Wandering through the hallowed halls of my place of employment yesterday I noticed the wonderful people who are kind enough to supply us with Health Insurance had set up tables. It was obvious by their supply of free pens that glow iridescent when you click them and neon green change purses that were admittedly empty but open for the filling, that their warehouses had filled to the point of bursting. And instead of paying an extra storage fee, which they would have undoubtedly been charged, they showed up here to share the wealth. Then I thought maybe I am just being cynical. Maybe they had come simply for a smile, a handshake, a chuck on the shoulder just to let us know we were appreciated. I’ll bet if I asked I could have gotten a back scratch.
While the back scratch had seemed enticing, I tipped my hat and moved on, there was no reason for me to stop, the support that I had received, while not the top coverage I have ever had, was working out okay. Obviously the representatives of one of the largest health care conglomerates were there to let the good people know that all was okay. I mean in these times of economic turmoil it could lead one to question the solvency of those stead fast institutions that help us rest easy at night. I put it from my mind and set to work.
I had a busy morning. First I completed payroll, then off to a production meeting where we discussed the shows coming up in the next week (nothing of note. It’s close to Christmas. Tours start to pack it up at this point. Even the famous like to eat a turkey or hope for Santa.). I then busied myself on the arduous task of music blog updates. I have a few sites that I dig into that keeps me hip to the scenes that I was once a big part of. It helps me forget that I am over thirty and not to be trusted. Which honestly I understand, I don’t even trust myself most days.
“Dude, did you see that old bald guy hanging around? He looks like a NARC.” At this point my wife, disgusted, sticks her head in and says, “Dude,” her sarcasm biting, “you’re talking to yourself in the mirror again.”
Then of course I wander onto many of the MS blogs that I dig on. Let me just say there has been some really amazing stuff filtering though cyber space as of late. I have added a new blog over there on the right.
Living life with sarcasm, kids and MS is a pretty great read. Take a look, and for that matter the rest of the blogs that I have had the good taste to include are well worth your time. Turns out over at
No Empire they celebrate my wife’s birthday as well. Who knew? Although truth be told it’s not necessarily for my wife as much as they happen to share a birthday. Nevertheless, happy birthday to one and all, mine is in May. See you then.
It was about here that I got down to my real work of the day: Star Wars clips on YouTube. This can get a guy pretty hype, I mean take a look….
9 comments:
Ben,
Sorry about the insurance hikes. My rates have risen 40% over the past two years alone. After they went up in Sept (birthday time), I received a notice that the insurance company had "made an error" - a calculation error. The actual new rate would be another $25 higher. Whoops.
Health insurance and health policy is a topic I've written quite a bit about on http://brassandivory.blogspot.com (an MS-related blog which really SHOULD be on your special list, just sayin').
You might appreciate this: I'm self-employed, a musician, buy my own insurance (an underwritten, individual policy purchased pre-MS), and have really sucky prescription coverage. My policy stops paying after $1500 each year.
Yep, that's right. Copaxone's not covered. Four months worth of Provigil would almost take it all. Not to mention the other symptomatic drugs or the ones for RA, depression, low thyroid, etc.
And if I worked a regular job, I'd have been put on SSDI long ago. Can't work a 40-hour schedule anymore. Ok, I'll stop right there.
Just saying that I understand your shock, dismay, and disappointment. Oh and - “Dude, did you see that old bald guy hanging around? He looks like a NARC.” At this point my wife, disgusted, sticks her head in and says, “Dude,” her sarcasm biting, “you’re talking to yourself in the mirror again.” - is hilarious.
Hey! Where did my comment go?
I'll give you a recap:
I'm a member of an MS group through Yahoo and one of the people were complaining about their insurance copays going up. Then another lady wrote in saying that Copaxone has this program where they will help you pay your copay up to 100 bucks. I guess you would just call their number from the website. It's worth looking in too.
I'm in rush mode right now because until the new year, we've met our deductible (thank you MS) and don't have any out of pocket charges so I'm trying to get everything before then. The super Scooter will be delivered on Tuesday. For some reason, I'm just not that excited about it.
And you're not a sell out. You're a man with a family to support. It's great to have the "starving artist" days but when you've got a family, you need to know there's a check coming.
And it's never good when the insurance people show up giving you free stuff. And if they have food too then you're really in trouble!
