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So it is April 18th, and I am making this for
to update on my insurance situation once again.
I'm sorry if I if I seem---if I look a little frazzled if I seem a little frazzled it's because I am
so
No Star Wars shirt today. Today's a Bioshock kind of day, I feel like.
Because I feel less like
flying around out in space, and more like just straight up ripping people to shreds or
like launching bees at them. So I... (Strider meows)
Thank you, Strider. So I just got off the phone---
So first, I called the MediCal line to check on the status of my insurance, if I was
still---because I've been approved for MediCal
Again and--- Okay, you wanna go out?
I've been approved for MediCal again, and I thought
that I was at the point in the process where all I need to do is pick a provider and
Then, which, I would be picking
the only health---who my surgeon accepts. That all I had to do is pick a provider and
I would be good to go and start, you know, a consultation appointment and all that stuff again
However, I
was informed by the MediCal
worker that I
Because I am still on my parent's insurance
Medical is now a secondary instead of a primary and I'm not allowed to pick a provider
Through Medical unless---until I'm off of my parent's insurance
so I
Was---So I immediately it was like well, okay, so I guess I will do that
So I called Anthem Blue Cross and inquired
What it was how I would go about doing that how I would about
Getting off of my parents---being removed for my parents insurance plan
even though technically I'm not supposed to---I wouldn't be able to---
I don't age out of from being under their insurance until I'm 26
Which is in two years now
and
So I called and was like, hey is there---I don't age out until---
Is there any way I can be taken off of this insurance
before that?
Like, now?
And they
were kind of just like: No, not really, because unless there's some huge---The way they
kind of told it to me was, unless there was a huge life event such as I got a job
that had my own insurance that I was covered under that I was gonna use or unless I got married or
Some other, you know, big life event. I wouldn't be taken off. There's no way for me to get off their insurance until
I'm 26. And I was informed
By a friend that might I might be able to remove myself at 24,
there's a way to file for that, but
I'm like... Okay, I'll keep that in mind, but I
decided to
I sort of dropped off trying to pursue the the appeal that I did for Blue Cross, my current insurance,
because it was just
ridiculously difficult and I was just having such a hard time with it
I was like MediCal will be easier and I know they'll cover the whole thing.
But since I got stopped there, I'm going back to the Blue Cross route and
And
So I
called them again. I called Blue Cross and explained that---and I just kind of started all over at the beginning.
I was---I said, look. I told her all about
how I got refused for the procedure
I told her that I filed for the appeal twice and sent it to two different addresses and never heard back
And I pulled up the letter that I typed up for the appeal and read her the code for the surgery
I was gonna get and told her every piece of information.
And she gave me the information to go and look at my actual the restrictions of my plan online
My specific plan, because the excuse that they were giving me was that this isn't covered under your plan specifically. So I was like
That sounds fake because in I know that, California
Legally under the affordable care act, insurances have to cover transgender related care. So the fact that this is the only
That this is that they're not covering this
the Los Angeles
Based in California insurance company is not covering this, seems very strange to me and wrong.
And so I went online and looked at the restrictions of my plan, and sure enough even though this this
document that I was looking at has been updated this year, January 2016, it still says
transgender care is not covered. And it listed exactly surgery, hormones,
anything that related to like,
"transsexualism", which is a horrible term and like, outdated. So, also, I was kind of looking at that like
I don't like this and this seems incorrect. I told that to the lady on the phone and she was like, Well... (mumbling)
So, you know. She didn't know what's going on, but she did---
I did ask her is there anything you can do to help me, you know?
Is there anything at all? And she said, well I can---You can email me
your---you can email me a copy of the letter of the appeal and I can
forward it directly to the manager, to the people in charge of the
The Relief Association and the insurance plans and whoever is like, the head guy or the head person.
So I was like, okay sure. So I did that, and I sent an email and if she does in fact do that
and
And
And send it to him,
then I should be---I should hear back in a week.
I'm not expecting to hear back in a week. I'm not expecting to hear back at all
But in a week, a week later, I'm gonna---if I haven't heard anything yet
I'll call her again, and I have her email address
and her name, so I could I can make sure to talk to the same person
And be like hey, what's up? Did you email that? Did you email
it to the guy
So that is in progress right now.
Also, I've decided that I've had the most success
by going in physically to places and
demanding---And like physically telling people and showing them the paper where like, like I think something's up here.
What can you... Like, you know, you have no safety of being over the phone. You have to tell me what's going on.
So I decided that
next Monday, which will be the 28th...
24th. Whatever. Um, I
I have the day off. So I'm just I'm literally just gonna drive down to LA
to the office for the Los Angeles Fireman's Relief Association and
walk in there and be like
Please somebody tell me what's going on and why I'm not able to---And another thing
I'm going to bring up while I'm in there, which I didn't say over the phone
Which I didn't mention over the phone cuz I didn't think of it in the moment was
it the
the
Limitations, that I thought I thought was interesting
The limitations claimed that they don't cover
hormones as part of transgender care
but
However, my hormones are covered under my insurance. My hormones have been covered ever since I started them almost three years ago
So I thought that was kind of interesting. And I'm kind of just over here like, "So, what is the truth?"
So I feel like, if hormones... There's some kind of weird,
like, loophole or something. That's
being like... Something's up and I'm going to find out what it is.
So
that's where I'm at now.
So kind of where I have to go for where I'm gonna pursue that.
I haven't really given up on MediCal completely, because if there is a way for me to remove myself from Blue Cross
at 24, that will be at the end of July of this year, and
I
You know, it will be faster than waiting
Till the end of July in two years for me to be off my parent's insurance and use MediCal to get this procedure done
And completely covered
But, if there's a way that I can get it... Well, my honestly my goal is I just want to get it done as soon as possible
by like whatever means that I'm able to, and
whichever ends up working out first, I will do. Like, if I end up
You know, being able to do it through Blue Cross and I have to pay a bit of a co-pay
It's not completely covered then I will do that, because honestly Blue Cross is pretty great
And I've never really had any issues with it. It's good with my regular health care stuff and
You know
I've never had an issue with my hormones
By using them, even though apparently they claim they don't cover hormones, but they are covering them currently?? I don't know what's going on
I know that I know there's some I know that there's some weird discriminatory thing going on with this
and that's
what's
What's causing me problems. I know it's not just some weird
clerical error
So
I'm gonna go into the office and ask around a little bit and maybe be a little bit forceful and
put on my, you know, my
commanding voice.
I have one. I can be fuckin serious if I need to.
But I don't want to! I don't wanna have to yell at anybody. I don't want to get angry
But I will
if I need to. If necessary.
So that'll be Monday. And in the meantime,
I'm going to exercise
and I'm going to take deep breaths and
Just try really hard to
Be cool and
rational about this. And I've just waited a really long time and I'm tired of just getting like turned around and screwed around and
I'm really sort of just tired of it. I was tired of it a long time ago, but it just gets worse every day, and
I'm gonna figure out
how to get this---like, I need to get this procedure done. I'm gonna figure out how to do it
no matter what. Like, I'm never gonna stop.
But I would like
To stop soon and I'd like to just be able to get it done. And so
Yeah, that's
where we're at now folks.
And I suppose after Monday, if
anything comes out of going into the physical offices. I will certainly make a video about that and
if not, then
I'll make a video when I hear back about the email from
Susanna at Health Scope Benefits dot com.
That's all for now.
I'm so
tired of all of this
and I hope
That my next video will have a more optimistic tone than this one did. In the meantime,
please enjoy me stammering and trying to think of a good way to end this video. Or I could just hit the button real fast.
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