lexie3131

Hey everbody!!! It all started at 3:30pm. I have been in tears for the last 9 hours. My head, neck, and spinal cord are really hurting right now. Crying always makes me hurt worse. Well, let me tell you what happened. I got a call from my surgeon's nurse at 3:30pm saying the Hospital I normal use does not take my insurance anymore...even though I pre-admitted yesterday. She said they were showing me as having an insurance that is "open access plus" (meaning a limited group of Doctors and hospitals) versus the PPO I had which was almost any doctor or hospital. I told her that was impossible because I had it in writing on my personalized benefit fact sheet. I was in a panic trying to reach my insurance company and when I finally did their computers were down!!!! So then I called my supervisor at work. I was hysterical because I had to get back to the nurse before 4:30pm. He told me I had to contact our Employee Benefits Dept in KS. Well, I finally got ahold of them...to my surprise they said that I did change from a PPO to Open Access type insurance. They told me if I wanted to have the surgery I would have to pay 40% of the surgery. I told them they were crazy. I brought their attention to what I had in writing and read to them verbatim what was enclosed in my materials. She then pointed out in their little book they sent me one small sentence that read of a change to open access for all employees except for the KS area. (where they are located, isn't that convienient). I told them they were being deceptive and dishonest. I even told them I was going to have my attorney look over my information and would be contacting them (which I really am doing). So I had to cancel the surgery until I could get this straightened out. I'm sorry to ramble on...but I am so upset about all of this. I found out from the hospital that several other people came in not knowing of the change. My own supervisor did not know it either. When looking through the materials it's almost like they were trying to hide it. Even two people I talked to before the supervisor admitted they made an error on my fact sheet...which is what we use to verify our benefits. Then the supervisor gave me 3 different excuses. I was not a very happy person. I told her "the company I work for" would be responsible for any damage to my body. Whew.....thanks for listening!!! I have a lot of phone calls to make tomorrow. I will let you know something. THANKS FOR YOUR THOUGHTS. >>Irish, I was glad to see your post. I was getting worried about you. Hope all is well.