Authors: Fay Jacobs
H
EALTH
I
NSURANCE
: M
AY THE
F
ARCE BE WITH
Y
OU
Last November I faced mission impossibleâfinding an affordable health insurance policy in the scant few months before becoming Medicare eligible.
Now I am not a wagering person. But stunned by the uber-pricey monthly premium quotes, I was forced to consider an uncharacteristic bet. I applied for a catastrophic policy, with the first $7500 of medical bills on me for December 2012 and then again, on me, when the deductible re-set, January-May, 2013.
Ha! I said to my spouse. I'm fine. If I accrue $15,000 worth of medical bills in the next six months we'll be in more than financial trouble. I'll take this catastrophic policy and keep the premium to a minimum.
The following day helped convince me I'd made the correct decision. First came an interminable afternoon answering intimate medical questions posed by a clueless clerk in Mumbai.
That was followed by a rowdy night playing the parlor game Minute to Win it. Geezer applicant by day, preschooler by night.
The day game saw me quizzed by a variety of non-medical personnel, hoping to declare me a medical disaster, all for the purpose of inflating my monthly premium. The clerk kicked off the inquisition.
“You saw a doctor for chronic Bronchitis?”
“No, I had Bronchitis once in 2009.”
“How long have you had asthma?”
“I don't have asthma.”
“But you have been prescribed an inhaler?”
“Yes, for the four days of Bronchitis, four years ago.”
“So it is not chronic? Not ongoing?”
“Only the questions about it.”
“Say yes if you have ever had the following diseases. Apnea, appendicitis, lupus, stroke, irritable bowel⦔
“Just irritable applicant.”
“Oh, ha-ha, you made a jokeâ¦leprosy, joint disease, rosacea, spinal tingling, rotator cuff problems, toenail fungus, sciatica⦔
“z-z-z-z-z”
“I see you take cholesterol medicine, so I will check High Cholesterol.”
“No don't, it's not high, now that I take a pill, it's low.”
“So yes, I will check high cholesterol.”
“Are we speaking English here?”
“And you were hospitalized with chest pain? A heart attack?”
“No, it turned out to be indigestion. Thai Food.”
“Typhoon? What is that?”
“No, Thaiâ¦oh never mind.”
“So no heart attack?”
“No, just gas. Which turned into a bit of a typhoon, actually.”
The humorless solicitor continued.
“And what of this eye surgery? Was it a disease?”
“Yes, too many birthdays. I had a cataract removed and now I can see better than I want to. I screamed when I first looked in the mirror. I need a Lifestyle Lift.”
By this time I'd used all my phone's anytime minutes and the call center guy was still probing. In the end, he passed me to a supervisory inquisitor, who announced they'd factor my “respiratory “and “coronary” risks into the monthly premium and get back to me. Fear of that final number did cause spinal tingling.
Following this phone marathon, we spent an evening with friends, including a game of Minute to Win It â baby-boomers, fueled by wine, doing stupid things. Not one to volunteer for humiliation, I resisted the game at first, but caved when one of the scenarios included Peanut M&Ms. I have my price.
There were two adjacent picnic tables. Following directions, I sat at a table in front of a cup of M&M Peanut candies. I was told to put a straw in my mouth, suck up an M&M and keep it dangling on the end of the straw while I got up and transported the inhaled trophy to a paper cup on the other table. I had one minute to see how many candies I could relocate.
Here's the thing. Instead of quizzing me about foot fungus and respiratory issues, my friend from Mumbai could have just watched me handily suck up the M&Ms (no asthma), painlessly untangle my aging knees from the picnic bench (no joint problems), keep those candies hanging by sheer lung power (no bronchitis) and deposit them neatly in their target cup (good eyes). Unlike our former president, I did inhale. Well enough, it turns out, to win the game over some younger contestants.
Next, somebody balanced a shortbread cookie on my upturned forehead, offering instructions to get the morsel to my mouth without using my hands. Hey, insurance geek, by wiggling all my vertebrae, I carefully jiggled a Lorna Doone down to my right eyebrow (no spinal tingles or whiplash), flipped it onto my eyelid (now there's a cataract) and gymnastically juggled it into to my mouth. Consuming my prize did not measurably inflate my cholesterol.
For the last game we blew up balloons, then used the balloon's escaping hot air to noisily propel a paper cup across a finish line. The impolite sound of the balloons in action brought back memories of the Thai food typhoon, which was not, I repeat not, a coronary incident.
Oh, and despite how much wine I consumed that night, my liver is just fine, too, thank you very much. Bring on the insurance premiums. I know the monthly bill will surely suck, whether I can inhale a one-pound bag of chocolate candies or not. But hell, it's just a stop-gap measure. Six short months. I intend to relax, stay away from doctors, take two M&Ms and pay the bill in the morning.
E
PILOGUE
May the farce be with you. Not 24-hours after paying my first catastrophic insurance premium, catastrophe struck. (see following column). Yes, I wagered and lost. But I'm here to tell the tale and I still have enough hot air to suck a mean M&M Peanut. Medicareâcoming soon to a writer near you.
