Medigap Coverage rescues Pritella
Thursday, June 24th, 2010Seventy-six-year-old Pritella Pratt didn’t consider herself old until Bastille Day dawned. Her California Health Insurance agent, Mabel, provided coverage when all else failed.
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Bastille Day falls on July 14th every year. Lately, septuagenarian Pritella Pratt felt like storming a few Bastilles herself, and she wasn’t even French. She did enjoy French salad dressing on her Romaine lettuce, and had eaten French fries, but that doesn’t count. But on Bastille Day, 2010, the French Independence Day, Pritella was in a hurry and tripped coming down some cement steps. She kept her balance, but it was Pritella’s pratfall nonetheless, as by evening of that day, several hours later, she felt a sharp nagging ache in her lower back. What was Pritella to do? She called Mabel, her beloved California Health Insurance agent (Mabel had also been her pinochle partner when her husband had been alive), to learn if her Medigap supplemental coverage was still in effect. “Yes indeedy,” Mabel said in her strange Irish brogue, “it is.” Medicare was great, but after Plan D of the Bush years, she didn’t know what to expect. She rushed out of her house, headed for her car, a Studebaker, and tripped, more seriously this time, a second pratfall. “I’ve fallen and I can’t get up!” she whispered as loudly as she could. Several more such vocalizations left Pritella feeling very old indeedy, and now her back was much worse. It was still Bastille Day, but almost dusk. A crow was cawing. Finally a good Samaritan named Sam came by, and helped Pritella to her Studebaker. Deep down the seventy-six-year-old felt a sprig of hope, like a probing tendril, because of Mabel’s affirmative words “Yes indeedy.” Those precious words were all that mattered now. Three blocks later, the urgent care center came into view. She could have walked there if it weren’t for her pratfalls. It was now dusk and a second crow cawed. Her back was killing her, perhaps literally as she didn’t know what was wrong. Feeling a surge of “old lady” adrenalin, she managed to open the glass doors, and walked into the health care facility. “I’ve got Medicare, and Medigap supplemental,” she proudly said when asked by the receptionist, and promptly fainted.
It turned out that she’d “ruptured something,” and she needed to go the hospital for observation. Waking up in her hospital bed, her first thoughts were of Mabel – and not the bill.
Sixty-seven-year-old Evelyn Saguaro had the same problem her late mother had once been afflicted with. Besides her real gall bladder, she’d been born with a vestigial secondary one in which three cactus-like gallstones, each about the size of a quarter, had formed. Late in life, the vestigial gall bladder’s gallstones were starting to act up. Sharp pains would erupt beneath her breastbone immediately after she ate even a tiny serving of anything, and the acute pain made her sick to her stomach. When her doctor ordered tests to identify where the symptoms were originating from, he told Evelyn that her Medicare Plan only covered her original gall bladder, and since the stones had formed in the vestigial one, any procedure to remove them in “her unique case” would not be reimbursed. Her primary care physician kidded with her. “I suggest you refrain from eating,” he said. “Are you serious?” she asked. “No, a better idea might be to seek out a California Health Insurance agent.”
Filling in the Medicare gaps can be tricky business for seniors, but it can be done with a little help from your California Health Insurance Agent.
