Passages Malibu Alcohol Rehab and Drug Addiction Treatment & Blue Cross, Blue Shield Anthem Medical Insurance

Posted on December 19, 2011 by Annie Neugebauer

NOTE: I am astounded by the number of patients, family members, and past employees of Passages who continue to reach out to me with their own personal stories. Thank you all so much for your condolences, support, and suggestions. However, due to my family’s resolution of the issue, I am no longer seeking advice, and am therefore closing comments on this post. To find out what happened with this whole mess, please see my follow-up post, “Love, Closure, and What It Feels Like to Give Up.” I wish you all healing, love, and progress with your own personal closure. Thank you.

*

This is a cry for help.

There is no way to keep the emotion out of this blog post. My hands are already trembling, even as I’m thinking, “Don’t make it too long or you’ll lose people.” But the only way to ‘summarize’ something that’s incredibly, deeply painful is to do so brutally. Here’s the black and white of it, *as best I can manage:

In February of 2008, my brother and I sent our alcoholic father to a fancy, expensive rehab center in California. Passages Malibu was not a decision we came upon lightly. And I hate to talk money, because money is not what it’s about, but money is what it came to, so I’m not going to shy away from it. My dad was wealthy. We were able to afford this using his money. His disease had gotten so severe that I knew he was going to die soon. I even have a letter I sent him saying so – an eerie foreshadowing that the deepest part of my heart already knew. I even listed killing himself as one of the things I feared. And I was right. My dad committed suicide. But I’ll get to that later.

What I’m trying to say is this: my brother and I were out of hope. We were desperate. We were losing more and more of Dad every day, and we’d tried everything. Seriously, everything we could think of. He’d been in and out of multiple rehab programs in Texas. In-patient, out-patient. Doctors, hospitals. Jail. We’d tried moving in and babying him. Moving out and letting him “learn the hard way.” I mean we tried everything. At least I will always have that. That and the fact that through it all, even the darkest moments of our lives, we bathed him with love. Unconditionally.

In the midst of this despair, we came across something different. Something that wasn’t 12-step. I mean, 12-step hadn’t worked for years, so the fact that this new program hinged on a different foundation seemed promising. We read The Alcoholism and Addiction Cure by Chris Prentiss. It seemed like The Answer. It seemed like a brilliant light on dark seas. It seemed like the only chance we had left to save him.

I knew it was risky. Although Passages boasted an 85% “cure rate” while most rehabs have an 85% relapse rate, that still left the potential that Dad could be in the other 15%. And it was out of state, which made me sad to think of – not seeing him at all for a full month. Plus it was ridiculously expensive. Including the $5,000 intervention fee, we paid over $72,000. Yes, you read that right. Seventy-two THOUSAND dollars. It seems extreme, but the way we saw it: Dad had the money. He was dying. He couldn’t use the money if he was dead. What else was he saving it for? So we could inherit it when he died? We’d rather have him. So we paid. I took out a loan just to cover the reservation.**

After the intervention, Dad checked into Passages on February 24, 2008. He was released with a clean bill of (physical and mental) health on March 28, 2008.

He drank the day he got home.

He was worse than ever. He stopped going to work. He got in a car accident (didn’t hurt anyone, thank God) in May and was sent to jail for 2 ½ weeks. He “retired” from his job of 24 years, which he loved. When he got out of jail, a forced 18 days sober, he sounded staggering drunk. I believe he had developed Wernicke–Korsakoff syndrome, better known as “wet brain” disease – but we will never know for sure. I knew, though, that he would not get better this time.

But you can never truly give up on someone you love. We scheduled him for another rehab center – this time a 12-step in-patient facility in Texas. He was signed up to go in on June 19, 2008. On June 18, he shot himself in the head.

I’m skipping it. All of it. The grief, the pain, the emotional trauma. The will, the readying and selling of his house – my childhood home. The life insurance, the inheritance, the splitting and selling of his things. His clothes. His truck. I’m skipping everything, because that’s not what this blog is about.

