u/JulesSherlock

Last year my dexa was -3.6. I started LIFTMOR right away. I was already taking calcium, vitamin d and k. I didn’t start any meds except .025 estrogen patch and I only did that for 3 months because I had complications. I just paid out of pocket for another annual dexa (same place, same machine), really just hoping I didn’t get too much worse AND MY OVERALL SCORE IS -2.9. I’m so happy, just not entirely sure how I did it.

Anyone else lose service? It’s 7:25 and my and husband iPhones have still not working. They said SOS for about an hour or so. Now they say nothing - no SOS, no bars, just blank where we should have bars. Never lost cell service before. I guess it’s nationwide? Seeing some news stories pop up in feed anyway.

That’s right. I’m shocked. Just found out tonight.

Construction Phase 3
2027
• 11-month closure of I-70 from Prospect Ave. to Van Brunt Blvd for mainline bridge and roadway work

That’s basically I 70 from 40 Highway to downtown. 😳
Closed for 11 months.
I can’t imagine rush hour. Or Arrowhead games.
Royals could be shut down for owner/player strike next year - maybe.

How are they going to re-route that much traffic?

https://www.modot.org/projects/improvei70kc

We have insurance, everyone is in-network, surgery medically necessary, surgeon requests and gets prior authorization for surgery. My husband has surgery. All physicians involved have been paid without issue. Insurance denied surgery and hospital stay for $140k. They say the codes pre-authorized didn’t match billed codes. We have 65 days to appeal (down to 30 days now). Hospital has it back in processing. I think they will resubmit. My husband is recovering and home bound for the next 6 months and it is stressful having this huge bill hanging over us. I feel like we have no control to fix because if the surgeon messed up and got the wrong codes authorized or during surgery modifications were needed or stay at hospital required modifications of codes, well that is not something we can adjust or even know about ourselves. We just have to trust everyone to do their jobs correctly. We will file an appeal with insurance before deadline. Is there anything else we should be doing to get either the hospital or insurance on the same page and get the $140,000 bill processed correctly? I don’t know where the mistake actually is or who caused it or really how to fix.

Edit: The EOB says we owe $1k but it also lists the $140k in Plan/Benefit Exclusions and says under that title, “Services not covered, which you may be responsible for paying to your provider.”

My husband had a prior auth for surgery. Humana paid the surgeon. But they denied the claim from hospital. It’s $141k. We have not been billed from hospital yet. The surgeon told us before surgery it would be a 1-3 day stay in hospital and it ended up being 6 days because the social worker screwed up and didn’t get the equipment to our home for him to safely go home. Anyway, the title shows what is on every line of their denial - “An approved authorization notification was needed from your provider. No action is needed from you.” They list the $141k under Plan/Benefit Exclusions but if you look at the fine print of the claims receipt it says - Plan/Benefit Exclusions: Services not covered, which you may be responsible for paying to your provider. WTH? They do show $978.60 as our share. Those charges for the $978.60 are for services not covered by Medicare therefore we have to pay lines. I don’t mind paying $1k, I just don’t want to pay $141k.

I’m not sure whether to begin freaking out or not. Is this unusual? It’s never happened to us before. What should our next steps be?

So I spoke to my boss and his boss. I’m leaving by the end of the year. I’m so relieved and happy. Has anyone else given 6-8 months notice before? They do need quite a while to replace me and they said they would like me to stay as long as I want. They would even rip up my letter of intent anytime if I want which is very sweet. I told them I would leave sooner if they find a good replacement and I get them up to speed. I’m 54 and crossed the FI portion of FIRE 4 years ago so I’m definitely ready. So looking forward to a new adventure!!