So here's the sad tale. My winter folly began innocently enough, one mid-November evening as I drove my beloved, geriatric BMW convertible on Route One. Now I'd like to tell you exactly what happened next, but I have no idea. I've been told that two cars, one being mine, merged simultaneously onto the same stretch of pavement. If I knew the details I'd know whether to be pissed off or guilty, but no such luck.
The luck was saved for me, for after a bounce, crunch, and an oddly slow motion impact, I said to myself, “Wow, that was a mess, but I'm fine.”
I reached for my phone, pushed the button for home, and said to my spouse, “I've had an accident in front of China Buffet, I'm fine, but come get me.” Then I dialed 911.
The following few minutes are lost in space, but the 1993 tank I hit or hit me (Buick? Olds? Titanic?) sat smashed against my driver side door, and its driver, who said she was fine, refused to move it until the police arrived to investigate. By the time Bonnie and some friends showed up I was still behind the wheel in a stupor.
As Bonnie poked her head in the passenger door I was struck by an adrenalin rush, causing me to boost my fat butt up over the gear shift, flip my legs up onto the windshield, and propel myself sideways out the passenger door like some Eastern European gymnast.
“I'm fine, I'm fine,” I hollered to no one in particular as I executed an ungainly dismount. Bonnie gently said, “Look at your hand.” Ewwww. It looked like a deep purple baseball mitt with a lump the size of a softball atop it.
Amid my moronic protestations of fineness, Bon ordered me to sit/stay on the curb and wait for the ambulance, which, in turn, hauled me off to the ER. There, I was assessed by a team of nurses and docs, sent to x-ray, and treated with extreme nurturing.
Turns out I broke pretty much every bone in my left hand.
“Anything else hurt?” they asked.
“Nope,” I said, confidently.
While the team installed a temporary cast on my hand, a nurse tried to distract me from the pain.
“Are you still working or retired?” she asked.
“I'm retired.”
“That's nice, how long have you been retired?”
“Twenty-five minutes.”
And so it was. I went home with my paw in a sling, swallowed some industrial strength pain meds and fell asleep.
Now here's the interesting part. I awoke to discover I couldn't walk. I was unable to put any weight at all on my right knee and I was in excruciating pain. What the�??
Turns out I was a victim of a cognitive brain syndrome, where intense pain can only be perceived by the brain at one site at a time. Who knew? Well now I did. Not only was my hand broken, but later that day an MRI revealed a complex meniscus tear in my knee. So much for being fine. I wondered whether the knee injury was achieved on impact or from my compulsory gymnastics routine on exit.
One week later I had three hours of surgery to put together the jigsaw puzzle that was formerly my left hand, followed several weeks later by knee surgery. In fact, I had knee surgery on the predicted December 21 Mayan Doomsday, figuring if the worse were to happen, I'd be under anesthetic and go quietly for once.
So I spent the holiday season ensconced in my living room recliner, holding the ice bag on my swollen right knee with my swollen left hand, for a two-for-one. Too dopey from drugs to read or write, I mostly watched television. If
Honey Boo-Boo
doesn't foreshadow the end of civilization, perhaps
Storage Wars
does. However, I do think
Super Nanny
should be shown in high schools. One episode of shrieking, manic children and teens, would keep their panties on and zippers up.
A charming surprise was that Kelly Ripa and Michael Strahan are actually wicked smart and hilariously funny, a perfectly matched odd couple and a pleasure to watch. I atone for being previously dismissive of them.
In hand therapy they asked my goals and I said I lived to be able to flip the bird once again and, of course, type with more than two fingers. Several weeks into therapy I could press the keyboard shift button with my index finger. Ladies and gentlemen, we have achieved CAPITALS.
Then came the really bad news. The insurance company totaled the BMW. Like the character of Eponine in Les Miz, she gave her life for me. For a long time, shards of the sea green left front panel sat in a pathetic pile along the side of Route One, a make-shift shrine. One of my artsy friends offered to scoop them up and make a mobile for me, but by the time we got organized, somebody's trash service had eliminated the option.
By the end of December, Bonnie had been cheerfully channeling Clara Barton and Julia Child for six weeks and our friends had gone wonderfully wild on both casserole duty and ferrying me to and from therapy while Bonnie worked. For me, being stuck in the house unable to drive, type, tie my shoes or even put a brassiere on by myself was abject torture. Required meds precluded martinis and I was insane.
But by Christmas Eve, the turn-around began. I was mobile enough to go out dining and visiting. I made it to the New Year's Eve Gayla, even if I didn't make it to midnight. And a week later I walked to my neighborhood stop sign.
All in all, things are looking up. Yes, the Beamer is gone. But the knee is healed and the hand is improving. In fact, with this column, I surprised myself by typing again on all cylinders. And yes, despite the splint still on my hand, I can flip the bird, which I do several times a day while watching Congress on CSPAN.
Oh, and except for my writing, I really did retire. So did Bonnie. And we're in Florida for a couple of weeks as you read this. Some events just put things in proper perspective.