Well Lookie Here
OK, so perhaps it's just freaky coincidental timing (and a testament to Jon's strongly worded letter), but a couple of hours after posting about our Blue Cross shenanigans, the phone rang, and Blue Cross showed up on the caller ID. Admittedly, I panicked for a second before picking up the phone. It felt a tad big brother.
The Blue Cross representative and I discussed the claim. I told her that we thought it was absurd that we were paying $1000+ a month in out-of-pocket premiums, never go to the doctor other than well visits, don't get prescriptions filled, etc., yet we were being denied flu shot coverage because the person who gave the shot was registered in another state. Even though we got the shot in the appropriate state.
She changed course and said that since we're under a managed care plan, we would have been covered if we got flu shots from our PCPs. I told her that when I called our PCPs they told us they didn't have any flu shots available for us and told us to go to a public flu clinic. (This absurdity is a whole other matter entirely.) We went back and forth for a few minutes. She said that next year we needed to go to our PCP to get covered, or to a limited care clinic such as CVS, which contracts with Blue Cross.
And then she told me she would make an exception and reimburse us for our flu shots.
Excuse me while I go pick my jaw up off the floor.