I am so irritated and just need to get it off my chest. Don't feel bad if you don't want to read any further. I probably wouldn't either.
DH has a supplement with Bankers and has had for several years. He was "J" which is no longer sold. DH has numerous health conditions which would make him unable to change companies or we would have a long time ago. He requires medical supplies monthly and we purchase them out of pocket. Because he does not fit nicely & neatly into Medicare's requirements, we have to prove "medical necessity" for these supplies. Every monthly claim is denied, then must be appealed. Medicare pays upon appeal and then I file a claim with Bankers. So many of our claims were paid incorrectly, I filed a complaint with the state last year. The response was that yes Bankers had made numerous errors and they were going to do better. They did for a few months, but 3 of the last 6 claims have had some problem with them. One wasn't paid at all because their scanning procedure didn't work correctly and the claim needed to be refiled, but no one told us that. Bankers claims are processed in Jamaica and while the workers are very polite, it is like talking to a brick wall...they are just "so sorry", "so sorry".
Recently, I started trying to track down someone who might have a genuine interest in fixing these issues once and for all...numerous phone calls led me to a Consumer Relations individual who was checking into issues and when she had an answer, she would be in touch. I received a letter from her two weeks ago, telling me that the claims are being paid correctly, but because of Sequestration, the amount being paid has been reduced. She enclosed a spreadsheet showing that the claims had been paid in accordance with the sequestration reduction. The spreadsheet also showed the errors made in payments of numerous claims. There is absolutely no mention of these errors in the letter! I never once, not ever mentioned the reduction in payment amount due to sequestration...I know and understand how sequestration works and how it came about, and it was not ever mentioned by me in any discussion with anyone from Bankers! The writer did give me a phone number to call should I have additional comments and/or questions. Yep! You guessed it, the phone number is for Jamaica!
I have tracked down a phone number for the individual whose signature is on the letter, and over the past two weeks, have called four times and left four messages..."she will return my call at her earliest convenience". What a dufus company!
DH has a supplement with Bankers and has had for several years. He was "J" which is no longer sold. DH has numerous health conditions which would make him unable to change companies or we would have a long time ago. He requires medical supplies monthly and we purchase them out of pocket. Because he does not fit nicely & neatly into Medicare's requirements, we have to prove "medical necessity" for these supplies. Every monthly claim is denied, then must be appealed. Medicare pays upon appeal and then I file a claim with Bankers. So many of our claims were paid incorrectly, I filed a complaint with the state last year. The response was that yes Bankers had made numerous errors and they were going to do better. They did for a few months, but 3 of the last 6 claims have had some problem with them. One wasn't paid at all because their scanning procedure didn't work correctly and the claim needed to be refiled, but no one told us that. Bankers claims are processed in Jamaica and while the workers are very polite, it is like talking to a brick wall...they are just "so sorry", "so sorry".
Recently, I started trying to track down someone who might have a genuine interest in fixing these issues once and for all...numerous phone calls led me to a Consumer Relations individual who was checking into issues and when she had an answer, she would be in touch. I received a letter from her two weeks ago, telling me that the claims are being paid correctly, but because of Sequestration, the amount being paid has been reduced. She enclosed a spreadsheet showing that the claims had been paid in accordance with the sequestration reduction. The spreadsheet also showed the errors made in payments of numerous claims. There is absolutely no mention of these errors in the letter! I never once, not ever mentioned the reduction in payment amount due to sequestration...I know and understand how sequestration works and how it came about, and it was not ever mentioned by me in any discussion with anyone from Bankers! The writer did give me a phone number to call should I have additional comments and/or questions. Yep! You guessed it, the phone number is for Jamaica!
I have tracked down a phone number for the individual whose signature is on the letter, and over the past two weeks, have called four times and left four messages..."she will return my call at her earliest convenience". What a dufus company!
