Red Tape

I don’t generally do politics here because who wants that? No one. But, I am going to have to dip my toe in the water here for just a second.

I have been unemployed since Thanksgiving of 2013. Unemployed = no health insurance. So, I jumped on the Covered California bandwagon. And, aside from plenty of bureaucratic kinks, it has been excellent. So, when it came time to deliver the kiddos, I did what you are supposed to do and called my insurance. The girls would be insured through my insurance for their first month of life. Then I could add Evie and Liv. I called to add them October 10. I had a C-Section on October 4. I was working on it while I was still on Vicodin. I feel like I kept my part of the bargain.

Well, red tape. Covered California couldn’t add the girls during the open enrollment period. What? They assured me that when they dug through the system the girls would be added retroactively and it would be set. Call back in two weeks. So I called back in two weeks. Still not figured out. The new system couldn’t handle adding people during the open enrollment period that weren’t new customers. The girls were considered existing customers. Call back in two weeks.

I called back and I got bounced around a couple times and finally talked to a really nice man who had a granddaughter named Evie. The girls could not be added to Covered California because they qualify for Medi-Cal. Say whaaa? Awesome. Medi-Cal for Evie and Live would save Rob and I $500 a month.

Holy hell. I love the expansion of affordable healthcare, but nothing works the way it should. All of these new systems in place and none of them communicate with each other. The state doesn’t talk to the county and the county doesn’t talk to the state. I have a different number for Covered California than my Medi-Cal number. Medi-Cal can’t talk to me until I have a Medi-Cal number. I only have a Covered California number. The Covered California people can tell me that I qualify for Medi-Cal but nothing else. Then when I talk to Medi-Cal they can tell me what plans I can use under Medi-Cal but not what doctors I could visit. Also, did I mention that it’s twins?

So, three months later, I think I have it figured out. I asked my parents if they could take both Evie and Liv for 20 minutes while I finished the final step of enrollment this afternoon. Two hours later I had to give up because offices closed for the day. I love my pediatrician. I can’t stay with her. I can’t even see a pediatrician in the city I live in. Also, the girls had no coverage for November and December so unless I appeal that I have to pay for all of those pediatrician visits out of pocket.

But I think I have a group of pediatricians one city over that I can see.

Maybe?

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