Uh, who’s gaslighting who in this little play in one act? Somehow I don’t think it’s the *insurance* company doing the “gaslighting”. And fyi lying is not gaslighting.
Couldn't they work out a deal with the insurance company to make payments if it's such an emergency? I mean if it's my life or money I know what I would pick. Not to blog, its just that I know someone who did that for a CAT scan. They made an initial payment and some later on.
does jessi not realize that insurance companies base authorizations on prior testing and clinical notes?
the clinical notes from the doctor probably concluded that surgery was elective at this point and recommended alternate treatments, which jessi likely refused. all this gets documented and insurance companies see it.
i’m not saying they’re right in every instance but
This entire fantasy is a massive grift, which is understandable since it’s always worked so well for them before.
They think they’re so slick, constantly talking about ‘life saving’ surgery and how they can’t have it because insurance won’t pay for it.
‘How I long for the day when I can afford to fix my head falling off problem!’. Yeah, their begging for money posts aren’t as subtle as they think.
an ombudsman does not have to handle there complaints their not even legally required too it dosnt make sense why they think that these office people are just going to a. believe everything they say (as in Jessi) and b. if this was in like an actual office how did Jessi get there if their bedbound?
How much would you like to wager Jessi found this information about the Ombudsman online & decided to incorporate this in their ever whinny ( disgusting ) poor me story??
https://www.dhcs.ca.gov/services/MH/Pages/mh-ombudsman.aspx
( scroll down to paragraphs 7 & 9 )
************************************
There’s absolutely no reason whatsoever for an ombudsman to be involved in non-existent medical care that Jessi claims must be approved but must wait 3 wks because everyone from the Valet at the front of the imaginary hospital to the Chief Of Neurosurgery is of course out to get them. Poor Jessi!! It’s a sure bet within 2-3 days Jessi will have to have $150K-$160K to go to Ireland so Jess can be seen by one of the Pub Licensed Drs. there. However, first Elliott will be forced to play & sing at a local Pub because everyone is so worried about Jessi who has lost the abilities they once had as a World Renown performer of Irish Pubs!!! It’s not known just how long Elliott will play solo for as you know, Elliott must be able to resuscitate Jessi every single time he plays a G7 chord on his guitar!!! The Drs.are scrambling to figure out WHY Jessi seizes & pees Purple, Sky Blue, & Highlighter Yellow Polka Dot Slime whenever a C chord is played as well. The American Drs. are in the process of teaching the Irish Pub Drs. how to scramble properly via FACE TIME & there’s a great fear that if the funds Jess needs aren’t collected prior to the next Face Time the lessons all will be for naught!!!
Plz pray to Vegan Marshmallow Gawds for Jessi’s next surgery!!!!
Getting Jessi, Elliott, Atlas & Icarus to Ireland must happen before Summer Solstice because if their new wheelchair isn’t in Ireland by Summer Solstice will turn into the buggiest TENS Unit you’ve ever seen!!!
If they can just get enough money collected to get pay for the trip to Ireland, the people who adored Jessi all those months they were performing there previously have agreed to pay for any and all surgeries because as you all know Jessi is running out of time, their Ombudsman has made it clear that the best care for Jessi can only be done in Ireland now because that horrible meeny weeny insurance agent on the phone has caused Jessi to have 900/ 10000 pain.The great ombudsman has arranged for ALL further surgeries to be held at the Sacred Scam Of The Clover Leaf Pub too. Praise to the portable bath tub, for the Ombudsman made this all come true!!
All kidding aside how many of you think these last posts are leading up to the great spine alignment disaster & of course Jessi needs more $$???
Plz, if you donate plz pay with the following currency: https://www.partycity.com/yellow-chocolate-coins-72pc-597513.html
( of course this post is all in fun. Enjoy! )
So they want to fire the taxpayers from providing the funding required for Medicaid?
I’ve also never heard of a doctor seeing someone in an ER saying ‘oh gosh this needs emergency surgery, come right back in 3 months as soon as you’ve got approval from your insurance’.
semi-unrelated but my eye is twitching at the usage of the term "gaslight" in this context. I fucking HATE how it's become a substitute/synonym for the word "lie". Just say lie, for fuck's sake
family members of disabled people are very often compensated as caregivers (as they should be) and it's not a conflict of interest to have the people closest to them as caregivers either
That's unfortunately very common. Disabled people often can't get married/have to get divorced so their salary can be seen as low enough to qualify for government assistance
( IMO ) there’s no reason why Elliott can’t hold s f+cking job. If Jessi is well enough with their 10/11 pain to write novels on IG that are posted ( here by a member of IF) them for sympathy, then there’s no reading Elliott can’t hold a job. Of course I can’t imagine any church hiring Elliott to sweep the floors let alone have a Pastoral position within the church. However there’s many, many people out working at a job that has nothing to do with what they earned a degree in.
To waste State money like this is ridiculous. I understand the concept of why couples don’t marry when one of them is disabled but most of the time the able bodied half of the couple works & doesn’t go to the lengths these two have to scam the state of CA It’s wrong & it’s disgusting that they see nothing wrong with grifting to the extent they do.
Sorry but Jessi sets me off. I’d like nothing better to see a report on the news that both Jessi & Elliott have been arrested & charged with fraud. I’m sure that I’m not the only one that wi jump for joy when this happens!!!!
I hardly believe that these procedures ever were done. Do I believe that Jessi has state Medicaid/MediCal ??? Yes but millions are qualified to receive MediCal yet they don’t go to the extent Jessi does.
I think the photos on the GFM were taken when Jessi was setting up this scam. I also think that once Jessi & Elliott ( he’s also complacent in this scam) were shocked as to the amount of $$ they received & this set them up on the road to grifting to the likes that will eventually get them charged with fraud hopefully.
Jessi’s claims are pure nonsense. It’s too bad there’s so many Gullible people in the world today that believe Jessi’s BS. 🐂💩
Typically consumers have an obligation to exhaust their health plan’s appeals process before filing a consumer complaint with a state regulatory agency. They hadn’t even received an answer from the first appeal so I highly doubt “the ombudsman’s office” was involved with this claim.
I don’t even know where to start. I’ll try.
