{"id":50580,"date":"2019-05-22T12:53:55","date_gmt":"2019-05-22T18:53:55","guid":{"rendered":"http:\/\/www.ancientrails.com\/?p=50580"},"modified":"2019-05-22T13:05:01","modified_gmt":"2019-05-22T19:05:01","slug":"benefits","status":"publish","type":"post","link":"https:\/\/www.ancientrails.com\/?p=50580","title":{"rendered":""},"content":{"rendered":"\n<p>Health &#8220;benefits&#8221; from Centura called this morning. Hey, guess what? You know those scans? Not approved. What! Twice in two weeks? What&#8217;s going on?<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img decoding=\"async\" src=\"http:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/01\/20190125_101104-e1548511053684-1200x2133.jpg\" alt=\"\" class=\"wp-image-49731\" width=\"184\" height=\"327\" srcset=\"https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/01\/20190125_101104-e1548511053684-1200x2133.jpg 1200w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/01\/20190125_101104-e1548511053684-420x747.jpg 420w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/01\/20190125_101104-e1548511053684-744x1323.jpg 744w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/01\/20190125_101104-e1548511053684-768x1365.jpg 768w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/01\/20190125_101104-e1548511053684.jpg 1440w\" sizes=\"(max-width: 184px) 100vw, 184px\" \/><figcaption>abdominal snowman<br><\/figcaption><\/figure><\/div>\n\n\n\n<p>In spite of being the patient, hereinafter to be known as the victim, of our health care system, I was having a hell of time accessing any of it. <\/p>\n\n\n\n<p>I don&#8217;t like phones. I like to see the people I&#8217;m talking to, even if I know them. It&#8217;s a thing and I&#8217;ve had it for decades.<\/p>\n\n\n\n<p>This morning, however, was a phone morning. I called United Health Care. Nothing had been submitted for approval. Say what? It&#8217;s the day before these scans which were ordered last Friday. Who submits these things for approval? The doctor. <\/p>\n\n\n\n<p>Anova Healthcare. Amanda, the heroine of the morning, or good Amanda as I think of her now, answered. The Littleton office handles authorizations. OH, I thought. She&#8217;s going to make me call them. Nope. She called. Vanessa, who has responsibility for my case, would call me back. Amanda had talked to the manager of the authorization department. I assume the same one that failed to get my axumin scan through.<\/p>\n\n\n\n<p>Anyhow, Vanessa never called. I got a call again from Centura where I learned of another authorization hurdle. It&#8217;s internal to New West Physicians and focuses on Medicare claims. Oh. AARP Secure Horizons, which Kate and I have, is a Medicare advantage plan administered by United Health Care. Apparently this is the first point of contact with potential payors.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img decoding=\"async\" src=\"http:\/\/www.ancientrails.com\/wp-content\/uploads\/2018\/12\/20180119_095931-e1546271405465-1200x1374.jpg\" alt=\"\" class=\"wp-image-49488\" width=\"252\" height=\"288\" srcset=\"https:\/\/www.ancientrails.com\/wp-content\/uploads\/2018\/12\/20180119_095931-e1546271405465-1200x1374.jpg 1200w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2018\/12\/20180119_095931-e1546271405465-420x481.jpg 420w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2018\/12\/20180119_095931-e1546271405465-744x852.jpg 744w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2018\/12\/20180119_095931-e1546271405465-768x879.jpg 768w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2018\/12\/20180119_095931-e1546271405465.jpg 1925w\" sizes=\"(max-width: 252px) 100vw, 252px\" \/><figcaption>At the VRCC, Jan. 2018<\/figcaption><\/figure><\/div>\n\n\n\n<p>Cindy answered. I&#8217;m sad and a little scared. Can you help me with this? The doctor ordering the test marked it as routine and Vanessa (bad Vanessa) only sent it to them yesterday at 3 pm. Oh, come on. The doctor had to change routine to urgent. Could you call the doctor? No, we usually don&#8217;t do that.<\/p>\n\n\n\n<p>OK. Back on the phone. This time Amanda again. Answering machine. I told her what Cindy said. Amanda called me back in a short time. She&#8217;d already talked to Cindy. (Good Amanda) The bone scan is authorized. The CT is awaiting a decision. We&#8217;re half way there.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img decoding=\"async\" src=\"http:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/02\/Fort-e1549204496429.jpg\" alt=\"\" class=\"wp-image-49790\" width=\"219\" height=\"234\" srcset=\"https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/02\/Fort-e1549204496429.jpg 425w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/02\/Fort-e1549204496429-420x449.jpg 420w\" sizes=\"(max-width: 219px) 100vw, 219px\" \/><\/figure><\/div>\n\n\n\n<p>Here&#8217;s the thing though. All these phone calls, which took me all morning, were made by me, the victim. Ratcheting up my stress level each time. And, the result, which I sought all morning, was to get back to where I thought we were to begin with. <\/p>\n\n\n\n<p>This left me with my head in my hands, talking to Kate at the dinner table, saying often, I don&#8217;t know. I really don&#8217;t know. A sort of ringing and head pressure came and went, my body trying to adjust itself to the feelings coursing through it.<\/p>\n\n\n\n<p>I&#8217;m glad I&#8217;m not anxious, not much anyhow. But, I am stressed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health &#8220;benefits&#8221; from Centura called this morning. Hey, guess what? You know those scans? Not approved. What! Twice in two weeks? What&#8217;s going on? In spite of being the patient, hereinafter to be known as the victim, of our health care system, I was having a hell of time accessing any of it. I don&#8217;t &hellip; <a href=\"https:\/\/www.ancientrails.com\/?p=50580\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\"><\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[127,100,3996],"tags":[],"class_list":["post-50580","post","type-post","status-publish","format-standard","hentry","category-health","category-politics","category-third-phase-2"],"_links":{"self":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/50580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50580"}],"version-history":[{"count":5,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/50580\/revisions"}],"predecessor-version":[{"id":50588,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/50580\/revisions\/50588"}],"wp:attachment":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50580"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50580"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}