Monthly Archives: January 2016

Frost and a Sweat………..

Two roads diverged in a yellow wood and I took both of them…

I was sitting around in my workout clothes, pretending to think about going to the gym. But I thought a tougher work out would really build my stamina.

I decided to try and tackle Medicare and the VA on the same day.  See tackling is a form of exercise.

First stop, the VA. Truthfully, after examining my own guns, I knew it was time to call in the big guns and went right to my U.S. Representative in Congress to get help. I was done pussy-footing around. I called my Rep’s local office and was met with immediate efficiency and comprehension.

Like an innocent child, who has a learning curve the size of the Earth’s parabola (I don’t even know if that’s a ‘thing’ but it sounded really big to me) I believed that help was on the way quickly, and all my problems would be solved post-haste. And by using Ye Olde English terms like ‘post-haste,’ I would surely be drinking celebratory sherry in the drawing room at the end of the day!

But before these kind people could step in, they asked me to call the local VA office. See, the Rep had friends in high places. He is actually on the Congressional committee that deals with the VA. I was instructed to call the VA office in town, speak to the director there and immediately call back the Congressional Aide to let her know the result.  This was the result.

“Oh, dear, I’m so sorry your mother is having a problem with her medical insurance. That’s terrible,” said the kind woman who answered the VA phone. “I will have the director call you as soon as he is available.”

I must admit, not 10 minutes later, the kind woman who answered the phone called back.

“The ( cowardly, okay she didn’t say that but the tremor in her voice said it all)director says he wouldn’t know where to begin to help you. This problem is too complicated and he’s never seen it before. So you need to call your Congressman right back to help you.”

This from the director of the local Veteran’s Administration Office. My workout was quickly becoming the use of one finger……the dialing finger. Why, which finger were you thinking?

Meanwhile back at the ranch, thinking it would take a while for the VA to return my call, I hopped on another line (hopping is also exercise) and landed on infinite ‘hold’ for Medicare.

After following their instructions three weeks ago by filing Executor papers at the Social Security Office, and calling each week to see if they ‘received’ the papers that were scanned into the computer right before my eyes, I am now told that I must follow a completely different procedure before they will talk to me about unpaid medical claims for my deceased brother-in-law.

By the way, not one person I spoke to at Medicare or Social Security both on the phone and in person….and there were dozens of these people………..actually knows what an Executor is or does. So that was fun to explain. Explaining can cause sweating and does require mental exercise.

There were more phone calls and more paperwork created as you can see:

Medicare Papers

Two roads diverged in a yellow wood (yellow..for cowards?)

….and I took both the difficult ones….. ’cause, you know, that’s where all the fun and cardio begins!

“You Just Have to  Laugh………….”

©2016 Cathy Sikorski

I see….no wait, I don’t see……

Last week I took my friend, Lisa, to the eye doctor. This is the Scheie Eye Institute, a very prestigious hospital dedicated to eye care.

We’ve been there many times over the last five years. Our last visit was six months ago and now we were back for a follow-up visit. But something was new.

When we arrived at the Institute, as usual, we went to the front desk.  In the past, the front desk checked you in and then you waited to go to an attendant at a numbered station to confirm your insurance, appointment time and any other preliminary questions.

As we approached the front desk on this day, we were told to immediately go over to the standing computer terminals and check ourselves in.

Now the average age of the patients in this rather expansive waiting room seemed to be about 79 years old. I have no doubt that the senior community has many computer savvy members, but not everyone can adjust to any computer that is thrown in front of them.  As one who continues to discover that ‘user friendly’ and ‘intuitive’ are really just adjectives for “get me a 12 year-old over here, stat!”, I was certain that many of these patients were struggling with this new set-up.

Add to that,these computers were at standing stations. I would say at least in an unscientific review of the crowd…. and by that I mean looking at them,  half of the patients were in wheelchairs or using canes or walkers. Standing at a computer terminal would be, at the very least, uncomfortable, at most, impossible.

One more thing.

You may recall this is the Scheie Eye Institute. So……this is a place where people go who are having trouble seeing.  You know, eye patches, eye surgery, eye pain, eye problems.

Based on my knowledge of the scientific method, which I learned from my kids when they had to study fourth grade science, this new system may experience a few glitches.

Hmm. Something's Fishy!
Hmm. Something’s Fishy!

I will say this, Lisa and I were laughing hysterically for hours, even on the way home when we just kept saying but it’s the Scheie Eye Institute!

That’s all it took to make us giggle, ’cause………….

“You Just Have to Laugh…….”

©2016 Cathy Sikorski

Don’t Worry…..We Will Take Care of You……

Last Friday my Mom called me, practically in tears.

