Re: Fw: Feedback on first use of Aetna - ICP Day #2

[Guest guest]

Thanks for this information, Ellen and Caroline. Here's today's adventure.

First, I DID get the call back from ICP saying they DID get my faxed

guardianship paper and I was now allowed to talk about my son. Unfortunately,

they didn't call until I was on the way home, on the Eisenhower and couldn't

take notes (nor should I even have been talking). When I asked for them

to call me back in about an hour. I was told " No " , but was given the

instruction to call the listed number and be placed on hold for the 3rd time.

Then, I went to this website, (and not for the first time) put in my zip

code + 5 mile radius. Only ONE MD appears that is NOT an ObGyn, podiatrist,

chiropractor, audiologist or durable goods provider. And this MD is

listed as NOT HANDICAPPED accessible. So, No choice in MD's without incurring

significant travel expenses, and hope my son can get in the door; or choose

an OBGYN for a 24 YOM PCP?

Our local hospital is not listed; the one where all Bill's procedures have

been performed and who has his medical records. I had to do a 10 mile

radius from our zip code before the first hospital would appear. It's about

25 minutes away, instead of 10; plus add 10-15 minutes for getting lost on

the first trip I'll have to make out there.

YEAH!!! Bill's pharmacy is listed. 1 for 3.

YEAH #2 -- PSY is listed.

This is a start.

Thanks for the help.

630-854-8318

PS. I STILL have no card for June. Let's hope he stays healthy and none

of this is needed, I guess.

In a message dated 6/1/2011 5:09:07 P.M. Central Daylight Time,

egskb@... writes:

I am posting this for the benefit of anyone who has signed up for Aetna

Better Health (Managed/Integrated care) and has questions.

has been most helpful and she responds quickly.

, please feel free to email her to pursue your issues further.

Ellen

Ellen Garber Bronfeld

egskb@...

Re: Feedback on first use of Aetna

Here is another story, from the listserv that I co-moderate:

This is just more and more frustrating. Today, I found out that some

secondary/backup physicians who Bill has seen that ARE listed with Aetna on

their website are listed because they take the Aetna INSURANCE. NOT this new

ICP stuff. So a physician's name listed on the companies websites is NOT a

guarantee they are in the program, as discussed in the letters I've been

receiving. So company websites are no good.

So I called the help number -- of course she won't talk to me without my

faxing the guardianship papers (SO GLAD I filed for those) and waiting for a

call back from the office sometime tomorrow or the next day before anyone

will talk to me about anything. Instead, she directed me to

www.illinoiscebICP.com So the help phone number is no good.

So I went to www.illinoiscebICP.com NOTHING. First they wanted all Bill's

numbers (SSN and medicaid) on a NONSECURED site (WHAT????) before I could

even search. So I crossed my fingers, listed the numbers, misspelled our

family name as the state has done for 6 years, and was then allowed to search.

again NOTHING in our zip code, NOTHING in our county. I tried multiple

searches, multiple combinations, added, deleted criteria. Always NOTHING!!!!

So the ICP web site is no good.

When I asked Bill's doctor what his advice was since I'm not finding any

PCPs in this town, or the next towns, I was advised " take him to the ER,

they'll treat him there " . So we have to use the ER for routine medical care??

This is supposed to be cost-savings????????

And now I find I have no card for June -- his card expires today. Is the

state not sending out the old cards for June?

PLEASE HELP!!!!!!!

One very frustrated Mother / guardian / POA

Ellen

Ellen Garber Bronfeld

egskb@...

This e-mail may contain confidential or privileged information. If you

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reply e-mail and then delete this e-mail immediately. Thank you. Aetna

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