Seriously Centene, not again.

My fingers are aching and I really haven’t wanted to write because of that and well, I am a little focused on getting lost in research on Medicaid and Centene, but right now the reason I am focusing on them is screaming out, yet again, in my own personal situation. This is something I cannot ignore and I am preparing to make those calls, I have to calm my mind, first.

Last night I shared with friends yet another example of denial of pre-authorization, however this time it is called a partial denial. They’re playing poker with my physical therapy.

This is what I shared with friends:

The original request for aqua therapy was for 20 sessions, of course Meridian of Illinois didn’t approve all…just some…

So, last week they requested 10 or 12 more….wanna know what Meridican did? The approved 3.

What does this mean, another request will have to be made,

Now, mind you, my surgery was in Oct. , the extensive spinal surgery I had to fight for and where it turned out to be even more extensive and resulted in 2 weeks in the hosp and a very long recovery period. A recovery period I was supposed to have in home care when released, but what happened? It took three months to get..and after I didn’t need my bandages changed and help with the corset…. so needless to say when the call finally came in it was for no reason..

But now…this p/t I need. I need it for my back and my joints flaring with RA, including my leg that is half numb right now…

But no… Centene’s #meridian is programmed to deny — it’s like being punished for using your insurance.

how do you think profits are made for investors…?

Tomorrow will be a super fun day making calls

So who denied the full request ??? I want their CV

It may seem small to others, but I am trying to get back to driving. To not being reliant on others for every little thing right now, I do not have a pocketbook to support paying for someone to take me where I need to go or want to — so, the one thing I can do is better myself as much as possible, but this system we call healthcare has been nothing but a hurdle the size of a mountain to tackle.

It is already hard enough to talk about Medicaid and healthcare. First you have to find courage to tell people you live in poverty and then battle ignorance from those who don’t understand poverty and medical needs — we’re not users and abusers, we’re trying our damndest to survive and once many of us paid into the system as well supported our communities with our volunteer efforts. I am one of those people.

I’m one of those who don’t make quite enough on my disability (SSDI) so Medicaid will chip in what Medicare doesn’t pay for, but that is still a little ways off because the Federal government makes disabled people living in poverty, wait 2 years — that wait comes after the long battle of applying for disability. It is a fight that will often leave that vulnerable with nothing while they wait for determinations. Right now I am only on Medicaid, the very thing Centene should have expertise in helping patients, not harming —

Trust me when I say none of this is fun — it was not a choice but here I am and until I see changes where our most vulnerable population is no longer being abused by our own system and tax dollars while people make million dollar profits off our existence, I will never shut up. Join me.

Pebbles make ripples —

Your voice matters

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