As of today, 2/9/18, I have waited 18 weeks for what was supposed to be a two weeks decision time, regarding a knee surgery that I have required for a year and a half! I would say that my treatment more closely resembles being tortured than being provided necessary healthcare! Will update should anything ever eventually happen.
5/8 update. It apparently took my contacting the state department of Banking and Insurance to get the name of another surgeon! Of course no one checked if he did the surgery that I require. He doesn't. That wasted two months. And then another month and a half to get to see the next surgeon up the line who might. All of this for the only hospital in the state to receive an F grade! And one of only 22 in the whole country to get a failing grade! Should I totally cease to update it means that they have killed me!
6/20 update. Just over 22 months of problem now. And everything has changed. In May I was contacted by my choice of surgeons facility and invited in on 6/1. The surgery is removal of a loose knee joint replacement and revision surgery. They are both loose, these are not simple surgeries. I went, I had X-rays and met with one of my surgeons residents. It was one of my best intake interviews ever, and with over 40 years of knee problems I have had quite a few! And on 6/1 I was scheduled for surgery on 6/29. That is the schedule on which these things are supposed to run! You are broken, we can fix you, come back soon! I am hopeful that knees 5 & 6 will be the last that I require!
7/6 update. Amerigroup, stated to me by an MD, is the worst Medicaid provider in the state of NJ! That's damning praise!
I want to suggest that they are the worst in at least several states, if not in the entire country!
Once, fed up with the treatment out of the NJ office, I wrote to the VA Beach head office about lies from the prescriptions coverage wing and unpaid/unreimbursed obligations! The obligations are still outstanding, the letter never replied to!
But this all predates their agonizingly slow service in having my loose knee joint replacement repaired via revision surgery. Breakage would have been much more complex/expensive surgery! What have they been up to in the week since the surgery?
First would have been the rapid change from "we want to keep you for a second nights observation." Following a major surgery. To, "no you are being released today." Who the hell should be making that call, a surgical doctor, or someone without medical training stuck working weekends at an insurance company?
Declining almost half of the prescribed meds as not pre approved, following the approved surgery! The other half were? Again medical decision by someone without any medical training!
No comment/delivery of prescribed medical devices? Camode chair, shower chair and a wheeled walker? Why would safety matter if they feel no compulsion to treat surgical pain? Liabilities assumed!
No prescribed visiting nurse for wound redressing or physical therapy! The medical center, now really pissed off, wanted a nurse here today! Declined?
Should any investor ever be making money on the denials of anyone's medical coverages? Should it ever be happening from the denials to the nation's disabled population?
Why was $4.9 Billion ever paid for Amerigroup with the expectation of making big bucks denying Medicaid coverages?
How much less would Medicaid cost if it weren't so bloated as a result of being an investment tool? And how much better could the disabled be treated if investors weren't seemingly the primary consideration?
Lawsuit to follow.
7/8, At least the companies (CVS etc) find out relatively timely that Amerigroup isn't going to make good on its obligations. But the " insured" gets stuck just sitting around wondering if anyone at Amerigroup is ever going to get to work to cover their responsibilities? Wouldn't it have been easier to just have me followed and run over while ignoring my need for surgery? I was really slow and easily hit. Or were they really worried that they couldn't get that right either?