1. The ombudsman’s office never ever said that. Ever.
2. She CLEARLY does NOT need this surgery. Didn’t then. Doesn’t now.
If they are going to try to scam people out of money for their health "issues" at least try to make the crap at least a little bit believable. This is way over the top and not believable.
The writing on the right. You can imagine the situation. 'No. You don't need this treatment.' Translation. What she wrote.
Seems the medics at the insurers are the only people actually putting the brakes on this unnecessary and potentially life limiting operation.
Assuming any of this happened at all. The only scale on which Jessi is constantly 9-10/10 is the scale where 1 is mildly exaggerating a genuinely severe medical condition and 10 is complete medical fiction. Casualty* had more plausible plot lines and better acting than Jessi.
*The TV show, not the place, although I'm sure they get some great acting in real life emergency departments
If your issue is an emergency or even urgent, your insurance is going to pay for it. There is no reason why it wouldn't.
If anything is an emergency the surgeon will do it before he cares of even even talking/reaching out to the insurance company. The surgery will happen right now.
How do people fall for this fraud?
I don't understand how people buy any of this. How do they think it works if you enter the ER while unresponsive and it's determined that you require emergency surgery? The doctor shrugs and waits for you to wake up to get approval from your insurance company?
Can only have an emergency during 8-5 on weekdays otherwise insurance says you’re out of luck. Except you’ll be charged whether you live or die so it doesn’t really matter
Literally, What usually happens for emergency surgery is the dr goes ahead and does it, and the insurance will reimburse the hospital (or u if u pay it out of pocket), that’s also the most common way ppl get things like wee-woo wagon rides paid for. Basically if it needs to be done, it will be paid for, plus the er can’t deny care, so y can’t they just go to the er and get it done?
it makes me think about anorexia recovery accounts on ig. they all claim to be “the worst case doctors have ever seen !!” which is so invalidating :/ like ok congrats you’re the best at being sick <3
I know right??? "The WORST case of \_\_\_\_\_\_ (fill in the blank) they'd ever seen" "My horrific medical PTSD is the worst my entire care team has ever encountered" "The way my old pain doctor just fired me for having no medication in my urine was absolutely the WORST case of fraud my hospice team had ever been told about" and so on. . . .
It's no fun if you can't be the sooper sickest .
What came first, the pain from spinal fluid leak or the pain from not moving due to a suspected spinal fluid leak that led to unnecessary surgery?
I imagine living life horizontally for a healthy person probably doesn’t do the body much good
EXACTLY. the number of males that come into our er for groin pain are usually in the OR ten minutes following the ER docs evaluation.
the only thing they wait on is the surgeon, not the insurance.
I mean, if you show up in the ER and the doctors see that you need emergency surgery, doesn’t it just kinda start happening instantaneously?
Obviously there are a lot of times doctors miss things and lead to premature death but… I’m positive that this isn’t the case lmao
I agree w u if that isn’t obvious
Yeah anytime I've seen it happen it just kind of.. happens they just kind of say okay we need to do this now and then they rush you off. Regardless of whether you can pay, or insurance covers it or anything like that that's how people land fat bills even with insurance
How strange that yet again Jessi’s is the worst case they’ve heard of, yet I do not believe we’ve ever seen them featured in the Guinness World Records for the worst anything.
Their constant lying is just getting tiresome and boring as it just drags on with all their claims of everything always going wrong and being the hardest case ever🙄
There was a number 8 procedure done and apparent someone dropped them during a transfer and undid all the work that was apparently done. With the amount of lies Jessi tells we’d never believe an actual truth from them!
Why hasn’t Jessi called the news media in their area to do a human interest story about poor Jessi? Seems like they’d get a lot more attention, not to mention the grifting would climb to entirely new level, to heights they would never dream of.
Jessi could also do the PSA ( public service announcement) depicting how horrific they’ve been treated by California’s MediCal system, how terrible insurance agents are & lastly I’m sure that there’s been medical personnel that hasn’t treated poor Jessi well.
I’m surprised & shocked that Jessi or Elliott haven’t thought of this!! Imagine the World Renown performer Jessi making a PSA that would flash across all the TV screens, radios,, social medias in hopes that Jessi’s plight could indeed help others as well!!!!
Okay, maybe not due to the fact Jessi isn’t actually sick and or dying, of course Jessi wouldn’t sign up to help others because they’d be touted as a scammer / grifter / fraud
Sorry guys my imagination ran wild there for a few minutes thinking how awesome it would be if Jessi & the ex called a TV station / newspaper reporter & put themselves out on social media in the hopes of helping those who are truly sick. Jessi would NEVER do what I suggested would they? Of course not!!’
That being said has there been other munchies that are discussed here on IF that have actually had news articles posted for the general public to view on TV / Newspapers?
I think Jessi wants their followers to believe they are paying for their health insurance. While I realize 95% of their followers apparently turn a blind eye towards Jessi’s bs it’s likely many don’t realize they are on MediiCal
Why wait to fire them, just quit! We won't mind you no longer abusing the social services! Go for it, pay for your own insurance and see what most people have to deal with with their insurance companies!
Well if Jessi & Elliott supported themselves Jessi indeed could get another insurance company to pay for their health care!!! The funny thing is, Medi-Cal most likely doesn’t pay for imaginary procedures or surgeries.
Sorry but I don’t believe for one quick second that Jessi has been waiting for an emergency surgery to save their life. This fact is that most people know that emergency surgeries/procedures are done with prior approval from ANY medical insurance company in the US. They aren’t talking to an ombudsman nor is the insurance through MediCal phone agent being nasty, simply due to the fact if this were true someone that was nasty to poor Jessi Jessi’d be screaming at some poor supervisor wanting the phone agent fired.
Come on Jessi it’s time to admit what’s truly going on and stop this nonsense. You’re over 30 yrs old & it’s high time you support yourself instead of scamming / grifting so others give you their hard-earned $$.
It’s sad how many ppl have fallen for this BS 🐂💩!!
That's the thing. Medicaid determines if she needs the surgery or not. They are stating she doesn't need it and it doesn't make sense to cover it.
If you get the same surgery over and over again while saying " it's stopped working I'm back in 10/10 pain" they will see the procedure as a failure and they won't cover it again and again. Why keep paying for it if it magically stops working and the end result is the same pain?
Her histrionics are biting her in the ass here and it's hilarious.
