I don't think I've reserved a blog post for an open discussion...until now!
Do you or a loved one suffer from headaches and/or migraines? Please use the comment feature on this post to share your headache story with fellow sufferers. You don't need to have a cure (but if something has worked for you, do tell!). Just share your angst, trials, tips, pain, goals, etc.
It'll feel good to get it out, I promise.
P.S. I'll pray for each and every person who comments, although I frequently pray for headache sufferers anyway, because we need all the prayer we can get. Amen!
P.P.S. Please no marketing gimmicks...we can read right through these.
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Tuesday, January 27, 2009
Sunday, January 18, 2009
Why My unnamed health insurance Sucks
Late last year I had an echocardiogram...see this post for details.
My health insurance sent me a letter before the test, and I realize now looking back that the wording is tricky. For example:
"Based on the information reviewed, we are pleased to inform you that coverage is available."
Is available, yes. Just not for me - at least not the full amount. It goes on to say:
"All covered services are subject to screening for allowable charges. The final allowable charge(s) will be determinted when the bill is submitted and will be based on the actual service(s) provided."
Ok, so this is my bad. Obviously I have no way of defending myself. But their way of doing things is ridiculous! What is the point of checking to see if something is covered if they're not going to give you a straight answer until after you have it done?
So the letter I received last week said that certain parts of the test weren't covered:
"Our clinical staff reviewed the submitted documentation and determined that CPT codes..." (a bunch of numbers) "...have not been proven effective for the documented clinical circumstances surrounding this service. The service requested is considered an experimental or unproven treatment due to lack of evidence of randomized controlled trials demonstrating safety and efficacy in peer-reviewed medical literature."
I can't even begin to speculate what that means and why they aren't covering a standard echocardiogram, which tons of headache patients have done.
I want to appeal it, but I've appealed things before and I think I'd be wasting my time. I'll decide once I get the bill from my doctor. Right now, the bill was $1000something, but the insurance covered all but $600something. My mom and hubby told me to wait until I get a bill because my doc might not bill me for as much since insurance didn't cover it. This whole system is just stupid.
I'm sure $600 bucks is pocket change compared to others who have been screwed by insurance companies or don't have insurance, so I'm going to stop complaining now. Or at least until next time the company pisses me off.
Blogging about it helps for some reason, so thank you for letting me do this. :)
My health insurance sent me a letter before the test, and I realize now looking back that the wording is tricky. For example:
"Based on the information reviewed, we are pleased to inform you that coverage is available."
Is available, yes. Just not for me - at least not the full amount. It goes on to say:
"All covered services are subject to screening for allowable charges. The final allowable charge(s) will be determinted when the bill is submitted and will be based on the actual service(s) provided."
Ok, so this is my bad. Obviously I have no way of defending myself. But their way of doing things is ridiculous! What is the point of checking to see if something is covered if they're not going to give you a straight answer until after you have it done?
So the letter I received last week said that certain parts of the test weren't covered:
"Our clinical staff reviewed the submitted documentation and determined that CPT codes..." (a bunch of numbers) "...have not been proven effective for the documented clinical circumstances surrounding this service. The service requested is considered an experimental or unproven treatment due to lack of evidence of randomized controlled trials demonstrating safety and efficacy in peer-reviewed medical literature."
I can't even begin to speculate what that means and why they aren't covering a standard echocardiogram, which tons of headache patients have done.
I want to appeal it, but I've appealed things before and I think I'd be wasting my time. I'll decide once I get the bill from my doctor. Right now, the bill was $1000something, but the insurance covered all but $600something. My mom and hubby told me to wait until I get a bill because my doc might not bill me for as much since insurance didn't cover it. This whole system is just stupid.
I'm sure $600 bucks is pocket change compared to others who have been screwed by insurance companies or don't have insurance, so I'm going to stop complaining now. Or at least until next time the company pisses me off.
Blogging about it helps for some reason, so thank you for letting me do this. :)
Wednesday, January 14, 2009
Friday, January 9, 2009
I Got Into the new Headache Clinic!
Woohoo! The new headache clinic accepted me, and they mailed me 21 pages of forms to fill out. Goodness. It took me 2 days' worth of free time to fill them out. Once they receive my forms, they'll mail me an appointment card.
Monday, January 5, 2009
IUD is OUT
No, this is not the book review I mentioned in my last post. It will come in the near future, I promise.
But I do have some news. I got my Mirena IUD removed today! See this post for background information.
My gyno didn't try to talk me out of it, and she was pretty nonchalant about the whole thing for which I'm grateful. I thought it would be painful so I took two Aleves about an hour before - I already had some cramps and a headache - but I don't know if they made a difference. They sure didn't help my headache! Anyway, there was a second of intense pain when she pulled it out (felt like really bad cramps but as a sharp pain) and that was it. I wasn't even sore afterward.
She said I'll get my normal period back in about a month, and then I'll be able to get my hormones tested. Then maybe I'll find out if they're related to my headaches.
But I do have some news. I got my Mirena IUD removed today! See this post for background information.
My gyno didn't try to talk me out of it, and she was pretty nonchalant about the whole thing for which I'm grateful. I thought it would be painful so I took two Aleves about an hour before - I already had some cramps and a headache - but I don't know if they made a difference. They sure didn't help my headache! Anyway, there was a second of intense pain when she pulled it out (felt like really bad cramps but as a sharp pain) and that was it. I wasn't even sore afterward.
She said I'll get my normal period back in about a month, and then I'll be able to get my hormones tested. Then maybe I'll find out if they're related to my headaches.