my eyes open for books that will give me another perspective. Rashid introduces The Birth of Territory in this post, it’s now on my to-find list.
- I hope you find some time to poke around the Anti-Landscaper’s blog, but if you only have time for one article, I hope you will check out this one. Read down to the Day Albert Einstein Feared Has Arrived. I wish I could say it was humorous, but maybe by sharing it I can bring attention to what’s wrong with technology.
- Last week I joined in the Change the World Wednesday challenge. The subject of the challenge was razors. I enjoyed the discussion that followed, and shortly after was pointed to this article on sharpening your razor to make it last longer. I can’t keep good information to myself so I had to share it with you. Yes, this will work on the cheap plastic disposable razors as well.
- Do you have old games around the house you never play with? Why not upcycle them. The ideas are endless, check them out here on Our Second Hand Life and give old games a new life.
- Ever meet a know-it-all? Jean has all the answers on how to deal with them when you encounter a know-it-all.
- It doesn’t happen often that I find something so funny I have trouble reading the entire story because I have tears in my eyes. I decided to see if it was just me and asked friends to read this as well, let’s just say I am in good company, not a dry eye in the bunch. Hope you enjoy this story from Jackie.