I am not whining tonight just wanted to update you guys, since I posted about having to get a new psychiatrist for my girls with the new HMO health carrier (Health Management Organization). There are two doctors to choose from, really 2 for this entire area??
I was forced to go to a parent orientation at this HMO, it was a complete waste of time. Then I have to go back upstairs to turn in the huge stack of paperwork I had to fill out for each child. There, I am told the kids have to see a therapist first before they will set an appointment with a psychiatrist. I said, “Oh no that’s not happening. My kids have been in treatment for years and need to see a psychiatrist and I cannot afford to spend money on therapy at this point.”
The nice woman behind the counter says, “Well I don”t make the rules.” So I explained we 
really don’t fit into this system of theirs as the kids have been established in care for a long time, one of them over 10 years and they need to be seen by a psychiatrist and medications refilled. So after some time repeating my self this nice woman said she would talk to the administrator. Walked away within range for me to see her and walks back and says she can put in a note to talk to the chief of pediatrics to see if they can make an exception. She said they would be calling me in a week or so… I thanked her and walked away shaking my head. I will not be forced to spend money to see a therapist when that’s not what we need. If its required they better waive the co pay!! Good luck right… Hehe Yesterday when I arrived home I called my ex and told him he better be ready to get on the phone with these people, since this was his choice he is going to get me what we need. He is all confused because he never listens to me.
Get this… Today he shows up with a print out of one of the two doctors we have to choose from and tells me this is how it works, you have to go in for an evaluation by a therapist. I said, “I can’t pay for a therapist and a psychiatrist and I need medication refilled.” He got nasty and said I’m just trying to tell you how it works. I said, “I know how it works but it doesn’t fit our situation.” He argued and I said, “did they call you?” He said, “NO!!” That nasty tone was enough for me so I turned to walk away and he yells out, “Do you want to know about the prescriptions or are you just going to be a bitch! Yep he said it… Needless to say my reaction was not pleasant.. I told him what I thought of him and went into the house.
Does he really think he can come to my house and talk to me like that… I have already discussed this with him and the insurance company yet he is a jerk to me. He acts like I never spoke to him. You know why?, because when I call him to discuss stuff he hands the phone off to his wife while im talking and then when I need a response he takes the phone back… There are always long pauses and his responses are always general and sometimes don’t fit the conversation. Sorry for this but What a dumb-ass!
Anyway, I am now mad at him and waiting for the HMO to call me back about getting the kids to the type of doctor they need, and not jump through hoops.
I am not whining honestly this is just part of life but thought Maybe I would update you all about how its going… or not going! I suggest if you have a choice of insurance carriers and you need specialized care of any type, don’t go with a HMO. It might be cheaper but you get what you pay for. :)
One way to get the most out of life is
to look upon it as an adventure. ~William Feather
Image: Ambro / FreeDigitalPhotos.net
