Diane Durante

Review of Wea trust

Because I have numerous health conditions I have b...

Because I have numerous health conditions I have been assigned to a nurse health manager. Her job is to save them money. Unfortunately I have suffered numerous times because of their attempt to have cost savings. I'm immunocompromised and they mandated I go into clinics to have my wound care done because they felt home health was too expensive. I went to the clinic and a few hours later I had an infection and allergic reaction. I had a new procedure which required home health to teach me skills to do port access and they gave me 2 visits with the nurse to learn a sterile technique for a procedure many nurses arent specifically trained in and many lay people never do. I got an infection even with my nurse helping me on the first visit. Then they gave me one more visit with her and I was on my own. But when on my own I completly passed out and found myself on the floor. I'm still struggling and going through it alone, but now that they know I passed out and maybe have a safety issue they are going to look into options. I have had multiple issues with prior authorizations and Im facing paying over a thousand dollars out of pocket. I do have to give them credit though because I had been waiting 2 years for an oral appliance for apnea and there was nobody in network within 2.5 hours to do it. They did make a single case agreement so I could have it done only 10 minutes from my home. For now, I'm stuck with the plan at least 1 more year because they are the only plan that offers UW Madison hospital and clinics. I have rare conditions and my specialists are there. I'm due to have surgery this year so I'll need to access my specialists at UW for post surgical care needs. Hoping for flexibility and that they honor my needs for safety.