One thing I left out here (I know that's hard to believe as it is the longest post ever) is that the company I worked for before my current company had the greatest benefits ever. I could do, eat, drink, contract incurable diseases at will and they paid for it. Over the course of my wife's twin pregnancy we only paid $25.00! More doctor visits than an MS patients, ultrasounds once a month, c-section, 4 days in the hospital $25.00. All the while I was still in need of MS care. So then I get a new job and the pay is better but the benefits are nowhere near as good. That's why this is so hard to stomach. Anyway....
Lisa,
Please forgive the omission of Brass and Ivory. I had Carnival of MS blogers linked and due to the scar tissue on my brain somehow thought that they were the same thing. I apologize, problem has been solved.
As to your insurance, how do you survive? I should say, how do you get through? Do you actually pay out of pocket for your meds? Do you just forgo meds and go a more holistic approach? This is all very interesting.
Oh and thanks for the "hilarious" most of the time my wife sees my musings about our life together and just rolls her eyes. Needless to say I can feel her thinking," please don't encourage him."
Tracy,
The copaxone thing only works with certain companies that supply patients. Of course the company that they use here is not one of them. Figures.
I appreciate that you feel I am not a sell out. It's hard to rectify with myself most days. I just have to not work in a casino when my boys are old enough to understand what it is that happens here. I've said too much... Thanks for reading.
Ben,
In a nutshell, here's what I have done/ and do:
1. Insurance wouldn't pay so Shared Solutions referred my case to NORD. I applied and received 50% assistance.
2. This left me with 50% responsibility and I appealed but was denied....twice (with AGI of ~ $27,000 I earned too much). I spent $15,000 on out-of-pocket medical costs that year.
3. Worked less and tax-planned better and following year earned AGI < 200% FPL (which is the magic number). NORD awarded me 100% assistance this time.
4. Next year, again earned < 200% FPL and, voile, received assistance again.
That's the key, voluntarily and drastically limit earnings to qualify for help. Really sucks!!! I would have to earn more than $40,000 extra just to pay taxes and drug costs, leaving nothing extra for me.
Didn't your mama teach you that NOTHING in life is free? Even blinky pens and dayglo change purses; especially anything provided by a company that may be associated with health "Care." I'm sure that "care" is a euphemism to these companies because whether you try the honey approach OR the vinegar tactic, they do not CARE about you, only about your money. Insurance companies trade in FEAR. How caring is that? They also seem to specialize in keeping the people with the information you need locked up behind phone trees and bound with red tape. Every day I am bound legally to tell patients they have to wait to get their results from their MD, even though I have just seen their giant tumor with my own two eyes. Nobody WANTS to be the bearer of bad news and few people get paid enough to do it well. Still, it's one of the things that makes me feel morally compromised in my job.
And here's the icing on my shitcake: The health "care" company I work for owns their own HMO and most of the hospitals and diagnostic centers in the county. They have just drastically cut everyone's work hours and instituted a hiring freeze. They're about to announce that there will be no bonuses or incentives this year, which sucks bad 'coz they don't give "merit-based" raises, just company-wide annual bonuses that can be earned by the employees by making the company work harder for cheaper. AND, our "benefits" packages for 2009 just came out announcing increases in co-pays and premiums!
Damn, I think my comment's as long as your post, but it's easy to get me riled up about this. WE are getting the shaft, my friend.
Just FWIW:
It pays to be prepared.
www.clusterbusters.com
You don't need insurance for the treatment either ;-)
Well I hate anymous posts, however I have to say I have been to clusterbusters, and it is the reason that I have been headache free for the last year. I will go in greater detail one day soon.
Punkrock,
I say we start a revolution. You start in FlA and I'll start here in Philly. We'll meet somewhere in the middle and change the world. Burn it to the ground.
"If I had my druthers I would be somewhere else, making movies, taking pictures, flexing a creative muscle from time to time, MS free."
Well said. And I'd be cheering you on, brother.
Ben,
Sorry to be so late to the bitchfest. I am new to the MS blogosphere.
I am Kelley and I was diagnosed with RRMS in May. I've been on Copaxone and am faring well. However, I just found out that my copay for Copaxone will go from $50 per month to $150 in January. I was so thrilled, NOT! Anyway, I was able to get $50 of the copay covered by Shared Solutions. Sorry that's not an option for you. :(
Anyway, come check out my blog sometime; I'm still in the fledgling stages. I think you are very humorous!
Peace,
Kelley
http://kelleysmsblog.blogspot.com/
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