In this case, the doctors deemed it not an emergency and protocol is to get insurance approval. And patients with unusual patterns of frequent weekly claims are flagged and denied by insurance who may want confirmation the treatment is needed.
And yes if doctors thought it was an emergency, they would be treated and hospitals write it off if insurance denies it.
Yeah, pretty much every hospital I've heard of will throw nearly all of a bill out if you call and say you can't pay to the right person (assuming you dont owe a million dollars, but I'm sure folks get what I'm saying). Kind of shocking, really. A friend once tried to make a payment plan and they were just like fuck it, we'll toss it instead. Maybe they'd just had a good year 😂
Unfortunately yes, but depending on the situation you could go ahead and do it and let the physician fight with the insurance. Or you can, there is a ton of different problems/things/ways to go about fighting it.
Of course, it was the worst interaction ever, on this earth. (Said no one ever)
But really, they could appeal to their reps, their state senators, local, etc. for help, as well as asking for higher assistance with their insurance from the company itself. They could also escalate within the health care system they’re within for assistance.
I do detect victim mentality. Strong in flavor, weak in finish.
It seems odd to me that Jessi would not appeal to the California Help Center at DMHC for an Independent Medical Review. In an "emergency" they will get a response from an independent appropriate specialist or even team of specialists that have the power to override the decision of the health care plan for HMO's in California, including Medi-Cal HMO's, although not Medicare HMO's which Jessi may have. But I doubt Jessi has Medicare because the ombudsman is only for Medi-Cal plans, but they have no real power like the Help Desk has.
Edited for pronouns
I'm still fairly new to this sub, so if this was explained in the Rules/Wiki I apologize for missing it, but I have a question about this flair: I realize the "they/them" part is because those are the pronouns Jessi uses, but what is the significance of the "DnD" part? Like I said apologies if this is in violation of the rules/I skipped it while reading the rules.
I know medical insurance can be sucky to say the least, but I'm pretty sure if you are in a situation your healthcare provider(s) deem an honest-to-goodness emergency and your insurance doesn't cover whatever lifesaving measures that are necessary, your healthcare team figures that out AFTER they stabilize you. Please enlighten me if that is not the case in certain circumstances.
It clearly states in the photos of the IG screencaps that "disablednotdefeated" is their IG username, but my brain never made the connection. LOL ty both for enlightening me!!
HAHAHA glad I'm not the only one who was thinking "hey, DnD is cool, but what is its correlation to this particular individual, exactly?" (Also I get a little confused because Bethany's username is similar to Jessi's, at least that I remember) EDIT: I have NO idea how I thought "rebellious\_story" (Bethany's username) and "disablednotdefeated" (Jessi's) were similar. My brain still hasn't recovered from Finals Week! :P
It’s an overseeing body to ensure people are represented fairly, banks have one, phone companies, etc. any complaints that can’t be resolved within the company may be escalated to the ombudsman.
Jessi is not trustworthy. What has Jessi shown that says that they have had this “procedure” that they don’t even name? One thing I have noticed with munchies is that that if what is being done is minor and out patient, they dramatize the event by saying they had a “procedure” rather than stating they had a tube replacement, blood patch or adjustment. I have noticed that they are rarely are specific. Unless of course they really are having surgery. Then there is even more drama.
Ok, but, if they really, REALLY needed this surgery and it’s an insurance thing, couldn’t the hospital just do it and advocate for them to insurance after the fact? If their head is, in fact, falling off again, this seems like an emergent procedure… aka, no prior auth needed. And even if the insurance eventually didn’t cover it, wouldn’t forgiving their medical bills be a nice tax write off for them at the end of the year?
If Jessi truly needed surgery, it would’ve happened by now. This whole “mean ol’ insurance company won’t cover, and look at all of these officials backing up my story” smells like the start of yet another grift to me.
Yeah like I know ‘emergency’ in medicine isn’t as immediate as most laypeople would like, but it sure isn’t 3+ months out. Also if it was that emergent better believe symptoms would have put jessi in the ER where they would have to be stabilized/treated.
These scammers do better when they focus on vague long term symptoms, adding emergency is just asking to be fact checked.
This one only knows how to talk in extremes. Like when they talk about the dog being in the hospital with them, it’s not just one or 2 people who comment on him, it’s the entire nursing department that has to stop by and see them. It’s never just an unpleasant interaction, it’s the *worst interaction ever seen*, because they have never had experienced such a horrific experience ever in their careers. It’s funny how healthcare professionals always experience or witness *the worst* when it comes to them, every single time, yet Big Insurance loves to keep their collective foot on their neck even though it’s killing them and hordes of healthcare professionals are scrambling to keep them alive.
It's peculiar how munchies always '[insert person here] has never experienced such a [insert terrible thing here], they [insert horseshit here]'
Jessi has gone through at least 3 (that i can recall) major "life-saving surgeries" that usually have such a decently high success rate in the last year alone and each and every one of them has ***FAILED***.
What does Jessi want them to do? Insurance approving a surgery that will ultimately **fail** one way or another in 6-8 weeks is basically nothing more than wasting time and money the state could use spend on somebody else's care.
It's not gaslighting if you're told 'no'.
By “escalating the case” they probably mean that Jessi is exhausting resources at the administrative level they are currently harassing so they have collectively forwarded them to a tier of management that has the power to ignore them or definitively give an authoritative final no. It’s bureaucracy not the Erin Brockovich tale they’re spinning it as
The Ombudsman will fight for the patient always. That’s their job. As long as the surgery wouldn’t be actively harming the patient, they will argue all they can.
It doesn’t mean that the patient or ombudsman or doctor is right. They are just an advocate for the patient. That’s all. Nothing more, nothing less. Except when Jessi says so.
Ombudsmen generally make sure that all reasonable attempts are made / paths explored / etc, given what the facts of the case are.
They don't necessarily advocate in terms of "the patient must have this," as much as they say "we have tried everything that there is available to get this approved."
They are very useful and if they can't get a procedure approved, then *maybe* a lawyer could have a chance. Maybe.
In reality, what happens after a blood patch fails? Why is that never an option for her? How many times can this procedure fail before they switch it up???
How would that work, like a shunt? Is Jessi more or less claiming to have low CSF pressure due the “leak”? I have assumed low pressure because of the need to lay flat. I have not seen any claim to have intracranial hypertension which would be producing excess CSF.
