There are some things they have gotten very right for me… but… there’s a lot they’ve gotten wrong lately.
Quick background: Cimmorene and I am with them because for a time, the state of Washington (Medicaid) dropped ALL dental coverage for adults. Cimmorene and I receive benefits by way of Medicare and Medicaid. What we receive through Humana is additional benefits that Medicare does not provide, including (at the time) dental benefits.
First, the TENS unit.
They denied the claim to the
first second provider, In Home Medical (which was not in the network)– corporate claimed that there were two providers nearby. So, a nurse rep whatever-the-hell-she-called-herself called and she set up a conference call to get a hold of these other providers… Edgemark and… TSC? because I wanted to deal with someone in person, not a mail order outfit. She called Edgemark. Edgemark customer service rep said they had offices in Ohio and California, but warehouses throughout the country… apparently, some stuffed suit thought Tacoma was close by? Nope, Tacoma is 3 hours west of us (Seattle is 4). Spokane? Nope, 2.5 hrs north. Yakima, maybe? Still 1.75h west.
So claim was sent back to corporate… finally I got the waiver approved to In Home Medical.
(Picture me putting my face in my hands.)
Second, the novocaine shots. No, not in my gums. In my spine. Surgeon’s orders, to try to diagnose where my current pain is coming from. He knows that things are tight on the right side around the nerve, but doesn’t know if it’s the surgical screws, a bone spur, or if the L4/L5 disc is failing.
One of the surgeon’s nurses called to tell me they were waiting on Humana to approve (pre-authorization) these injections.
(Picture me facepalming again.)