We have all experienced challenges with providers, but boy did I have an interesting experience…
During a visit to my primary doctor, I was told they had sent my hospital tests to my cardiologist to review. A few days later, I contacted my cardiologist’s office about the call and heart catheterization. No clear answers were given to me about that call or the procedure.
Some days later, I started getting calls about a heart catheterization. At that time I informed them, they had to get “prior approval” from my insurance carrier. They assured me they would and set an appointment for the procedure a couple weeks away.
I received several calls from different people about this procedure and each time, I told them that they had to have prior approval from the insurance company. The day before the scheduled heart catheterization, I was called to reschedule since my insurance wasn’t approved. I refused to reschedule until they had the insurance approval.
I then called my insurance case co-coordinator and left a voice mail about my needing the approval and the procedure due to constant pain I was in. I received a call from my insurance provider on a Friday, 3 days later. I was told my procedure had been approved. On Monday, I was called again by the heart catheterization lab to schedule my procedure. I received 2 more calls from different medical people about being approved.
Moral of the story?
You have to stay on top of your medical providers- don’t expect your medical providers to always stay on top of your needs and keep you in the loop! Not to mention, sometimes your medical needs involve many people and you have to ensure that they’re all on the same page. Therefore, to reduce lost communication, be sure to always keep your medical providers accountable. For example, you should keep logs of your appointments with doctors. Also, log each phone call with the date, time and name of the person you spoke with. Follow up is hard if you don’t remember when you called each doctor or what employee you spoke with. I also note the phone number I called and if they transferred my call to another person.
Let us hear about any tips you have for keeping track on your medical care.