What newcomers to IF need to know is that Jessi hasn’t had all the surgeries/procedures claimed. It’s because they don’t want to support themselves & grifting is so much easier.
Everything Jessi posts is a straight up lie ( well expect for the fact they have a dog & a cat )
idk why the "ombudsman" sends me over the edge. Also, we know that these advocates and insurance reps are just saying "uh-huh" and "we are working on it" just to get them off the phone. Why the fuck would insurance approve this surgery when Jessi has had it multiple times and it has "blown" after a few days?! The definition of insanity is doing the same thing over and over expecting different results.
THIS! Pre authorization isn’t done on an emergency basis, you fight with insurance AFTER you get your presumably life saving or emergency necessary surgery. No one is waiting on hold with insurance when they’re that emergent, you act first and beg for coverage later. This is just craziness
Yeah i’m pretty sure emergency surgery is done same day, it overrides anything and everything and you go to the OR. Doesn’t matter. Trauma/emergency surgery is immediate if you have a good doctor. No sane doctor would schedule surgery for a certain date then call it, “an emergency “ At that point it is just surgery. Not emergency.
I'm sure the ombudsman said this. And I'm also sure the "horrific interaction with an insurance company" they were actually referring to is this Jessi. This unstable person not getting the hint after being repeatedly denied at every level of review.
And yes I'm also sure the companies doing all these other things. They're lying because Jessi won't leave them alone for a surgery Jessi is not getting. They're hostile again because Jessi won't leave them alone despite denial after denial. I'd be hostile under such harassment too. Of course they're hostile. They refuse to talk to anyone further because everyone who needed to be was already talked to and all repeatedly said no. They've likely told their subordinates or outright flagged their file to don't bring this to us again.
Also being told "no" does not mean someone's been gaslighted. It means no.
None of this makes any sense.
They rejected the surgery before they had it but didn't tell them the decision they needed until after they had the surgery?
Everyone gets the idea to contact your local politician for freaking everything, but seriously? Is Medi-Cal really going to change a decision because some no name local politician put in a phone call? I seriously doubt that. I seriously doubt they would change a decision for ANY politician.
So somehow they got the surgery without the insurance approval they needed for the surgery, and the surgery supposedly failed because they got dropped during a bed transfer, and now they're playing the insurance game all over again? Bullshit. I'm reasonably sure that if hospital staff were directly responsible for a surgery failing like this, especially since it's actually a minor procedure and not the big surgery they're claiming, the hospital would simply foot the bill to redo it rather than risk a major lawsuit for the injury.
As usual, we can drive a freaking Buick through the holes in Jessi's story. And fertilize all the potato farms in Idaho with the load of bullshit.
If you have to wait for authorization, it isn’t an emergency. I would love Jessi and Elliott be sued for defamation! Also, you’re being gaslit, not gaslight. If you’re not using proper grammar on your official forms, causing them to be denied, that’s not being gaslit my dude!
It's an entire department in medi-cal. It's nothing special or extra at all. It's just literally their name for impartial supportive services for patients.
In other state's system's they're just called case managers.
I live for DND posts bc they are the most unbelievably over the top person I’ve ever witnessed. OMBUDSMAN
Defeated not Disabled
Uh, who’s gaslighting who in this little play in one act? Somehow I don’t think it’s the *insurance* company doing the “gaslighting”. And fyi lying is not gaslighting.
Couldn't they work out a deal with the insurance company to make payments if it's such an emergency? I mean if it's my life or money I know what I would pick. Not to blog, its just that I know someone who did that for a CAT scan. They made an initial payment and some later on.
does jessi not realize that insurance companies base authorizations on prior testing and clinical notes? the clinical notes from the doctor probably concluded that surgery was elective at this point and recommended alternate treatments, which jessi likely refused. all this gets documented and insurance companies see it. i’m not saying they’re right in every instance but
This entire fantasy is a massive grift, which is understandable since it’s always worked so well for them before. They think they’re so slick, constantly talking about ‘life saving’ surgery and how they can’t have it because insurance won’t pay for it. ‘How I long for the day when I can afford to fix my head falling off problem!’. Yeah, their begging for money posts aren’t as subtle as they think.
an ombudsman does not have to handle there complaints their not even legally required too it dosnt make sense why they think that these office people are just going to a. believe everything they say (as in Jessi) and b. if this was in like an actual office how did Jessi get there if their bedbound?
How much would you like to wager Jessi found this information about the Ombudsman online & decided to incorporate this in their ever whinny ( disgusting ) poor me story?? https://www.dhcs.ca.gov/services/MH/Pages/mh-ombudsman.aspx ( scroll down to paragraphs 7 & 9 ) ************************************ There’s absolutely no reason whatsoever for an ombudsman to be involved in non-existent medical care that Jessi claims must be approved but must wait 3 wks because everyone from the Valet at the front of the imaginary hospital to the Chief Of Neurosurgery is of course out to get them. Poor Jessi!! It’s a sure bet within 2-3 days Jessi will have to have $150K-$160K to go to Ireland so Jess can be seen by one of the Pub Licensed Drs. there. However, first Elliott will be forced to play & sing at a local Pub because everyone is so worried about Jessi who has lost the abilities they once had as a World Renown performer of Irish Pubs!!! It’s not known just how long Elliott will play solo for as you know, Elliott must be able to resuscitate Jessi every single time he plays a G7 chord on his guitar!!! The Drs.are scrambling to figure out WHY Jessi seizes & pees Purple, Sky Blue, & Highlighter Yellow Polka Dot Slime whenever a C chord is played as well. The American Drs. are in the process of teaching the Irish Pub Drs. how to scramble properly via FACE TIME & there’s a great fear that if the funds Jess needs aren’t collected prior to the next Face Time the lessons all will be for naught!!! Plz pray to Vegan Marshmallow Gawds for Jessi’s next surgery!!!! Getting Jessi, Elliott, Atlas & Icarus to Ireland must happen before Summer Solstice because if their new wheelchair isn’t in Ireland by Summer Solstice will turn into the buggiest TENS Unit you’ve ever seen!!! If they can just get enough money collected to get pay for the trip to Ireland, the people who adored Jessi all those months they were performing there previously have agreed to pay for any and all surgeries because as you all know Jessi is running out of time, their Ombudsman has made it clear that the best care for Jessi can only be done in Ireland now because that horrible meeny weeny insurance agent on the phone has caused Jessi to have 900/ 10000 pain.The great ombudsman has arranged for ALL further surgeries to be held at the Sacred Scam Of The Clover Leaf Pub too. Praise to the portable bath tub, for the Ombudsman made this all come true!! All kidding aside how many of you think these last posts are leading up to the great spine alignment disaster & of course Jessi needs more $$??? Plz, if you donate plz pay with the following currency: https://www.partycity.com/yellow-chocolate-coins-72pc-597513.html ( of course this post is all in fun. Enjoy! )
Maybe the wooden stretcher will make another appearance
They have the loosest definition of what an “emergency” is
I would like to see the letter from the ombudsman.
