Funny Call of the Week

[G.Gordon]

So back in June this lady calls.

1. She is losing medicaid.
1a. Might have a large spend down... might not.
1b. Does not know exactly when she will lose benefits.

2. She comes in on the 22nd to fill out an application.
2a. Plan N with UOO is all she'll qualify for at this time.
2b. She was scheduled for knee replacement sometime in July.

3. I call her several times after the 22nd to get the desired effective date so we can submit application.
3a. She calls back after about six calls with "Let's hold off, I can't get in touch with my case worker."

IMO... case closed.

She calls today. In the hospital. Knee replacement last week didn't go so well.

She needs to go ahead on that insurance. Can't reach Medicaid. Wants it effect.... JULY 1.


Sorry, lady... I'm busy today and we'll need a new application. I can come by the hospital tomorrow or Friday for a new set of signatures. We can request an effective date of the date signed at the earliest.

Oh No!... what about this hospital stay?



I'm saving the old application, call log, and notes that she was to get back in touch with us... just in case. CYOA.

 

[dgoldenz]

Re: Funny Call of the Week.

I had someone find my website yesterday searching for the phrase "dental insurance in Virginia with no waiting period and bridges covered". I love those.

 

[billyg]

Re: Funny Call of the Week.

So back in June this lady calls.

1. She is losing medicaid.
1a. Might have a large spend down... might not.
1b. Does not know exactly when she will lose benefits.

2. She comes in on the 22nd to fill out an application.
2a. Plan N with UOO is all she'll qualify for at this time.
2b. She was scheduled for knee replacement sometime in July.

3. I call her several times after the 22nd to get the desired effective date so we can submit application.
3a. She calls back after about six calls with "Let's hold off, I can't get in touch with my case worker."

IMO... case closed.

She calls today. In the hospital. Knee replacement last week didn't go so well.

She needs to go ahead on that insurance. Can't reach Medicaid. Wants it effect.... JULY 1.

Well, the hospital bill that she now has to pay should at least help her with the Medicaid spend down.

 

[Focus LTC]

Re: Funny Call of the Week.

That's why you should never sit on an app.

Worst case scenario - Liability
Best case scenario - Unnecessary Headache

 

[midwestbroker]

Best thing as you mentioned, CYA. Document it all...

 

[somarco]

dental insurance in Virginia with no waiting period and bridges covered"

Humana DHMO or the one from Time.

 

[G.Gordon]

Turns out she is not booted from Medicaid until 8/1 so this hospital bill will be covered. We slung in a new app for UOO plan N... all she'll qualify for at this time.

 

[AtlantaLife&Health]

Turns out she is not booted from Medicaid until 8/1 so this hospital bill will be covered. We slung in a new app for UOO plan N... all she'll qualify for at this time.

What's wrong with her that disqualifies her with other carriers?

 

[Longtimeagent]

What's wrong with her that disqualifies her with other carriers?

Probably having a knee replacement?

 

[G.Gordon]

That and she's obese, diabetic, etc. etc...