Thursday, July 8, 2010

Close call!

Many people gripe and complain about insurance companies, and sometimes I can understand why.  But let me tell you why I am L-O-V-I-N-G my insurance company right now:

Some of you may remember the last minute issue I had in January for the pre-authorization on my IVF procedure.  For those of you who are not aware of what I am talking of, let me fill you in.  We were all set to attempt our first round of IVF for Feb of this year.  I had faxed the pre authorization form to my Doctors office for them to fill out and then send on to Blue Cross/Blue Shield of Massachusetts. 

The time drew near for me to start on the Lupron (the first steps/meds taken in an IVF cycle) and I still had not received my approval from the insurance company.  I finally called them and was told that they had never received a pre auth request from my doctors office.  The docs office then claimed they had never received it from me when I faxed it (though I DID have the fax confirmation that I had received saying it went thru to them).  The Docs office scrambled, the insurance company scrambled, and at the last minute, I received the OK to go ahead with the procedure. 

Fast forward to July of this year:  the EXACT SAME THING HAPPENED!  I faxed the pre auth form to the docs office.  Only this time, I got smart and called to confirm that they had received it.  They had and said they would fill it out and fax it to BC/BS of Mass right away.  Weeks go by.  No word from the ins. company.  I'm starting my cycle.  I should be starting on the Lupron in the next 10-15 days.  Still no word.  I called the insurance company to see what the status is on my request.  Surprise, surprise!  They never received a request from my doctors office!  Now I'm furious!  Fool me once, shame on you.  Fool me twice, shame on me!  I'm looking on the Internet to find a new fertility clinic.  Lucky for my Doctor, there aren't any closer to us than Indy other than him.  Guess I'm stuck with his incompetent staff!  So, I call the docs office back.  Again, they insist they never got the fax I sent....which I point out is funny since they confirmed they got it the day I sent it, and, bummer for them, I wrote down the day, time, and person I talked to so now they cant worm out of it!  SO....I'm not sure what they did on their end:  beg, grovel, bribe, threaten?!?!  but some how they got the approval from my insurance company in 24 hours!  Unheard of!  A record!  It usually takes 6 to 8 weeks! 

So....we are back on track for IVF the end of August. 

That being said, I have complete trust in my Doctor, but obviously not in his staff any longer!  When I called them to see why my insurance company didn't receive the request, they hem hawed around about it, tried to blame it on me, and made a myriad of excuses before finally accepting that it MIGHT be their fault.  AGAIN.  I love Dr. Bopp, and he has been good to us for years now.  But I do think if this IVF doesn't work, and we continue to seek treatment, I may look into a new fertility clinic.  I cannot handle bad customer service, nor can I handle a company CONSISTENTLY loosing my personal information time and again!  Who knows where it went!!!

On the plus side, KUDOS for Blue Cross/Blue Shield of Mass for pulling thru not once but twice!  Please take note that the Massachusetts part of that company is very important.  I only have infertility coverage because my company's US headquarters are in Mass, and Mass is one of a few states that requires infertility coverage!  See, the liberals are good for one thing, at least! 

Alls well that ends well, right!?!

No comments:

Post a Comment