Showing posts with label United Healthcare. Show all posts
Showing posts with label United Healthcare. Show all posts

Thursday, September 4, 2025

An Editorial to Share Far and Wide

Please feel free to copy this blog and send it to your insurance company. Feel free to post it to you social media posts. Thank you, Sheri

 Dear United Healthcare, Kaiser Permanente, Well Point, Aetna, Blue Cross, Blue Shield and other Carriers,


We the public have not heard how you plan to handle the actions of the new healthcare mandate from Florida and the growing wave of parents who refuse to vaccinate their children against the common but in some cases extremely dangerous and deadly childhood diseases that are preventable.  I am talking about Poliomyelitis, Measles, Mumps, Rubella, Whooping Cough, Tetanus, Diphtheria, Chickenpox, RSV, Chickenpox, HPV, and a host of other infectious diseases.  


Have you talked with your actuaries about the increased risks and costs associated with each of these diseases? Including, but not limited to the cost of lifelong use of ventilators, braces, wheelchairs, and special equipment associated with  Poliomyelitis? This is important because the federal government is cutting back on Medicaid funding that would normally cover these costs . The March of Dimes has changed their goals with the advent of the Poliomyelitis vaccine. The March of Dimes no longer covers the costs associated with Poliomyelitis for individual patients. Instead they now work to reduce birth defects. The increased stays in Pediatric Intensive Care Units for infants who get Whooping Cough? With each disease having its own associated costs.  


As I look at the bigger picture you have a number of different factors that come into play.  First and foremost are your stockholders. How will they react to lower dividend rates brought about by higher healthcare costs? Will the stockholders ask for higher rates from your customers so they’re dividends are not impacted? Will they ask for policies to be terminated?


 You also have those that pay for the insurance. This includes many businesses and some individual policyholders. Will they stand for higher rates because people refuse to do preventive care? Will they demand the people be excluded from benefits for refusing to vaccinate? Will they be willing to pay higher price prices to cover the cost of people who refuse to vaccinate? 


Then you have the individuals with the insurance. How will they react to the insurance company telling them they must vaccinate their children or their children will be excluded from their policy for the following conditions of normal childhood illnesses that are preventable by vaccines. How do you plan to educate these people? People tend not to look at the entire picture these days. Some people say vaccines are bad no matter what so you can’t make us give our kids vaccines. Others are saying we must vaccinate for the public good. How are you going to balance that out?.


The reality is that most people of childbearing age are not old enough to remember the effects of these childhood illnesses. They don’t remember how entire schools got vaccinated on the same day by the public health departments across the country. They don’t remember losing friends to childhood illnesses. Most of these people have been vaccinated themselves and don’t remember weeks of isolation until you were well enough to go out in public again. They also don’t remember the dark rooms children had to stay in for a couple weeks at a time to prevent blindness from rubella. No books, or television allowed, because it would damage the eyes. Two to 3 weeks of solid boredom. Can parents afford to stay home the entire time?


Where are you going to take your stand? Right now the country's last line of defense, the Center for Disease Control and Prevention is in tatters. They have lost their focus on preventing disease and trying to keep the country as healthy as possible. The CDC is losing a vast number of doctors and scientists. Their only job was to keep America healthy. They are being replaced by people without medical degrees or the knowledge of science needed to do the work. They are being replaced by gossip mongers. These gossip mongers are spreading lies and would not know the basic science if you put the book right in front of them. Are you willing as companies to take a stand for the health of America? Are you willing to let your bottom line be ruled by gossip mongers without facts? Are you going to demand that science must lead the effort for health in this country? US major health insurance companies have more power than the average person to change the course of this discussion. All I ask is that you gather your facts as soon as possible. Talk with your actuaries. Talk with your board of directors. Talk with your major stockholders. Come up with a reasonable plan. Most importantly put their plan to action. You have the power to change the course of history. You have the power to make America healthy. Use your power wisely.


Sincerely,


Sheri Karobonik 

Retired Disability Rights Activist 


Mrs. Karobonik retired as a Disability Rights Activist when her youngest child died from an incurable metabolic disease in 2019.