This blog is about Passages Malibu and Blue Cross Blue Shield health insurance. I feel that we were scammed by the first and wronged by the second.

It is hard for me to believe that it has been almost four years since Passages and we still have not received a dime of our insurance money for Dad’s treatment. But there are two issues at play here, and I will try not to confuse the two.

1) Blue Cross will not cover the portion of Dad’s treatment that I believe they should cover. In fact, they won’t cover any of it. The rejected our claim (after dicking us around for years). And I quote, “At the time, there was no indication you had such severe symptoms of withdrawal, co-morbid disease, or other impairments that you required a monitored setting to treat your substance use disorder. You did not have a severe medical disorder for which you needed constant supervision while you received treatment for your addiction.”

Three general physicians with constant (failed) treatment, a psychologist, three emergency hospital trips, and countless attempts at both in- and out-patient rehab clinics apparently doesn’t cut it. They just don’t want to pay. And the real kicker? I don’t think they would have treated my dad like this. I think they’re taking advantage of the fact that my brother and I are young and we don’t know what to do. If Dad were here, this would be over by now.

2) Passages did nothing to help my dad. After dad got out and drank, one of my family members called them about his relapse. Their response was that Dad had been, “beyond help” when he got to Passages.

Beyond help? Beyond help? Then why did you take his $68,000 dollars? Because they wanted the money, is all I can see. They knew they couldn’t help him, but they admitted him anyway. And when he wasn’t better at the end of 30 days, instead of holding him longer or suggesting further care, they let him go and said he was fine. They released him knowing he was still ill. He needed help, and they didn’t care enough to give it. And now he’s dead.

How is that not a scam? At the very least, it is a despicable level of neglect.

So what is my point? Why am I writing this? It has been indescribably painful to type this up, and I’m sure it will be even harder to post for the world to see.

I need your help. I can’t do this alone. My brother and I are hurt, exhausted, and quite frankly, scared. I’m afraid of messing something up and getting caught in legal technicalities. I’m afraid to go to a lawyer because I’m afraid we’ll just get taken advantage of again. I need advice. Please, tell me what to do.

Here’s what I’m asking:

Of Passages: We want a full refund and an apology. We want to be treated with respect. And we want you to stop taking advantage of families of people you know you can’t help.

Of Blue Cross: We want the rightful percentage of coverage for our father’s treatment. We want responses that don’t try to drown us in jargon. And we want to stop be transferred to empty departments and getting “called right back” months later.

Of you- my family, friends, readers, and strangers: I need advice. I need suggestions, trust-worthy resources to go to, and help. I feel like I’m totally alone and fighting a useless battle. It’s only partially about the money. We’ve always lived humbly and I’m perfectly happy that way. I have no problem paying my dues.

It’s mostly about the principle, as cliché as it sounds. It’s unfair to allow these huge companies to get away with ripping us off royally just because we’re two young adults with no idea what to do. It’s not right. And as silly as it may sound, they’ve hurt my feelings. I do everything in my life with integrity, honesty, and trust. The fact that anyone else wouldn’t – even big companies like these – seems like a personal insult. They need to make it right. And I’m going to do everything I can to make them make it right. And to prevent others from falling into the trap that we’ve fallen into. But I need your help.

What should I do?

Thank you all for your love, support, suggestions, and time. And I’m sorry to my family for bringing up painful memories. You guys have been so wonderful.

Here’s hoping that your holidays are happier than mine.

*This blog post is the truth as I have experienced it. To the best of my knowledge, everything is accurate, but it is all from my point of view.

**I should mention that we did do our research before we jumped into Passages with both feet. We read reviews, searched the web, checked them on rehab lists, and confirmed their Better Business Bureau status. They were hard to find as they are under “Grasshopper House, LLC,” but once we did we found that they have no complaints against them since their joining in 2002 – and still don’t.

