Hello girls
In my first pregnancy with DD I was still under my parents' insurance and in the 16 years I was on it my entire family always went through a specific medical company in the state I live in (won't mention any names/companies). They offer specialists in all categories that are local and convenient to go to, not to mention all of their doctors' and surgeons are very well known.
I chose a wonderful doctor by chance my first pregnancy through the same medical company I had been using since the age of 4. I had a horrible pregnancy, many complications, and this doctor was a gem about it all. Me and him established a very close patient/doctor relationship, he inspired me with his thoughtfulness and dedication. I did have a few fall outs with his staff, as they are rude and nasty, but he promised me it would be taken care of and the problem resolved - although it never was. Even after my pregnancy I still went to his office for my paps and birth control.
Then I was put off my parent's insurance due to my age and he didn't accept my new insurance. I was no longer a patient. My sister fell pregnant and she has SEVERE medical complications and I referred her to him. He was just as wonderful with her as he was with me - until his staff made 2 BIG mistakes.
One was she was on medical leave due to her high risk pregnancy and she paid his office to fill out and fax over her forms to continue her medical leave pay. They had 3 weeks to do so but failed to send the paperwork on time and she was sent a letter saying she was denied pay for medical leave, as the paperwork was received 48 hours late. She tried to fight it but the state would not budge, even though the doctor himself contacted the state and let them know it was a mistake his office made, not my sister. After the state still refused to give her the benefits they tried to push the issue under the rug and played many games in avoiding compensation my sister. Why she never hired a lawyer and went after them, I am unsure. Part of me believes she was so afraid to lose the doctor (he is well known and one of the best) and let the issue go because she was more concerned with the baby and wanting to keep his services.
A month later she got a bad skin rash. The doctor told her it may be due to her liver and if it was they would need to take extreme measures and possibly take the baby early at 28ish weeks. He did blood work and sent it out. When she called into the clinic the next day for results she was told that someone had filled the diagnostic paperwork out wrong and because of it her results would be delayed for another 48 hours.
She called my hysterical and begging for advice, I told her to call corporation, as this was a serious mistake they had made for a second time. She told me she had tried already but his office kept claiming there was no corporate and they repeatedly gave her billings number. Between being so ill and stressed she asked me to get the right contacts for her and speak to someone about the issue and to have them call her back, she was too sick to take the time to do it herself. I agreed and after being screamed at by one of the clerks in his office I decided to look online for corporate numbers. I found one of the companies directors numbers and called him.
I had a very professional and serious conversation with the director. He listened mostly while I talked and told him the 2 problems that had happened. He was aware of the problems and assured me it would be resolved, he even promised to call my sister back directly and speak with her. I was happy and relieved for her, I told her the good news.
2 weeks later I got a letter in the mail from the medical company telling me I was being dismissed entirely from the corporations services. I was told in the letter it was due to "conflict of interest" and I was banned from the services of ANY of their doctors'.
I was so shocked! My involvement was minimal, I made 2 phone calls and both times I had carried myself well, even when being given an attitude. I didn't curse and throw out insults, I even told the man my story with the doctor and how he had saved my child. He seemed calm and collected. And then this?!
My sister had her baby and the day I went in to visit I ran into the doctor. He immediately hugged me and apologized for everything, I was really thrown back. I shared the news with him I was pregnant and then my mother asked if he would take me back as a patient. He said YES and he was sorry things had happened the way they did.
Finally after having 2 crappy doctors for this pregnancy I worked some stuff out yesterday and switched my insurance to something my old doctor would take, after all he had told me I could come back. When I called to book an appointment all was good, until the woman put my name in the computer. She said I was banned from the company and connected me to a office manager to resolve it, the woman did not answer so I left a message.
After fuming about it for an hour I got online and found the assistant CEO's number. I called her and spoke to her. I explained everything, crying in between, because I am desperate to get my old doc back!! She was shocked to hear I had been dismissed and promised to call me back later the next day. 3 hours later the office manager from my old doctor called me and said my old doc had requested to take me back but unfortunately they reviewed why I had been dismissed and they could see no way around it.
I began to cry instantly. I asked her WHAT HAPPENED???! Why are you refusing me and my unborn child the right to see this doctor and she said it was because one of their staff had complained I cursed at them over the phone??????
I did not!! I never, not once, swore at anyone. I instantly asked if they had the call recorded and asked for her to review it. She said sadly they didn't have it recorded. I explained to her all that happened and told her how much this doctor meant to me, to my daughter. He saved her life, he saved my sister and my niece's life! I was hysterical someone had lied and because of their rotten lie I was being punished and so is the baby in my belly! How could someone be so mean and do this?
She became real serious and told me she believed me and felt for me. She told me she was going to do all she could do and would call me back, she is due to call today. After all of the hurt and sadness wore off now I am second guessing this....the staff are sooo evil. Here I am fighting like he** to get this doctor back, as I can't feel comfortable with any other doctor, and I am told I am being cut because I cursed when I didn't?? Not only that but they lied to me in the letter too, saying it was a conflict of interest.
I feel so torn. I still don't have an answer, they very well could call back and say NO. And if they do say yes then will I be walking on egg shells? Unable to complain if something goes wrong? Feeling as if I have to be a "good girl" because the people in the office lie and have said I cursed when I didn't, who is to say they won't do it again?
But then this doctor is the only person I feel comfortable with and trust for my pregnancy....he takes the time, he understands my anxiety, and mostly he is a true genius when it comes to pregnancy.
What do you gals think? What would YOU do? Help me out, as I need to figure it out soon. Thank you.