beamer ([info]beamer242) wrote,
@ 2005-11-11 21:05:00
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Current mood: confused
Current music:hungry like the wolf - duran duran

being a grown up is hard work.
so it's that time of year again - open enrollment for the benefits program at work.

While there are several plans to choose from, only two would be benficial for me. the one I am currently enrolled in and Kaiser. I've sworn forever that as long as I have a choice in the matter, I will never ever choose Kaiser. My family had Kaiser when I was younger, and while I never had any horrid experiences with Kaiser, I can't over look that fact that the staff at one of their local hospitals nearly killed my brother. I also have trouble over looking that fact the Kaiser doctor's overlooked several lumps on my bosses thyroid that later turned out to be cancer.

However, my insurance company has so far denied benefit coverages of my bi-polar disorder, deeming it a pre-existing condition. And despite the fact that I have done okay this past six months not being medicated and without therepy, I know that I could fall into a major depression or swing into mania at any given time. I'm wanting some kind of assurance that I'll have coverage, so I am considering a switch to Kaiser.

Far the most part, Kaiser is a better choice for me financially. While both insurance plans would cost me the same, Kaiser has no annual deductible. My current insurance company has a $300 annual deductible. Kaiser's co pays are less expensive than my current insurance company's as well. Not only that, I have yet to find anything about pre-existing conditions in the literature about Kaiser.

So what's holding me back from making the switch? Okay, I knwo this may sound strange, but I can't help thinking that Kaiser insurance is a jinx for me. Several years ago, I had a job which provided Kaiser insurance after 120 days. I was terminated from that job two months after getting the insurance. Fast forward two years to Beamer deciding the switch to Kaiser at open enrollment. Two months later... yeah. I'm sure you can figure out the end of that statement. I can't help feeling that those terminations were some kind of omen saying 'stay far far away from the ev0l that is Kaiser Permanente', because I can assure you that neither of those terminations were the result of me doing any huge bad wrong thing. One job decided I was too controversial - some parents of the children in my class were afraid I was teaching their children witchcraft.::eyeroll:: The other termination was the result of my new supervisor being afraid I would hex her, or something. Total aside, but I wish to god I could prove it was my religion that got me fired.

Alas, you see my quanrdy. Making the change in insurances would benefit me financially. However, it's entirely possible the PTB have been trying to tell me Kaiser Permanente is akin to the Big Bad for me. I'm not exactly sure how to get over the trepidation, and just take the plunge.

I need guidance, oh wise and benevolant friends list. Please hold my hand and tell me I am being silly. Or slap my face and tell me that I am crazy to ignore the fates! Anything! just impart your wisdom upon me.




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[info]x_harlequin_x
2005-11-12 06:27 pm UTC (link)
Kaiser down here has killed four people in the last year. Medication fuckups and the like.

If you go for Kaiser, don't go in the hospital. Just outpatient. I think they haven't killed any outpatients so far.

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[info]beamer242
2005-11-13 02:10 am UTC (link)
see, thats the thing! Kaiser docs can be incompetent. however, I can't afford to be unmedicated for too long, and I can't afford to go through the same thing i went through last year where I went to the doctor after being told I was covered, only to later be told that the information I had been given wasn't a guarantee of coverage.

health care in this country is just so fucked.

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[info]thisficklemob
2005-11-12 09:08 pm UTC (link)
I would say you're being silly about the switching to Kaiser=losing job thing, but since you have real concerns about the care you'd receive, I can't tell you you're entirely being silly. Also, most insurance companies don't cover pre-existing conditions, unless they've been continuously covered under other insurance companies since they surfaced. (And I think that's only because it's the law.) Who knows, you might get a giant rulebook after you enrolled that said it wouldn't be covered. But they might cover it, or you might be able to slip it by them that it's a pre-existing condition. I'd talk to whoever runs the benefits programs at your work to find out what Kaiser covers, and if they say pre-existing conditions are covered, then I'd get it in writing from someone at Kaiser.

Because it might be worth it to switch to Kaiser for psychiatric coverage, but otherwise it's not worth the down sides that you mention.

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[info]beamer242
2005-11-13 02:16 am UTC (link)
I am definately calling kaiser before I make any plans to switch. I am also going to call my current insurance carrier. The problem with my current insurance carrier, they have this big old disclaimer when you call in that says information provided during conversations does not guraentee coverage. I seriously don't think I can get a guarentee that they will cover me. and that seriously fucks me.

How the hell am I supposed to take care of myself?

and yes, i agree. I think i am being silly about the whole taking Kaiser = losing my job thing. However, with my history...

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[info]stoner_witch
2005-11-13 12:26 am UTC (link)
Baby, I'm leaving this bullshit in the dust. Talking to Crazy Joe T., he told me his wife did some online shopping and found deals that covered more, allowed for preferred provider and was cheaper with a lower co-pay.

This job sucks and its bennies are just a platitude designed to put our simple minds at ease. So, I'm gonna shop around for my kids and me and see what I come up with. I'll fill you in.

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[info]beamer242
2005-11-13 02:12 am UTC (link)
I can't get insurance any other way but through a group plan offered by an employer. With my history of depression and my asthma, I am too big of a risk.

Believe me, I have tried. I have been turned down by every major insurance carrier.

If I want insurance, I have to get it through this place.

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[info]blaublablaugh
2005-11-13 03:06 am UTC (link)
Kaiser's alright -- you just have to be smart about your MDs and don't let them jerk you around.

Let them know up front that you're not the average idiot, that you take an active role in your health. Even though/if you smoke.

(I had a GYN try to convince me to NOT get tested for the gamut of STDs -- implying that I probably do and it's better to not know. He was a royal jackass. I switched to a NP and she was/is great.)

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