Tag Archives: Exector

Medicare….not for the weak……

As I continue down this unrelenting path of caregiving, even in death, I can’t help but see the irony in statements that come my way like, ” what are you doing now that your brother-in-law has died?”

I’ll tell you what I’m doing:

“Hello, Medicare? I’ve now sent you a request for permission to speak to me as Executrix of my brother-in-law’s estate with all the supporting documents. I’ve waited the requisite 50 days for you to process it. I’ve waited longer than that because the first instructions I received were to take those documents to my local Social Security Office, which resulted in absolutely nothing, and now I have finally received a letter saying you will talk to me. Yay.

Medicare Person: What can I help you with?

Me: I’m trying to find out when a claim I have submitted will be paid?

Medicare Person: Why did you submit the claim Ma’am?

Me: Because the provider refused to submit it. They provide drugs and drug paraphernalia to the nursing home where my brother-in-law was residing at the time. They insist that they can only bill for the drugs to Part D Medicare and they have no authority to submit for the other items like IV poles, IV flushes and anything needed to actually administer the drugs.

Medicare Person (the THIRD Medicare person, because the first two couldn’t find the other conversations I’ve had and insisted that no such conversations took place). Yes, I’ve found the conversations you’ve had on April 4th , 11th, and 22nd.

Me: The last person I spoke with who connected me with you said she couldn’t find those conversations.

Medicare Person: Well, you’re both right. She can’t see these conversations, she’s in a different department.

Me: So, she couldn’t transfer me to you without wasting 30 minutes of my time and me insisting I speak to this department?

Medicare Person: I apologize for that Ma’am.

Me being Silent,

Medicare Person: Well, Ma’am I can’t find your claim. it takes 50 days to process.

Me: I filed that claim 120 days ago, and when your Medicare person CALLED ME ON APRIL

Provisions for speaking to Medicare
Provisions for speaking to Medicare

22 while I was standing in the middle of Times Square, and I popped into the closest restaurant and ordered a $12 glass of wine while on hold with your person, she told me that she was looking at my claim, it was paid to the nursing home and they would have to pay the provider. Then she proceeded to send me the wrong Medicare notices so I could prove to the nursing home, they owed the provider and the Estate of my brother-in-law was not liable for this bill.

Medicare Person: I can’t find that claim Ma’am. And so the only thing I can do is request a review.

Me: Okay

Medicare Person: I’m not allowed to request a review until 150 days has passed and it’s only been 120 since you filed the claim. A denial can take up to 150 days to process.

A missing claim is like a missing person. Maybe they went missing on their own. Maybe they are just at a friend’s house and forgot to tell you. Maybe they will use a credit card and then we can trace where they are and stop all this nonsense. But instead of waiting 48 hours, you have to wait 150 days. Imagine telling any person you’ve ever worked with that it will take 150 days to look at a piece of paper you sent them.

Medicare Person and I  then went on to discuss the many fun and esoteric ways that Medicare can screw up a claim.

Medicare Person: I know this is complicated and confusing Ma’am.

Me: I understand perfectly, everything you’ve told me. It’s not complicated or confusing to me, it’s just crazy! (Yep, I really did say that).

Medicare Person: Well, I know it seems complex, but we train for WEEKS to process this, so it would be harder for you to understand.

WEEKS? WEEKS? I’ve been dealing with Medicare for 25 years. And in all your weeks of training, the best you guys have ever given me is ridiculous, arbitrary waiting periods to process claims, a myriad of departments who don’t speak to each other, wrong information that has cost me precious time, and heartburn without the doughnut, wine or deep-fried food I deserve to go with it.

So glad your weeks of training have made you an expert.

I didn’t say any of that, I just got out my corkscrew and toasted the Universe for the never-ending supply of blog posts!

You Just Have to Laugh…………

© Cathy Sikorski 2016

Just checking………

As my life changes now from caregiver to Executor, trust me. the frustrations and the sense of humor still need to be in place.

I spent two hours yesterday calling all the places that send money to my brother-in-law to thank them, but notify them that he has passed away.

I called two pension plans, one health insurance company, one drug insurance company, and one health insurance reimbursement company. Five phone calls shouldn’t take that long. However, there is no “press 9” if your loved one has passed away. By the time I was transferred to each appropriate department and repeated my story over and over again, I started to feel the ghost of caregiver frustration rearing her ugly head.

Truthfully, most customer service people were quite kind and sympathetic.

But there’s always one, isn’t there?

The health insurance reimbursement company was set up by my brother-in-law’s former employer to reimburse each individual for their health insurance premium as a temporary benefit when the employer no longer wanted to be in the health insurance business. This started last year when I had to wade through 64 health plans to pick the best one and then send in a cancelled check to have reimbursement sent directly to my brother-in-law’s checking account. I am certain that I had to fax my Power of Attorney documents to this company so that I could conduct this business while my brother-in-law was in the hospital.

The second person I am transferred to deems herself helpful in this way:

“I can’t find your Power of Attorney document in my system.”

“That’s okay,” I replied, “because I’m just calling to let you know that my brother-in-law passed away.”

“Well,” she said tartly, “I think you have to call back and speak to customer service about that.”

“Okay,” I said slowly and a bit confused, “but will they take care of this then?”

“Well, I don’t know!” she sputtered, “but your Power of Attorney isn’t any good for dead people.”

Oh my God, did she really say that? Actually, I say that all the time in my lectures where I’m teaching about what you need to do get your affairs in order, but still….really?

“I know,” I told her, “because I’m also the executor.”

“Huh,” she mumbled, “Well, I don’t see any executor papers here in the file.”

“I know that too, he just passed away a week ago,” I said slowly and patiently, or so I thought. ” I just wanted to inform you so that you stop putting money in his checking account.”

“Well, we can’t just do that. Did you call his former employer?”

“Why, yes I did, with no difficulty.”

What she's really doing while talking to me.
What she’s really doing while talking to me.

“Well then,” she said with exasperation, ” they will take care of it.”

“So I DON’T have to call customer service?” I inquired.

“The employer will take care of it,” she said.

“Look, I just want you to note that so you don’t keep putting money into his account. Is that possible?”

“No.”

I didn’t tell her I was closing those accounts. I’m just smiling knowing those checks would be swimming around in the direct deposit atmosphere for who knows how long.

And I did not call customer service.

’cause well………….in these times,

“You Just have to Laugh…………”

©2015 Cathy Sikorski