I ran 6 miles this morning, and yesterday morning, and the day before that, and the day before that. Our weather has been awesome, cooler, especially in the morning but awesome nonetheless.
I don’t remember if I told you that we finished our river resin table but anyhow, we did. On Sunday I searched Craigslist and found some chairs that I thought would be perfect for it so we drove out to North Port to get them. MacGyver isn’t really all that happy with them and constantly mentions it but everyone else has loved them. We had to touch up the paint on them and I recovered them and I think they’re perfect.
Here is the table that we bought at an estate sale but it didn’t look like this, it was actually in pieces and laying on the ground.
We had no intention of putting it back the same way, instead, we made this:
I meant to post the pictures yesterday but instead any extra minutes that I had I was fighting with my health insurance provider. Why, you ask? Well, apparently they have decided that they are more skilled at handling my health than my actual doctor so they have decided to use an independent reviewer to determine what tests are medically necessary and so far they have denied all of the recent tests my doctor has ordered and deemed them medically unnecessary.
One of the tests is an echocardiogram and the other is an MRI of my brain. The doctor is trying to determine if I have new lesions in my brain or if I have any signs of damage to my heart from the sarcoidosis. The independent doctor reviewer doesn’t feel any of these test are necessary.
So, I called the insurance company to find out how exactly he determined that they aren’t necessary and all they would tell me is that they have a ‘formula’.
So I tried to reason with them and I asked them what I could do since I really need these tests and the nice lady told me to ‘go ahead and have them and pay for them if you’re that worried about it.’ Seriously. Over 5,000 dollars in tests. Sure lady, I’ll just pay cash. So I asked her what exactly my 734 dollar payment to them every single month actually gets me and this bitch tells me, ‘piece of mind that you’ll get the medical care necessary.’
As determined by them apparently. Anything else, I have to pay for.
So I end the conversation by telling this lady that I will file an appeal and I also tell her that if anything happens to me in the interim, they will be hit with a lawsuit and she tells me that they are protected because I’ve been giving the option of paying for the tests myself.
I don’t think I’ve ever been so mad in my life. And all the while that I’m fighting with them I was thinking how glad I am that I’m on steroids and have the energy to do this. Imagine if I was debilitated. It’s ridiculous. I’m still angry about it but I filed an appeal and we’ll see what happens.
We’ve got less than two weeks to get Christmas shopping done. Are you finished? I finally started yesterday. I’m doing 95% of it online and hope to be finished by the end of the day tomorrow.
How is the weather in your neck of the woods?
Have you ever been denied a test or treatment from your health insurance provider?
Have you finished all your Christmas shopping?