Wednesday, May 16, 2018

A Surreal Day

I spent the day trying to fix things in my realm. My success rate was about 50%.

On the easy things like John's ink stained shirts I was told that "he needs to stain one more shirt, because the price break is at three shirts." Does this mean that I was suppose to go home and stain one more dress shirt and come back for the better price? I am taking this as a win, the shirts will be ready at 5pm tomorrow.

I got gas for the van before it ran out. Breakfast out at 10:30 am and a lunch of a slice of cheese and some crackers eaten at stop lights at 2:30 pm, I did not mind hitting every red light, at least I got some lunch before I picked up Eric. To make it even better John brought home dinner. So on food I will call it a win.

I thought I had a win on laundry getting three loads finished today. Eric had other plans. He filled his personal laundry basket twice today. So I added a fourth load of laundry tonight. A break even.

On the problem with Eric's formula. The people at Nestle's Ethereal Nutrition were wonderful. At least I found out that there was no recall or plant issues. I even got a case file number to give to the people at Corman.  Corman is an interesting company to say the least. The first person I spoke to swore that Eric had not had a delivery since 2014 and of course the formula went bad after that amount of time. The second person I talked to at least found Eric's file. She would not replace the 8 cases of formula that were mishandled in transit. This resulted in the formula curdling like cheese. Rendering the formula useless for Eric or anyone else. That they would instead send a refund to United Health Care. Insert whatever swear words you want here.  She sent one expedited case so that Eric could eat tonight and the rest of the week. The  rest will be here by Friday. They would also not pick up the bad cases of bad formula, so they sit in the living room. Net loss 8 cases of formula  and no reserves for when things go south with the paperwork snafu's that always happen. This is not even close to break even.

I thought that I had a break even with the issues at Eric's day program. I thought that everything was fairly settled. My personal feeling is that we will never see the program fees that walked away.  So I wrote a check for the missing money and this months fees. Handed the missing paperwork that has been filled out countless times to a reliable person. So I will only write check from now on and have everyone sign for the paperwork they receive for Eric. So I thought that I was good until I opened My email at 5:00 pm only to find a demand for the the money owed,almost like a collection letter. I am sincerely hoping that this was just a lack of communication on their part, I hope that the check I wrote at 9:45am is not lost already. I also doubt that I will see a full accounting of where Eric's fees landed, because he was either sick or stayed back on most of the field trips.  You decide.

No time to make three pairs of earrings for tomorrow. That makes me sad, but I will try to get them made tomorrow for Friday.

Tomorrow will be better.

Saturday, January 7, 2017

Oh, Joy

One of the things that I don't enjoy about being a special needs mom is dealing with the insurance company. Yes, there are a lot of intelligent  people who work for the medical insurance company, but why do I seem to get all the dunderheads?

The annual denial letter for formula and supplies came today. Some of the more redundant things that I have had put in the notes at the top of Eric's chart include when the g-tube was placed 15 years ago and why it is necessary. So it annoys me to no end to be asked for "Documentation" that Eric has a feeding tube. Is this the sole source of his nutrition, they want to know why we have not gotten him off the feeding tube yet. What is his diagnosis that makes the feeding tube necessary He has had the same diagnosis since he was 3 1/2 they just don't change like magic. The name of the formula... duh the same one he has been on for the last 15 years. An evaluation of his nutritional needs, really!!!

To boot UnitedHealthcare will not pay for supplies until we provide this information again.  They have also decided to make us do this every 6 months, really!!! I can not think of a worse harassment of parents of sick children.

Sadly there are only a few relevant things in the letter, Eric's height and weight and a new prescription. The rest is just laziness on the part of the reviewer. After 15 years of this crap, I am beginning to think they do this to us because a certain number of families and doctors will just give up and pay for these medically necessary supplies out of pocket. Aren't the profits and bonuses high enough for the insurance companies yet?

A heads up to everyone. I will be dealing with this crap on Monday, so its not you it's United Healthcare.