“Roberta was so mean to me,” she said.

I’m thinking, “who the hell is Roberta?”.

“She’s from my medical insurance carrier. I called to ask her why a bill wasn’t paid and she said I should never have been given this insurance and I’m going to have to pay back every penny from the last 15 years.”

“And,” she went on with a worried tone, “you told me to NEVER pay a medical bill. So I don’t know what to do.”

“Calm down, Mom. We will get this worked out. It will be okay.”

My first reaction was this:

I did tell my Mom never t pay a medical bill because her insurance covers everything.

My mom has Tricare For Life Medical Insurance. This insurance is for Veterans and their families, spouses, widows, children. My Dad died in a helicopter crash as an Army pilot on October 10, 1961. My mother had five children all under the age of 10 and was pregnant with her sixth child. So I kind of think my Mom is entitled to this insurance.

The thing is, Mom never claimed this insurance until my step-father passed away in 1998. She didn’t even ask for it. She already had Medicare and AARP. But when she applied for her widows benefits after my step-father passed away, the Veteran’s Administration made her jump through all kinds of hoops with documentation and then gave her this insurance.

My mom is a Virgo.

Why does that matter? She has kept every single piece of paper that has ever come into her life. So she has every piece of documentation that transpired fifteen years ago with the Veteran’s Administration. She sent them her marriage certificate to my step-father and his death certificate.

Then, they put her on the wrong insurance.

And now they are threatening an 87 year-old widow, who raised her family of six children without a father, who never even made it to 30 years old.

After talking to seven different people at seven different government administrative places which most people never even heard of, we refiled all the documentation from 15 years ago.

Now we wait.

I know from the last 25 years of caregiving and jumping through administrative hoops that this story will not have an easy ending. There’s going to be reams of paperwork. There will likely be boatloads of nastiness. There may be a lawsuit. But in my best, Scarlett O’Hara voice: “As God is my witness….my mother will never pay one dime to fix this problem.”

It helps that I’m a lawyer.

I know you don’t think there could possibly be a laugh in here in any way. But as I was looking at some of the documents from her insurance company, I saw this:

Fun things to do while fighting with Insurance
Fun things to do while fighting with Insurance

Really?

Hmmmm…..

“You Just have to Laugh…..”

©2016 Cathy Sikorski

Play Your Cards Right…….

Old people, sick people and those who take care of them are often faced with seemingly insurmountable tasks during the day. What may appear simple or an easy fix to others can be too overwhelming when dealing with chronic illness or infirmity.

My friend, Terri and I have been the go-to caregivers for our friend, Lisa for the past six years, since Lisa had a traumatic brain injury from a  fall down a flight of stairs. Lisa has had a miraculous recovery. But there will always be issues to handle to make her life easier. So Terri and I take care of her financial matters, and many of the medical paper work issues that haunt the chronically ill.

Very recently Terri was diagnosed with cancer. This woman is one of the bravest, most self-sacrificing people I know. And she is treating this journey like it’s just another dilemma to contend with on a day-to-day basis. There is no drama.

In addition to having her own bills, medical appointments and now the same run around and frustrations that invariably seem to accompany ‘getting healthy’, Terri has been responsible to write the checks for Lisa’s rent.

This is what happened:

Lisa: “Hey Terri, I just got a call from the landlord. They want the checks written out to a different party since they have new management.”

Terri: “Let me call them.”

Terri to Unsuspecting Rental Agent: ” Hello, this is Terri, I write the checks for Lisa’s rent.”

Unsuspecting Rental Agent: “Yes, hi Terri.  You need to write us a new check and bring it here today. Otherwise, you will be late with the rent and there is an exhorbitant and ridiculous  late fee that will seem worse punishment than the fires of hell.” (okay she just said “late fee” but we all know that she wanted to say the rest of that).

Terri: “You have my permission to change the name on the check. Just change it as you need it. ”

Unsuspecting Rental Agent: ” Oh, no we can’t do that. ”

Terri: “Yes you can and you will and I’m going to tell you why.  I have cancer. I am in the midst of chemotherapy and I cannot and will not drive to your offices to bring you another check. And there will be no late fee. That’s why you’re going to do this for me.”

Unsuspecting Rental Agent:  Long silent pause

Unsuspecting Rental Agent: “okay.”

Terri then called me laughing hysterically. Not because she didn’t believe what she said but because she was so proud of herself:

Terri: “I pulled the cancer card!!!”

Now that’s the way to deal with cancer….and unsuspecting rental assholes….agents, I mean agents.

“You Just have to Laugh…”

©2016 Cathy Sikorski