options

All posts tagged options

Sutter Health Insurance

Published June 19, 2018 by lynn k scott

I am not an easy patient.  I have little regard for the insurance industry and the doctors it employs.  I have become less than tolerant of the medical world since my cancer diagnosis.

Sutter Health Plus is the health insurance I have.  It’s the least evil of the three options I had to choose from.  That being said, they are far from acceptable.  They care little for their patients.

On Sutter’s website, it boasts how important it is to have a doctor you feel comfortable with.  That is a fallacy.  They don’t care how far you have to travel to see a doctor.  They don’t care if you don’t want to be seen in a certain area.  They don’t care that you can’t understand who they pick for you; even after declining their physician option (multiple times).  They prefer to hire immigrant doctors compared to native-English speaking doctors.  Where medical terminology is a factor, being able to understand your physician is paramount.  Apparently, that only applies if you want to see anyone but an native-English speaking doctor.  They hire for every other language, but English is overrated.  How “PC” of them….I digress.

You can make complaint after complaint about not receiving care, but NO ONE calls you for more information.  Non-doctors simply review your file and regurgitate their initial form letter and continually resend that information to you.

They can get you an appointment in the doctor of their choice, where you don’t want to go and ignore the fact you may have employment obligations to meet.  Did I mention they will give you an appointment out of your area and when you’re not available?

Providers are allowed to drop patients prior to making sure an acceptable referral has been found.  They fail to notify the patients of the change in providers.  Nurses refuse to let you speak to providers.  The online emails are answered by nurses and not doctors.  You get the privilege of playing the adult version of “telephone”.  You never know what their response is going to be, but it rarely is regarding the original issue you are inquiring about.

They claim physicians are required to tell you that they are kicking you out of their practice.  Well, I guess finding out, via another form letter, on a different subject is their view of “notification”.

Do I hang up on them…sure do!  I say what needs saying.  They ignore what I say but mark the notes that “contact was made and patient hung up”.  They fail to mention patient stated their option wasn’t viable.  Patient can’t understand who they assign, but as long as they cover their ass with a half-assed note, I guess they did their job, right?

This is how Sutter Health Plus treats cancer patients.  Western Health Insurance does the same.  They are such a small insurance company, they allow doctors to kick patients out, after ignoring patient concerns.

Keep telling the patient they have an ulcer.  Get irritated with patient because she refuses a G.I. referral.  Blame patient for “refusing care”.  Patient goes to the emergency room, where they have to treat her.  Low and behold, patient was right – it WASN’T an ulcer.  It was a Stage 3 tumor, blocking almost 100% of the colon.  Patient could have died, but hell, as long as the insurance companies continue to make sure they are “PC”, health care of individuals be damned.

I am sure there must be some diligent doctors somewhere, but the insurance carriers, call center staff (because you can no longer call a doctor’s office directly) and their nurses hinder receiving effective and timely treatment.

I will no longer be silent.  The insurance industry needs to change; esp. when it’s an HMO.  Patients are required to jump through hoops to “establish” with providers and to obtain referrals, but the doctors are not required to treat them.

Enough is enough.  Please share.  Silence is compliance!

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Box It Up

Published August 23, 2016 by lynn k scott

School is in full swing, at least in our little corner of the world it is.  Since organization is the name of this school year game, I’ve purchased a little box to help make lunches more fun and convenient this year.

I stumbled across this little box known as a Bento Box.  If you’re familiar with Japanese culture at all, I’m sure you have heard of this compartmental box for meals.  This one happens to be plastic.  While, I personally, prefer glass, we are talking about a 10-year old and taking lunch to school.  I need the container to survive after all.

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As you can see there are a plethora of combinations that could be utilized.  My daughter goes through phases of what she feels like eating.  Sometimes she wants a sandwich, other times just sandwich meat, sometimes just a bit of this and that. Prior to the week beginning, I cut up different fruits, if needed, so I can refill her container each night.  This has been such a time saver!

Whether she feels like being vegetarian for the day or carnivorous, there are spaces to satisfy her appetite.  This week she is focusing on salami slices, fruit and she’s adding grape tomatoes.  One of the pics shows how hard-boiled eggs can be substituted as the protein, instead of meat slices.  Another option would be to make a garden salad or add a pasta salad by removing the compartments.  It works for young and older kids, or even adults taking their lunches to work.

When all has been decided upon, simple snap on the lid, another bonus (it stays closed), and set it in the fridge until the morning.

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 Then add to a reusable lunch bag, a small ice pack to keep it all cool and in a blink of an eye, lunch is ready to go to school with your little one.

I wish waking them up and getting them dressed was that easy!

If you like this particular bento box, you can find it here.

 

 

 

A New Word; Not A Resolution

Published December 31, 2015 by lynn k scott

A few years ago, a friend introduced me to her way to acknowledge the upcoming year.  She didn’t make resolutions, but instead, chose to select a word to represent her in the new year.

As I had given up making New Year’s Resolutions, I thought this was a fabulous idea.  My first year participating in this was 2014 and I had chosen, ‘Perseverance’ as my word.  It was very applicable at the time.  My word for 2015 was ‘Genesis’.  The word turned out to be very appropriate with all the new beginnings and changes that took place this year.

As 2016 is about to roll in, I have to select a new word.  The word I choose to represent me is, ‘Understanding’.  My world has been a runaway train over the last few years.  I’m finally gaining some perspective, made some necessary decisions, and in 2016, I’m hoping to continue my personal growth and find more understanding in my life and with those around me.

Would you like to join me in selecting a word for the New Year?  If so, what word do you choose?

understanding

photo by pixabay.com

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