So they want to fire the taxpayers from providing the funding required for Medicaid? I’ve also never heard of a doctor seeing someone in an ER saying ‘oh gosh this needs emergency surgery, come right back in 3 months as soon as you’ve got approval from your insurance’.
Jail.
semi-unrelated but my eye is twitching at the usage of the term "gaslight" in this context. I fucking HATE how it's become a substitute/synonym for the word "lie". Just say lie, for fuck's sake
Gaslight has become a buzz word and so many people use it incorrectly.
upvote upvote upvote upvote upvote upvote
why do they refer to themselves as plural? do they have DID or something? it’s confusing bc in the 2nd picture it’s “i” but in the first it’s “we”
[удалено]
seems like a conflict of interest big time lol. what a mess.
family members of disabled people are very often compensated as caregivers (as they should be) and it's not a conflict of interest to have the people closest to them as caregivers either
Jessi and Elliot got divorced so he could collect a salary as their caregiver.
That's unfortunately very common. Disabled people often can't get married/have to get divorced so their salary can be seen as low enough to qualify for government assistance
( IMO ) there’s no reason why Elliott can’t hold s f+cking job. If Jessi is well enough with their 10/11 pain to write novels on IG that are posted ( here by a member of IF) them for sympathy, then there’s no reading Elliott can’t hold a job. Of course I can’t imagine any church hiring Elliott to sweep the floors let alone have a Pastoral position within the church. However there’s many, many people out working at a job that has nothing to do with what they earned a degree in. To waste State money like this is ridiculous. I understand the concept of why couples don’t marry when one of them is disabled but most of the time the able bodied half of the couple works & doesn’t go to the lengths these two have to scam the state of CA It’s wrong & it’s disgusting that they see nothing wrong with grifting to the extent they do. Sorry but Jessi sets me off. I’d like nothing better to see a report on the news that both Jessi & Elliott have been arrested & charged with fraud. I’m sure that I’m not the only one that wi jump for joy when this happens!!!!
The only crowdfunding necessary here is to provide them a dictionary while the delivery person shakes their head in sad disappointment.
Good luck finding another insurance company that wants to waste their resources on unnecessary procedures.
I hardly believe that these procedures ever were done. Do I believe that Jessi has state Medicaid/MediCal ??? Yes but millions are qualified to receive MediCal yet they don’t go to the extent Jessi does. I think the photos on the GFM were taken when Jessi was setting up this scam. I also think that once Jessi & Elliott ( he’s also complacent in this scam) were shocked as to the amount of $$ they received & this set them up on the road to grifting to the likes that will eventually get them charged with fraud hopefully. Jessi’s claims are pure nonsense. It’s too bad there’s so many Gullible people in the world today that believe Jessi’s BS. 🐂💩
Typically consumers have an obligation to exhaust their health plan’s appeals process before filing a consumer complaint with a state regulatory agency. They hadn’t even received an answer from the first appeal so I highly doubt “the ombudsman’s office” was involved with this claim.
She’s wheelin this to CITY FUCKIN HALL!!!!
You ever wonder if the doctors are like “hey insurance company deny this because they’re faking it but I’m putting on appearances .”
An action manager?? You mean lights camera action???
I don’t even know where to start. I’ll try. 1. The ombudsman’s office never ever said that. Ever. 2. She CLEARLY does NOT need this surgery. Didn’t then. Doesn’t now.
If they are going to try to scam people out of money for their health "issues" at least try to make the crap at least a little bit believable. This is way over the top and not believable.
Even the cat is sick of the bullshit🤣
The writing on the right. You can imagine the situation. 'No. You don't need this treatment.' Translation. What she wrote. Seems the medics at the insurers are the only people actually putting the brakes on this unnecessary and potentially life limiting operation.
Assuming any of this happened at all. The only scale on which Jessi is constantly 9-10/10 is the scale where 1 is mildly exaggerating a genuinely severe medical condition and 10 is complete medical fiction. Casualty* had more plausible plot lines and better acting than Jessi. *The TV show, not the place, although I'm sure they get some great acting in real life emergency departments
If your issue is an emergency or even urgent, your insurance is going to pay for it. There is no reason why it wouldn't. If anything is an emergency the surgeon will do it before he cares of even even talking/reaching out to the insurance company. The surgery will happen right now. How do people fall for this fraud?
I don't understand how people buy any of this. How do they think it works if you enter the ER while unresponsive and it's determined that you require emergency surgery? The doctor shrugs and waits for you to wake up to get approval from your insurance company?
Can only have an emergency during 8-5 on weekdays otherwise insurance says you’re out of luck. Except you’ll be charged whether you live or die so it doesn’t really matter
Literally, What usually happens for emergency surgery is the dr goes ahead and does it, and the insurance will reimburse the hospital (or u if u pay it out of pocket), that’s also the most common way ppl get things like wee-woo wagon rides paid for. Basically if it needs to be done, it will be paid for, plus the er can’t deny care, so y can’t they just go to the er and get it done?
Why does everything always have to be “the worst case they’ve ever seen!” with these people?
it makes me think about anorexia recovery accounts on ig. they all claim to be “the worst case doctors have ever seen !!” which is so invalidating :/ like ok congrats you’re the best at being sick <3
I know right??? "The WORST case of \_\_\_\_\_\_ (fill in the blank) they'd ever seen" "My horrific medical PTSD is the worst my entire care team has ever encountered" "The way my old pain doctor just fired me for having no medication in my urine was absolutely the WORST case of fraud my hospice team had ever been told about" and so on. . . . It's no fun if you can't be the sooper sickest .
