For therapy I go to a place that serves low income people, called Comprehensive Care. I do this because, surprise-surprise, we have a low income-mainly from all of my doctor visits and various medical problems. At this place they base your co-pay on your income.
I had been seeing a lady, Joyce, for therapy, but I tend not to do well with lady therapists. Not that they do anything wrong, I just do better with guys.
I had been out of therapy for about a year because I had been doing fairly well, but June 26th, 2008 marked the one year anniversary of my Fathers death from a sudden massive heart attack and I was starting to slip.
I asked my psychiatrist (Dr. OK), of eleven years, to recommend a guy for me to see. She did and I went to see him on July 1st, 2008. I also asked for a prescription for an anti-psychotic to calm down my thinking and she did that as well.
I begin taking the medications and she goes on vacation.
I start having horrible side-effects; massive restless legs, grimacing in my face, tongue moving without my permission, can’t sleep…I had to take four sleeping pills and two Benadryls before I could.
But I figure I’ll will be able to get something different when I go see this new therapist. He will be able to call another doctor and they will be able to help me.
July 1st, 2008, I’m at work and when 3:30 rolls around I go hop in my rusty-trusty Volvo and head out for the appointment. Keep in mind that this fellow is located in a different section than my last therapist or my doctor. Here is the conversation that I had with the receptionist for his office, Kathleen:
me: [insert name] here for for the four o’ clock appointment with Dr. C.
her: okay, your co-pay is 40 dollars.
me: No, it is five dollars.
her: No, it is 40 dollars. The five dollar co-pay was just supposed to be until you and your husband got married and you were covered on his insurance, then it was supposed to revert to the 40 co-pay.
Keep in mind that my husband and I have been married one year and eight months at this point.
me: I thought this place based your co-pay on your income?!
her: It does, if you do not have insurance. But if you have insurance we have to charge the co-pay. We can’t write that off, if we did that would be insurance fraud.
me: So your telling me that if I did not have insurance I could pay five dollars, but since I have insurance I have to pay 40 dollars?! This makes no sense!
her: Well, I have to pay 30 dollars to see a doctor, and I think that is a lot of money. I wish I didn’t have to pay that much!
me: Let’s be honest, sweetheart, you make a lot more money than I do!
her: Well, you could just pay whatever you can every week.
Yeah, that just what I want to do. Pay this place for the REST OF MY LIFE.
me: I can’t pay that…just cancel the appointment.
I then went upstairsto the area where my previous therapist and my doctor reside and told them what had happened. they said I would need to talk to Dr. C who happened to be there helping a client. He had me come back downstairs with him where he talked to the same lady and this is what I overheard:
Dr.C: Can you tell me what happened?
her: [she went over the same story then added] She has basically gotten away with 840 dollars!
WHAT THE FUCK?! I’VE GOTTEN AWAY WITH?!
me: I don’t think that is a very fair statement! To say that I”VE gotten away with 840 dollars, I didn’t get away with anything! I didn’t do anything, this is your all’s doing!
her: No, of course not…that wasn’t what I meant.
The conversation continued like this, a pharmacy employee walked in and added his two cents then realized whatever he needed to do could wait. I had, of course, started crying and then to top it off I got a nosebleed just standing there. She said “Oh, my…let me get you a tissue!” and I whispered “Just leave me alone!” as a walked out of the room.
I then went to the bathroom and proceeded to have a 30 minute nosebleed, both nostrils and mouth. Blood was all down the sleeve of my new shirt and all over my face.
NOBODY CAME AND CHECKED ON ME.
After the bleeding stopped, I tried to wash out my shirt and then left without saying a word. I still had to go back to work, but I needed a new shirt and a stiff drink (kidding, I just had Kool-Aid). When I got home I told my hubby all that had occurred and he called and “expressed his concern” over what happened. He got an apology from her, but I am still waiting.
After work that night I was still feeling like poo and knew I needed to get back on a medication-something different than what I had been taking. But where was I supposed to go? If I couldn’t go to the “low income” treatment place, where do you go? I gave Joyce a call and gave her a run down on what had happened and asked if she could find a doctor willing to call something in for me. She said that she would do just that, but didn’t know if they would be willing to because I was not asking for a refill.
She called the next day and told me that the doctor in question was not available. So, I called my primary care physician and a former psychiatrist and asked them to do the prescribing. Eventually I got the medication albiet five times the dose I needed. Joyce called me again later in the day to tell me that another lady, Carla, would be calling me to inform me that CO-PAYS ARE BASED ON INCOME REGARDLESS OF HAVING INSURANCE.
Sooooooo, I called and made a new appointment. I had to make it with the don’t-bother-to-check-on-someone-having-a-nosebleed Kathleen. I stayed cordial throughout the conversation, even when her tone dropped noticeably after I said my name.
I came in an hour early for my appointment and went directly UPSTAIRS and handed in my tax return. They figured out that I would owe 15 bucks, NOT 40. I also said that I did not want to pay downstairs. Carla, the young lady who figured out my correct co-pay agreed with me and said she didn’t want me having any dealings with Kathleen either.
I went back downstairs and signed in for my appointment. I saw her looking for the co-payment sheet. She stuck her head out the window and siad with a rude tone “do you want to make any payments today?”. To which I replied “I have already paid upstairs, feel free to call Carly if you have any questions”. Another rude response of “You mean Car-LA”. I just said “yes”, and when I saw her reach for the phone I left the waiting room and went outside for a smoke until it was time for my appointment.
The appointment itself went great, I really like this new guy. I have another appointment in about two weeks, and I am looking forward to talking to him again.
I did write a “apology” letter basically saying “I’m sorry all this happened, but in the future I do wish to have any discussion with you regarding co-pay”. Still waiting to hear back.