I have intended all along to file a formal BBB complaint against them, but was afraid of running into the “spit in your food” phenomenon (shooting myself in the foot). I think it’s time though, seeing as nothing is happening anyway. Would we have done something differently if we’d seen a complaint like this when we searched? I don’t know. But you can bet that I’m going to file one.

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The Adventures of Squirmy

Posted on December 12, 2011 by Annie Neugebauer

I thought you guys might like a laugh to get your week started. Here’s a poem of mine that won the National Federation of State Poetry Societies sonnet contest in 2010. It was first published in their prize anthology Encore.

The Adventures of Squirmy

My brother had a frog with four webbed feet—
a gift. My mother wouldn’t touch the thing,
but driven by her need to keep things neat,
set out to clean his filthy tank, one spring.
So Squirmy got a temporary home
of glass; no lid did grace its shorter top,
thus Squirmy sensed his chance to jump and roam
about on new dry land; so out he popped,
slipped down the kitchen sink with one knee-jerk.
My mother, scared of frogs…well, lost control
and thought she had to call my dad at work,
so when he heard her say “disposal hole,”
he figured Squirmy’d be already gone
and all he knew to say was, “Turn it on.”

Annie Neugebauer
© 2010, All rights reserved.

*Yes, it is a true story. And no, Mom did not turn it on. Squirmy lived for many more adventures and an incredible 10 years.

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Why Writers Online Should Avoid the Impulse to Change

Posted on December 5, 2011 by Annie Neugebauer

You see that picture above? Me wearing purple and smiling like a goober? I’m sick to death of it.

Since that photo, I have since had shots of me that I like better. Namely, this one, where my hair is in its natural mane instead of straightened:

So why haven’t I swapped them out? It’s simple, really: You recognize that picture.

Unless you’ve stumbled upon this blog post randomly, you probably know me, at least vaguely/subconsciously, as “that smiley girl in the purple shirt.” You should, anyway. I use that headshot on my blog sidebar, my Twitter, my Google+, my Goodreads, my author bios, my Klout, my Linkedin, my Disqus, all of my blog memberships, and any other online venue that I’m partaking in as a professional writer.

And not only that, but I’ve color coordinated, too. Purple (to match that shirt, of course), orange, black, gray, and white are the colors I stick with whenever I have the option to choose my own colors. And I choose damask whenever I can choose a pattern. (These colors and pattern are the best compromise, to me, between my vastly different genres of horror/gothic, literary, and poetry, but I’m getting off topic.)

The reason I do this is to begin building name/face recognition, and it’s easier for people to remember you if you’re consistent with your online image. Think about it this way: your hundreds of Twitter followers are also following hundreds of other people. It’s easy to overlook someone. You have to make effort to build relationships with people. And since those people’s timelines are filled with thousands of tweets that they have to sort through every day, most people scan.

The way they scan? They look at those tiny little avatars and/or your Twitter handle (your @ name). If you’re one of the lucky people who they’ve built a relationship with, you’re probably one of the avatars they scan for amidst the masses. If you change that avatar, you’re much harder to find. In fact, I can think of several Twitter friends that I don’t know any more, and I strongly suspect that it’s because I knew their picture better than their name, and now that they’ve changed it I can’t figure out who they are.

Here’s another scenario. I’m a reader. I read a short story/poem that I absolutely LOVED in one of my favorite literary magazines. In fact, I loved it so much that I went to the contributors page and looked for the author’s bio. Next to their neat one-paragraph summary is a picture of them in a red hat. At the bottom is a link to their author website. I click on it.

There, right on their sidebar, is that same picture of them in a red hat. I know I am in the right place: the home base of the author I now love and will follow forever. If the picture had been of them twenty years later with no hat and a different hair color, I might be confused. I might think I had the wrong website. I might just move on, because hell, it’s easier anyway. They’ve lost a potential reader.

So what am I getting at?

Don’t change your stuff.