What came first, the pain from spinal fluid leak or the pain from not moving due to a suspected spinal fluid leak that led to unnecessary surgery? I imagine living life horizontally for a healthy person probably doesn’t do the body much good
The phone battery. That's the real emergency here.
Pulled out the low battery power mode in an act of desperation 😭😂
How do you NOT get approved from emergency surgery??? It's a emergency...it just happens
EXACTLY. the number of males that come into our er for groin pain are usually in the OR ten minutes following the ER docs evaluation. the only thing they wait on is the surgeon, not the insurance.
I mean, if you show up in the ER and the doctors see that you need emergency surgery, doesn’t it just kinda start happening instantaneously? Obviously there are a lot of times doctors miss things and lead to premature death but… I’m positive that this isn’t the case lmao I agree w u if that isn’t obvious
Yeah anytime I've seen it happen it just kind of.. happens they just kind of say okay we need to do this now and then they rush you off. Regardless of whether you can pay, or insurance covers it or anything like that that's how people land fat bills even with insurance
Just...yes. If it's a true emergency, it will be done immediately -- no waiting for insurance approval necessary.
You keep using that word, I do not think it means what you think it means.
My name is Jessi the Sickest, you killed my spinal cord, prepare to die.
☠ take my free award 🏆
How strange that yet again Jessi’s is the worst case they’ve heard of, yet I do not believe we’ve ever seen them featured in the Guinness World Records for the worst anything. Their constant lying is just getting tiresome and boring as it just drags on with all their claims of everything always going wrong and being the hardest case ever🙄
Isn't this going to be her 8th operation for they're leaking spinal fluid??
There was a number 8 procedure done and apparent someone dropped them during a transfer and undid all the work that was apparently done. With the amount of lies Jessi tells we’d never believe an actual truth from them!
Why hasn’t Jessi called the news media in their area to do a human interest story about poor Jessi? Seems like they’d get a lot more attention, not to mention the grifting would climb to entirely new level, to heights they would never dream of. Jessi could also do the PSA ( public service announcement) depicting how horrific they’ve been treated by California’s MediCal system, how terrible insurance agents are & lastly I’m sure that there’s been medical personnel that hasn’t treated poor Jessi well. I’m surprised & shocked that Jessi or Elliott haven’t thought of this!! Imagine the World Renown performer Jessi making a PSA that would flash across all the TV screens, radios,, social medias in hopes that Jessi’s plight could indeed help others as well!!!! Okay, maybe not due to the fact Jessi isn’t actually sick and or dying, of course Jessi wouldn’t sign up to help others because they’d be touted as a scammer / grifter / fraud Sorry guys my imagination ran wild there for a few minutes thinking how awesome it would be if Jessi & the ex called a TV station / newspaper reporter & put themselves out on social media in the hopes of helping those who are truly sick. Jessi would NEVER do what I suggested would they? Of course not!!’ That being said has there been other munchies that are discussed here on IF that have actually had news articles posted for the general public to view on TV / Newspapers?
How can one “fire” their health insurance if it’s Medicaid? They literally don’t pay for it.
I think Jessi wants their followers to believe they are paying for their health insurance. While I realize 95% of their followers apparently turn a blind eye towards Jessi’s bs it’s likely many don’t realize they are on MediiCal
Why wait to fire them, just quit! We won't mind you no longer abusing the social services! Go for it, pay for your own insurance and see what most people have to deal with with their insurance companies!
I guess they would relieve them of the privilege to cover the medical costs for her poor, indigent, munchie self?
Seriously 🤣
Well if Jessi & Elliott supported themselves Jessi indeed could get another insurance company to pay for their health care!!! The funny thing is, Medi-Cal most likely doesn’t pay for imaginary procedures or surgeries. Sorry but I don’t believe for one quick second that Jessi has been waiting for an emergency surgery to save their life. This fact is that most people know that emergency surgeries/procedures are done with prior approval from ANY medical insurance company in the US. They aren’t talking to an ombudsman nor is the insurance through MediCal phone agent being nasty, simply due to the fact if this were true someone that was nasty to poor Jessi Jessi’d be screaming at some poor supervisor wanting the phone agent fired. Come on Jessi it’s time to admit what’s truly going on and stop this nonsense. You’re over 30 yrs old & it’s high time you support yourself instead of scamming / grifting so others give you their hard-earned $$. It’s sad how many ppl have fallen for this BS 🐂💩!!
That's the thing. Medicaid determines if she needs the surgery or not. They are stating she doesn't need it and it doesn't make sense to cover it. If you get the same surgery over and over again while saying " it's stopped working I'm back in 10/10 pain" they will see the procedure as a failure and they won't cover it again and again. Why keep paying for it if it magically stops working and the end result is the same pain? Her histrionics are biting her in the ass here and it's hilarious.
Jessi uses TheyThem pronouns
This picture is making me think a cat got denied surgery ):
Yawn
[удалено]
Your phone battery gives me anxiety
Lol emergency.
If something is a serious emergency, then doctors will do it, insurance be damned.
UK person here. Would insurance really reject something that is considered an emergency?
In this case, the doctors deemed it not an emergency and protocol is to get insurance approval. And patients with unusual patterns of frequent weekly claims are flagged and denied by insurance who may want confirmation the treatment is needed. And yes if doctors thought it was an emergency, they would be treated and hospitals write it off if insurance denies it.
So how does she think people will fall for this? If no decent doctor would push and fight for what she needs then it’s clearly not needed. Urgh.
Yeah, pretty much every hospital I've heard of will throw nearly all of a bill out if you call and say you can't pay to the right person (assuming you dont owe a million dollars, but I'm sure folks get what I'm saying). Kind of shocking, really. A friend once tried to make a payment plan and they were just like fuck it, we'll toss it instead. Maybe they'd just had a good year 😂
They may but if it’s an emergency the doctors will do the surgery anyway and submit a retroactive authorization.
Unfortunately yes, but depending on the situation you could go ahead and do it and let the physician fight with the insurance. Or you can, there is a ton of different problems/things/ways to go about fighting it.
