I Am a Health Care Sisyphus

Last March, I wrote about the struggle to initiate my health insurance with Blue Cross Blue Shield of Illinois.

Despite receiving (and paying) two bills, I remained without coverage. I was told several times that while the bills correctly listed my chosen plan and ID number, I didn't exist in any database that would lead to actual coverage.

I had to wait—even if the bills didn't.

In that post, I concluded that Blue Cross' billing department seemed to be the only one able to accomplish anything, and as such ought to be running the show.

That was premature. It turns out they just needed a little time to catch-up to the rest of the company.

From January through July, I was able to pay my bill via telephone, ensuring next month's coverage was, well, covered. It was the only aspect of my plan that was simple, consistent and trouble-free.

But simple, consistent and trouble-free don't jibe with the BCBSIL business model. Complicated, labyrinthine and convoluted do. Which are the reasons I presume OrbiPay was discontinued.

In place of OrbiPay on the August bill was a phone number which didn't contain the promised functionality (at least if the prompts on the menu can be believed). Who knows, maybe if I had recited the Magna Carta in Latin, farted three times and screamed “Death to ObamaCare! Let a free and unregulated marketplace decide our health care choices!” it might have relented.

After several excruciating attempts, I resorted to calling OrbiPay, where lo and behold I was able to make my payment.

September and October have presented larger challenges.

The number listed on the bill again refused to reveal its check-by-phone option in September, and despite being listed on the BCBSIL web site, OrbiPay was no longer in service. I at last reached a human being by dialing a third number and overriding its voice recognition software.

Things didn't go so smoothly this month.

OrbiPay is still dead—and still listed on the BCBSIL web site. (What does it cost to update a web site, anyway? Fifty-million? A hundred-million? A couple hundred bucks?) The number listed on the bill, which again promises to accept payments by phone, won't accept mine. Ditto the number I used in September.

I finally reached a human being after launching a stream of invectives into the receiver at the voice recognition software.

The operator who answered was not able to tell me why my payment had been refused, nor why OrbiPay's number is still listed on the BCBSIL web site. She was able to offer a one-time telephone payment that is somehow different from other telephone payments so that my account might be brought up to date.

Remarkably, the story doesn't end there.

Yesterday I received a customer service questionnaire from BCBSIL, which is certainly laudable. It wanted to know how they did.

I clicked away at the 'Take Our Survey' button, eager to respond.

The little round icon in the upper left-hand corner that tells me the browser is searching for the page went 'round and 'round and 'round. Then it went 'round and 'round some more. It stopped about the time I began to think I was watching the introduction to Vertigo.

The result? Server Not Found.

I realize now fault lies with me. I expected something. And that is where I consistently go wrong with Blue Cross Blue Shield of Illinois.

If I wasn't so exhausted by the struggle to deliver money to a multi-billion-dollar health care behemoth, I'd accuse them of wanting to be a non-profit. Or some other kind of dirty, filthy Obama-styled socialist.

But we all know what a joke that would be, don't we? This is a company that eliminated credit cards as a method of payment. Guess those swipe fees were killing them.

I can hardly wait for the inflated premiums and astronomical deductibles I am told lie in wait for Illinois customers in November.

I'm sure they will be difficult to pay as well.

It's a Good Thing They Didn't Hire Me

Neither the telecommunications behemoth incapable of delivering a reliable cable TV signal to my home, the computer software giant unable to supply my computer with a functional operating system nor the business services firm staggered by the prospect of processing a rebate in less than six months would dream of hiring me.

I mean, as a long-term unemployed old guy, I'd just screw everything up.

The latest example of an enterprise able to remain at peak operating efficiency through its careful and judicious hiring is Blue Cross Blue Shield of Illinois.

A little backstory: after extracting myself from the morass of HFS and their redeterminations and being elevated to an income strata which precluded Medicaid, I signed up with a Blue Cross Blue Shield PPO late last year.

All was fine until the health care insurer announced the plan wouldn't be offered in 2016. Okay, that's not quite right. Technically it would, but in a highly-altered form which would cost 354% more.

Grateful that my health care wasn't veering into simplicity and ease-of-use, and fairly sure that my income wouldn't see a similar increase, I began a search for a replacement after enjoying the PPO for exactly one month.

Affordable options were scarce. I scoured the offerings repeatedly just to make sure I wasn't missing anything. Visions of Helen Hunt in As Good As It Gets nonwithstanding, I swallowed hard and enrolled in a Blue Cross Blue Shield HMO.

(That it cost three times more than the original PPO, offered fewer providers and covered less was just a bonus.)

After clicking the 'submit' button, I exhaled. I thought the fun was over. 

But what did I know?

Predictably, the bill arrived first. Besiged by e-mails warning of the plagues and locusts that would ensue if I didn't enroll and then remit promptly, I hustled my payment off to the mail box and waited for my membership ID card.

I received notices advising me that my PPO would not be offered in 2016. I received notices stating that I needed to select another plan immediately or face government-imposed fines. I received notices detailing the coverage of the revamped PPO.

I received notices about everything except my new HMO and the whereabouts of my membership ID card.

Sigh.

Wanting to continue medical treatment begun under the PPO, I desired urgently to set-up a PCP and locate a specialist who could pick-up where my previous specialist had left off.

Silly me.

Not that I was the only person cast into this healthcare hell by Blue Crosses decision to pull the plug on their PPO. A quarter-million of my fellow Illinoisans were forced to change their plans simultaneously, stretching many Blue Cross Blue Shield resources to their breaking point.

Phone lines were jammed night and day. Provider information was nearly impossible to get. When it was available, it was listed on outdated web sites and it invariably took until the day before an appointment to discover the listings were obsolete.

E-mails to Blue Cross Blue Shield yielded responses which hid behind procedure and protocol. None acknowledged their colossal screw-up.

I was, however, able to print a temporary copy of my plan's ID card. Because of the repeated delays in discovering exactly who was and who wasn't included in my plan, I consider myself fortunate that I never had to use it.

The lowlight arrived in late-January, when I again attempted to learn who my providers were. My joy at having a call answered was, regrettably, short-lived. A carefully-modulated voice on the other end of the line informed me that I wasn't in their database. 

I snapped. I unleashed a torrent of four-letter words. Compound words. Bad words. I took the Lord's name in vain. I was screaming.

"That must explain the bills I'm getting, huh?"

I inhaled. The fresh oxygen provoked a second explosion, the details of which are better left unspoken.

While my health care remained on hold, Blue Cross Blue Shield bills arrived like clockwork. While I was amused to realize they resembled one of my favorite drummers and like him, never missed a beat, I also found this highly irksome.

I pondered it at length. What did it mean? What did it signify? I eventually arrived at two possible conclusions.

Either this was incontrovertible proof that despite the warm, fuzzy marketing that depicts a caring and nurturing collective of medical professionals, Blue Cross Blue Shield is a hard-core, show-me-the-money business as mercenary as any found on Wall Street.

That getting the money is job number-one.

Or, that the folks staffing Blue Cross Blue Shield's billing department were geniuses. They were the only employees able to cope with this giant shift, and by virtue of their unwavering performance, ought to be running the whole show.

That said, it remains a good thing they never hired a long-term unemployed old fart like me. I would've just screwed everything up. 

Not that you could tell.