There are exceptions, of course. Sometimes websites really do need overhauls. But that should be a once-every-few-years thing, not a monthly thing. Same goes for headshots. When I get a book deal, I’ll want to get a professional author photo for my promo stuff, book jacket, etc. But once I get that new headshot, I’ll put it everywhere and keep it for as long as I can. And wherever possible, I’ll bring it to people’s attention that I’m changing my picture, so they can make the connection between my old photo and me as their online friend.

And I’ll hopefully never change my Twitter handle, etc. That’s why it’s good to use your publishing name as your website title and username for everything you can. No matter what else changes, that will always stay the same, building name recognition between you and everyone who follows you. Same thing for avatars. You want a picture of you, not your book. Your book will eventually become a different book; you will always stay you. Besides, people want to interact with other people anyway – not objects.

So that’s why I think writers working on their online platforms should avoid the impulse to change their avatars, handles, and website templates like they’re nail polish colors. The interwebs is a big place for writers, and we work hard to build connections with each other. Make it easier for people to keep them by making it easier for people to recognize you from venue to venue.

And yes, you should go ahead and make peace with purple-shirted, straight-haired, smiley me, because I’ll be keeping that photo as long as I can possibly bear it.

What do you think? Are you guilty of swapping photos every time you get a better shot? Twitter handles? Blog templates? Or do you think I’m wrong, and that variety is the spice of life? I’d love to hear your thoughts.

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Physical Books: Reading, Sniffing, and Torturing

Posted on November 30, 2011 by Annie Neugebauer

Mmmm… doesn’t that smell good?

I have a piece of flash fiction that was just published today in the December issue of The Washington Pastime. Wee! I love it, have always loved it, and am very happy that it found such a lovely new home. My story is called, “The Book Sniffers,” and can be found on lucky page thirteen. *thumbs up*

As you might gather from that title, I enjoy sniffing books. A lot. In fact, I occasionally go to libraries and used book stores just to browse the aisles and sniff. And I’m not the only one. Turns out there’s a chemical reason for that delicious old book odor:

“Lignin, the stuff that prevents all trees from adopting the weeping habit, is a polymer made up of units that are closely related to vanillin. When made into paper and stored for years, it breaks down and smells good. Which is how divine providence has arranged for secondhand bookstores to smell like good quality vanilla absolute, subliminally stoking a hunger for knowledge in all of us.” –from Luca Turin and Tania Sanchez’s Perfumes: the guide

So I’m not *totally* crazy. (Yeah, okay – I am.)

Even teh kittehs want in on teh actshun.

I like to think of physical books as candles: what’s the point of having them if you’re afraid to use them? Some people will buy candles that are so pretty that they never burn them. I’ve never really understood that. To me, a candle (like a book) is a functional thing. Pretty? Sure… while you’re using it. Key word = “using.” Neither are meant to live on a shrine.

Uh-oh. I’ll have to break the glass to sniff that bad boy.

My dad used to hate it when people broke the spines on his books. He didn’t like that white line that went through the title. But how are you going to read comfortably if you’re only holding your book open at a 90 degree angle? I tried to be careful when I borrowed books from him, but when I bought my own, you better believe the first thing I did was crack that sucker open. I love the sound of a book spine breaking for the first time. Makes me feel like an officer of the Spanish Inquisition.

I love torturing books.

Check out this book weight. I use it almost every single day of my life. If someone found this in my bedside table, unexplained, they would surely think it was… well… something saucy.

Drop your pants and spread ‘em, book.

And that’s not all. I shamelessly dog-ear corners if I lose my bookmark. I clasp pages open with clothespins at the gym. I splatter soup on pages while using my bookstand. I take off book jackets completely. My cats chew the corners of hardbacks. I tote little paperbacks in my purse. I mark up the margins like I’m still in college. I show my books no mercy, and they love it.

Please, Miss, can I have some more?

Because honestly, what’s the point of having a book if you’re afraid to use it? To really get in there and – forgive me – abuse it with glee? With the rise of e-readers, physical books have become even more of a treasure to me. I don’t have anything against ebooks; my husband has an iPad and I’ve read a couple of books on there and liked it just fine. But there are things a physical book can give you that a screen just can’t. The main thing being an experience.