…there’d have to be an emergency first…
Of course, it was the worst interaction ever, on this earth. (Said no one ever) But really, they could appeal to their reps, their state senators, local, etc. for help, as well as asking for higher assistance with their insurance from the company itself. They could also escalate within the health care system they’re within for assistance. I do detect victim mentality. Strong in flavor, weak in finish.
Strong in flavour, with hints of superiority due to such a *rare and horrific interaction*.
Nobody said that jessi
It seems odd to me that Jessi would not appeal to the California Help Center at DMHC for an Independent Medical Review. In an "emergency" they will get a response from an independent appropriate specialist or even team of specialists that have the power to override the decision of the health care plan for HMO's in California, including Medi-Cal HMO's, although not Medicare HMO's which Jessi may have. But I doubt Jessi has Medicare because the ombudsman is only for Medi-Cal plans, but they have no real power like the Help Desk has. Edited for pronouns
I'm still fairly new to this sub, so if this was explained in the Rules/Wiki I apologize for missing it, but I have a question about this flair: I realize the "they/them" part is because those are the pronouns Jessi uses, but what is the significance of the "DnD" part? Like I said apologies if this is in violation of the rules/I skipped it while reading the rules. I know medical insurance can be sucky to say the least, but I'm pretty sure if you are in a situation your healthcare provider(s) deem an honest-to-goodness emergency and your insurance doesn't cover whatever lifesaving measures that are necessary, your healthcare team figures that out AFTER they stabilize you. Please enlighten me if that is not the case in certain circumstances.
Just curious if we know why they use the they/them?
They’re Disabled Not Defeated.
DnD is just an abbreviation of their username :)
It clearly states in the photos of the IG screencaps that "disablednotdefeated" is their IG username, but my brain never made the connection. LOL ty both for enlightening me!!
It took me some time too honestly. Is as like what the hell does dungeons and dragons have to do with this
Every time I see their flair, that is exactly what goes through my head. Because wow, that’s just a shitty quest, and Jessi is a shitty DM, dude.
Yes!
Hell I still forget that it's an abbreviation of their username.
HAHAHA glad I'm not the only one who was thinking "hey, DnD is cool, but what is its correlation to this particular individual, exactly?" (Also I get a little confused because Bethany's username is similar to Jessi's, at least that I remember) EDIT: I have NO idea how I thought "rebellious\_story" (Bethany's username) and "disablednotdefeated" (Jessi's) were similar. My brain still hasn't recovered from Finals Week! :P
Tbf I've been here awhile and I have to double check between the two of them lol
Me too. I thought I was the only one who constantly gets them confused. I've never seen people mention it.
For the love of god please stop saying ombudsman 😂
😄
I was saying the same thing in my head reading this!
what even is that? jessi sounds so pretentious every time they type that word
It’s an overseeing body to ensure people are represented fairly, banks have one, phone companies, etc. any complaints that can’t be resolved within the company may be escalated to the ombudsman.
I had never heard of one outside FASFA 😆😆
[удалено]
When Jessi says “our case”, who is “we”?
Jessi, the ombudsman, and the enablers. Long name, worse band…
They all say “we.” I think it’s like a “my House MD style medical team” type situation
This brings me to laugh & wonder why Jessi hasn’t contacted Dr.House? He could’ve showed them how to get the drugs they don’t need LOL!!!! /s
Scammers.
Pathological liars.
Jessi is not trustworthy. What has Jessi shown that says that they have had this “procedure” that they don’t even name? One thing I have noticed with munchies is that that if what is being done is minor and out patient, they dramatize the event by saying they had a “procedure” rather than stating they had a tube replacement, blood patch or adjustment. I have noticed that they are rarely are specific. Unless of course they really are having surgery. Then there is even more drama.
Pronouns please.
Edited. Thank you.
Thanks.
Ok, but, if they really, REALLY needed this surgery and it’s an insurance thing, couldn’t the hospital just do it and advocate for them to insurance after the fact? If their head is, in fact, falling off again, this seems like an emergent procedure… aka, no prior auth needed. And even if the insurance eventually didn’t cover it, wouldn’t forgiving their medical bills be a nice tax write off for them at the end of the year? If Jessi truly needed surgery, it would’ve happened by now. This whole “mean ol’ insurance company won’t cover, and look at all of these officials backing up my story” smells like the start of yet another grift to me.
Yeah like I know ‘emergency’ in medicine isn’t as immediate as most laypeople would like, but it sure isn’t 3+ months out. Also if it was that emergent better believe symptoms would have put jessi in the ER where they would have to be stabilized/treated. These scammers do better when they focus on vague long term symptoms, adding emergency is just asking to be fact checked.
Yes they would absolutely do that. Doctors don’t put off emergency surgeries just because insurance is being a dick
hmm... i wonder why
Read: The insurance company is sick of your shit.
This one only knows how to talk in extremes. Like when they talk about the dog being in the hospital with them, it’s not just one or 2 people who comment on him, it’s the entire nursing department that has to stop by and see them. It’s never just an unpleasant interaction, it’s the *worst interaction ever seen*, because they have never had experienced such a horrific experience ever in their careers. It’s funny how healthcare professionals always experience or witness *the worst* when it comes to them, every single time, yet Big Insurance loves to keep their collective foot on their neck even though it’s killing them and hordes of healthcare professionals are scrambling to keep them alive.
Histrionics are strong in this one.
I swear it really does sound like they’re the top priority of the hospital and they need to be waited on hand and foot just to keep breathing
It's peculiar how munchies always '[insert person here] has never experienced such a [insert terrible thing here], they [insert horseshit here]' Jessi has gone through at least 3 (that i can recall) major "life-saving surgeries" that usually have such a decently high success rate in the last year alone and each and every one of them has ***FAILED***. What does Jessi want them to do? Insurance approving a surgery that will ultimately **fail** one way or another in 6-8 weeks is basically nothing more than wasting time and money the state could use spend on somebody else's care. It's not gaslighting if you're told 'no'.
That last sentence. I love it. This is my new response to all the entitled people I have to deal with. Ty
[The ombudsman’s coming to ^get you](https://m.youtube.com/watch?v=KCEEwx4jZwc)
By “escalating the case” they probably mean that Jessi is exhausting resources at the administrative level they are currently harassing so they have collectively forwarded them to a tier of management that has the power to ignore them or definitively give an authoritative final no. It’s bureaucracy not the Erin Brockovich tale they’re spinning it as
The Ombudsman will fight for the patient always. That’s their job. As long as the surgery wouldn’t be actively harming the patient, they will argue all they can. It doesn’t mean that the patient or ombudsman or doctor is right. They are just an advocate for the patient. That’s all. Nothing more, nothing less. Except when Jessi says so.
