J R.
1/5
My fiance found out from his cardiologist that he had severe- 66 episodes- apnea. We suspected as he was unable to function on his days off, sleeping into the afternoon and evening and waking up with awful headaches. The cardiologist sent him to grandview. He has ind bc/bs ppo, who should have paid for at least half of the $1000+ device that he ended up receiving. On the phone, Grandview told him that he would not owe anything at his appointment to get his cpap/be fitted because ins would pay half and he could pay the other half through a Care Credit-type program. He was also informed that the insurance required him to wear the CPAP a certain amount of time for the first couple months to approve it. As he was leaving his appointment he was stopped and told he owed over $500. Right then. No amount of words could get him to be able to leave with the CPAP and an installment plan (they denied they did allowed installments. And within a week he had a payment due for $90+ from Grandview. He paid the money somehow and came home with a full mask and a guarantee from the technician that she could see how he was doing and would make sure he was comfortable and call back in a few days. That night, no matter what, his full face mask was blowing air forcefully down his nose and mouth and not letting him exhale when he had not even laid down yet. We spent every waking hour on YouTube, on the phone with the lovely Australian company that makes the device, trying to override the settings that we were assured no doctor would have allowed and he would never have been ok with while trying it at Grandview. We called them from the moment they opened until the moment they closed, several times a day. I can remember crying on their answering machine because I was so worried about his health and he was unable to use the CPAP. I begged them to call, to look at the numbers, etc. we also did not have the money Grandview was pretty much forcing us to pay out of pocket at this point (i think the amount of time he needed to use it was something like 60 or 80% of the time over the first 6 weeks). After 2 weeks of silence, he finally got permission to drive the 45 min to them on his lunch break to demand answers. Of course, no one would see him, the next appt wasn’t for several months, and, oh, he has an outstanding bill.
He finally got in touch with the cardiologist who was horrified and what do you know, his levels were off the charts compared to what she wrote (when you can’t breathe out I would think that is the case) and so she called Grandview who suddenly had an opening the next week.
He got his machine fixed and got a different mask that actually fit him (even attempting to wear the other choked him when it was off but it was the most expensive so ya know…. Grandview said to him there was no way insurance would pay for his bill now and that they had been short staffed.
He is not good in situations like this and had been working as a chef 70 hours a week on no real sleep for a long time so it never occurred to him to say “you just admitted it was your fault and I have phone records besides. You need to make this right and get the ins to pay you or ….” Ive been trying to get him to call claims or the cardiologist but he has never had to deal with healthcare stuff before except breaking body parts, having no insurance, and incurring debt. I think that people’s ignorance of how their health insurance works - especially when it comes to medical devices - is this company’s bread and butter. They are disgusting, taking money from hard working people. He was so embarrassed when he had his hearing with New Jersey to get Mass to reinstate his license after 5 months of trying to do the right thing there (get his license which just don’t ever get the Mass DMV mad at you - they use a different database than 48 other states) and had to tell the judge he could no longer afford the fine, finding him in contempt, and on the same day a mysterious new call came that we were some how behind on our payments to grandview.
Don’t give your money to them.