This screen just smells like cogs and finger smudges.

[Side note. Did you read about Ray Bradbury releasing Farenheit 451 as an ebook? Ironic. Almost as ironic as “The Book Sniffers” coming out through digital publishing.]

No doubt times are a-changin’. And even as a physical book fanatic, I think that’s okay. I, for one, will still teach my kids and grandkids the love of a good, hardcover book, just as my mother taught me. And come to think of it, my Gammy always said an unburned candle is tacky, tacky, tacky. So crack a spine, torture a book, read it, for God’s sake… and really get in there and sniff.

What do you think? I’d love to hear your opinions and stories, book lovers! What’s your favorite book memory? Do you value physical books? Will you always? How do you treat them, and why?

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So You’re Thinking of Getting a Cat

Posted on November 21, 2011 by Annie Neugebauer

I’ve lived with 9 cats so far in my life, 5 of them specifically mine. I love cats more than anyone you will ever meet, so I am all for other people getting them… especially if I can visit. =D But there are some things I’ve learned along the way that you should consider before you run out and adopt a kitty.

How many cats should I get?

Generally, 1-3. My favorite answer? 2.

Three cats is practically a litter, which seems like a bit much – especially if they’ll be in the house. But one cat can get lonely. Now, cats are not as social as dogs, so some cats will be perfectly fine alone. But all cats, like people, have different personalities, and some of those personalities are playful and social, and if an owner doesn’t have as much time to interact with that cat, the cat can get depressed and dejected. In extreme cases that cat can actually become neurotic due to a lack of social interaction. And no one wants a neurotic kitty.

Since I know from experience how difficult it is to get a second cat once you’ve had the first cat for a while, I would recommend getting two off the bat to avoid this problem entirely. And to make sure they get along well, you can’t go wrong with getting two kittens from the same litter.

Where should I get it?

There are so many cats in this world who need homes. Ultimately, you can’t go wrong if you get a cat from any place; you are still saving that cat. But I personally can’t bear to think of paying for them at pet stores when there are thousands of stray cats at animal shelters who desperately need homes. Saving kittens that are on the streets is noble, too, as they would most likely also end up in animal shelters. Grown cats off the streets, however, will likely never make a good domesticated pet.

What age cat should I adopt?

That depends. What are your intentions? I’ve always gotten kittens because I like to be extremely close to my cats, and raising them from a young age guarantees that. But if you want a cat who lives with you but doesn’t necessarily revolve around you, a grown cat is a great option. Kittens are also a lot more work; a grown cat is less maintenance. There are plenty of both who need adoption.

Should it be short- or long-haired?

Long-haired cats are gorgeous, but they’re a pain. They leave their fur everywhere, and they are much more prone to hairballs, which are, indeed, disgusting. You can’t help which kitty you fall in love with, but I would certainly recommend steering your love in the direction of short-haired if you’re a low-maintenance type of owner.

Should it be indoor, outdoor, or both?

There are several ways to look at this, and there truly is no right answer. My dad was a huge cat lover, and he firmly believed that being cooped up inside was no life for a cat. I, on the other hand, will never own another outdoor or indoor/outdoor cat. Indoor cats live longer — period. Every time your cat goes outside, it is at risk: cars, predators, cruel people, getting lost, fights with other cats, etc. Not to mention that if it comes back and forth between inside and out it can bring with it fleas, parasites, and other diseases.

But, like I said, there are different ways to look at it. Maybe a freer, more wild life is worth it for the cat even if it does shorten their life expectancy. But my indoor cats are extremely happy kitties. As long as they have windows to look out and plenty of toys to play with and stimulate their minds, they will be fine. So my vote? Indoor. I want these kitties to grow old with me. I have lost three outdoor cats early, and it is truly heartbreaking.

Should I get it fixed and/or declawed?