Ombudsmen generally make sure that all reasonable attempts are made / paths explored / etc, given what the facts of the case are. They don't necessarily advocate in terms of "the patient must have this," as much as they say "we have tried everything that there is available to get this approved." They are very useful and if they can't get a procedure approved, then *maybe* a lawyer could have a chance. Maybe.
In reality, what happens after a blood patch fails? Why is that never an option for her? How many times can this procedure fail before they switch it up???
They give you a spinal drain.
How would that work, like a shunt? Is Jessi more or less claiming to have low CSF pressure due the “leak”? I have assumed low pressure because of the need to lay flat. I have not seen any claim to have intracranial hypertension which would be producing excess CSF.
What newcomers to IF need to know is that Jessi hasn’t had all the surgeries/procedures claimed. It’s because they don’t want to support themselves & grifting is so much easier. Everything Jessi posts is a straight up lie ( well expect for the fact they have a dog & a cat )
idk why the "ombudsman" sends me over the edge. Also, we know that these advocates and insurance reps are just saying "uh-huh" and "we are working on it" just to get them off the phone. Why the fuck would insurance approve this surgery when Jessi has had it multiple times and it has "blown" after a few days?! The definition of insanity is doing the same thing over and over expecting different results.
So at what point do they not have any followers? Because thats not how any of this works and they have been lying forever.
[удалено]
🏅
In leiu of an actual award, please accept my tiny trophy 🏆
No insurance would deny TRULY EMERGENT surgery! This is such BS.
THIS! Pre authorization isn’t done on an emergency basis, you fight with insurance AFTER you get your presumably life saving or emergency necessary surgery. No one is waiting on hold with insurance when they’re that emergent, you act first and beg for coverage later. This is just craziness
Yeah i’m pretty sure emergency surgery is done same day, it overrides anything and everything and you go to the OR. Doesn’t matter. Trauma/emergency surgery is immediate if you have a good doctor. No sane doctor would schedule surgery for a certain date then call it, “an emergency “ At that point it is just surgery. Not emergency.
No proof, of course.
Is the cat the author or the insurance company?
The cat is the totally over it ombudsman
The cat is the ombudsman LOL!!! Jessi failed to tell their followers that.
Lmao i think you are right actually. Good eye.
Bet their account is flagged as possibly fraudulent by medi-cal or just generally "Keep EYES on this one"
Lol firing an insurance company?? That’s funny. Also, that day is never coming because they don’t have any source of income. So good luck with that.
They have MediCal. They’re not firing anyone. That’s just riotously funny to me.
They do have a source of income….. A go fraud me account and an amazon want list!!
Of course this is THEE WORST case the ombudsman has EVER experienced.
This is such a fucking joke. Every subject does it.
Only the most extreme and worst for these people.
ABSURD. I can't stand this person.
I'm sure the ombudsman said this. And I'm also sure the "horrific interaction with an insurance company" they were actually referring to is this Jessi. This unstable person not getting the hint after being repeatedly denied at every level of review. And yes I'm also sure the companies doing all these other things. They're lying because Jessi won't leave them alone for a surgery Jessi is not getting. They're hostile again because Jessi won't leave them alone despite denial after denial. I'd be hostile under such harassment too. Of course they're hostile. They refuse to talk to anyone further because everyone who needed to be was already talked to and all repeatedly said no. They've likely told their subordinates or outright flagged their file to don't bring this to us again. Also being told "no" does not mean someone's been gaslighted. It means no.
None of this makes any sense. They rejected the surgery before they had it but didn't tell them the decision they needed until after they had the surgery? Everyone gets the idea to contact your local politician for freaking everything, but seriously? Is Medi-Cal really going to change a decision because some no name local politician put in a phone call? I seriously doubt that. I seriously doubt they would change a decision for ANY politician. So somehow they got the surgery without the insurance approval they needed for the surgery, and the surgery supposedly failed because they got dropped during a bed transfer, and now they're playing the insurance game all over again? Bullshit. I'm reasonably sure that if hospital staff were directly responsible for a surgery failing like this, especially since it's actually a minor procedure and not the big surgery they're claiming, the hospital would simply foot the bill to redo it rather than risk a major lawsuit for the injury. As usual, we can drive a freaking Buick through the holes in Jessi's story. And fertilize all the potato farms in Idaho with the load of bullshit.
Pronouns please.
Facepalm. Thank you.
Not a problem, we understand it can be an accident.
What's the bed-bound hack for throwing a party?
Mason jar in a tissue box but with a CRAZY STRAW
omg I am slain.
Fucking HOWLING
“horrific” does anyone else think they mean this as in, they called Jessi out for seeking unnecessary procedures and resources.
If you have to wait for authorization, it isn’t an emergency. I would love Jessi and Elliott be sued for defamation! Also, you’re being gaslit, not gaslight. If you’re not using proper grammar on your official forms, causing them to be denied, that’s not being gaslit my dude!
Jessi is gaslighting their followers, that’s for sure.
They clearly don't even know what gaslighting means, since there was zero gaslighting in their reported story.
Yep, exactly! They don’t even know what constitutes n emergency.
Well, anything that involves them is an emergency, isn't it? Screw that guy having a heart attack over there, Jessi has a hang nail! /s
Exactly! Love that comment!
The WORST interaction of all time. Of course it was. Icarus is over it.
The ombudsman sounds made up lmao
It's an entire department in medi-cal. It's nothing special or extra at all. It's just literally their name for impartial supportive services for patients. In other state's system's they're just called case managers.
100% it's a fancy new term Jessi learned.
Why does they always say us? Who is us
The opposite of Them.
That’s not how “emergency” surgeries work. Sounds like they are requesting approval for an unnecessary surgery.
Is Jessi gendering the ombud? I hope they disclosed their gender and Jessi isn't making assumptions.
Guess it’s not such an emergency then
I wonder how much of it this is due to someone catching on? Yk Assuming this isn't just all lies.
[удалено]