Lemons2lemonade Posted February 15, 2012 Report Share Posted February 15, 2012 I do not even know where to begin. I got a referral from my doctors office and health insurance company 2 months ago to see Dr. Goodman at the mayoclinic. I am now in Arizona and saw Dr. Goodman for my first visit on Monday morning. Following that appointment, I was directed to wait in a lobby so that all of the tests could be scheduled. The scheduler then called me up 15 minutes later to tell me that there had been a problem with my insurance company and that I needed to call them and resolve it before my tests could be ordered. I called my insurance company's customer service line where they told me that my referral was approved accidentally and that they were no longer going to honor it.( Are you freaking kidding me?! I am in Arizona.) I have spent the last 72 hours addressing this and only after I threatened to sue them, write my legislators, the media,called the corporate office, went through my insurance contract stating the specific violation and essentially told them that not doing this would cost them more in the long run, was a phone call made to Dr. Goodmans office. His nurse called me this afternoon and said, " I just recieved a bizarre phone call from your insurance company." I told her that I bet she did ( my letter was very frank and legally threatening including words like 5 years of misdiagnosis, fraud, good faith, written agreement, and lawsuit.) Ultimately, my insurance company called mayo directly and said something along the lines of "give her whatever she needs." Man did I have to work for it though. I probably talked to over 30 people within my insurance company including my internal medicine doctor who was awesome enough to call me back from his on duty shift at the hospital, and the assistant to the medical director(whose number and contact info I had to find on my own- I looked up the business office phone number online, talked to the drone who answers the phone at the front desk and asked to be connected to the medical director, he told me he could connect me to the secretary. ) This experience just goes to show how much you need to fight sometimes against pots and part of that fight is with your doctors and insurance companies. Keep fighting, don't give up, and you will get your treatment. The squeakiest wheel gets the grease. Quote Link to comment Share on other sites More sharing options...
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