It is my belief that everyone, everywhere, should always get every single cat fixed at the youngest age possible. There are way too many stray cats and not nearly enough owners for them. There will always be more kittens; you do not need to “breed” your own.

Declawing is another issue. Some people always declaw every cat they own no matter what. Some people think that declawing is an inhumane practice equivalent to torture and should be made illegal. As always, there is more than one way to look at it, and the truth is probably somewhere in between.

If your cat is outdoors, or indoor/outdoor, you should not declaw. A cat outside needs to be able to defend itself from other cats, and it cannot do that without front claws. And no cat, ever, should have its back feet declawed. Indoor cats occasionally get out, and those back claws are their only chance of survival.

But there are reasons to declaw an indoor-only cat. Namely, property destruction. Some cats naturally gravitate toward scratching posts – yahoo. But others can wreak havoc on furniture, curtains, doors, and other possessions. My vet put it this way: with so many owners getting rid of cats because they can’t afford to have their furniture ruined, how can declawing be considered completely wrong? If it saves the lives of cats, it seems worth it. And although you hear that it is equivalent to removing a human finger at the first knuckle, that is not true anymore. If it’s a difference between having to get your cat declawed or getting rid of it, I certainly think declawing is the lesser evil. Some people disagree, and that’s fine. You’ll have to make your own choice.

If you do think declawing is the way you’ll go: do it early. Young kittens heal so much faster than older cats. They can be declawed and fixed in the same appointment and be back on their feet after a day or two. A very young kitten won’t even remember having claws and will never know the difference. And yes, declawed cats can still climb, play, and do pretty much everything else a cat with claws can. I’ve even caught my declawed kitty “scratching” the scratching post. Another consideration: if you have more than one cat, you will need to have either all or none of them declawed. Cats do fight, and you don’t want one cat to be at an unfair advantage, as this can lead to serious power struggles and conflict.

What are some other considerations?

Where will you put the litter box(es)? You need at least one litter box for each cat you own, and yes – they do stink. I mean, there’s shit in there. What do you expect? If you’re a neat freak, you might want to consider putting your litter boxes in the garage and having a kitty door to get to it. The downside of that is that if your cats are indoor only, you can’t easily pull your car into the garage. The upside is that your house won’t smell like litter box. Another option is to put your box in a bathroom, although that can be kind of gross for non-cat-lovers who visit your house. Do you care? This is something important to consider before you get a cat. A litter box needs to be scooped every day.

Will cat hair drive you crazy? You can get a “neutral” colored cat (tan, gray, brown) to help hair blend in to furniture, but it will still be there. If you don’t want to be constantly vacuuming, lint rolling, and saying, “Sorry about the cat hair,” this is a serious consideration. It gets in everything, on everything: promise. As I mentioned above, long-haired cats are worse, but all cats shed. Don’t get a cat if you’re not okay with that.

Can you afford a cat? Vet trips are super expensive. Fixing a cat can easily cost $200, and that’s per cat. Food, litter, toys, emergency vet visits… it does add up. And there will always be unexpected expenses: count on that. Hundreds of kitties are put on the streets and sent to shelters for this reason every year. Plan ahead. Please be responsible and don’t get a cat if you can’t afford it.

Are you allergic? You might want to get tested before you get a cat.

Will the cat(s) be allowed to sleep with you? Or go into your bedroom at all? Sleeping with a pet has been shown to decrease sleep quality. Is that worth it to you? If not, is your home big enough for your cat to sleep elsewhere if you close your bedroom door at night?

Do you have the space for a cat? Admittedly, cats aren’t dogs; they don’t need to be walked or have a huge yard to run around in. But they do need some space. Cats like to be alone for at least part of the day. If you don’t have at least a couple of rooms that are cat-friendly, you might have a grumpy kitty on your hands. And multiple cats need much more space than just one. They are very territorial, and definitely need to be able to get away from each other. Vertical space is a great solution for this. Cat towers are a nice option to increase kitty’s domain.

And, finally, will your housemates be okay with your cat(s)? Hopefully your spouse/roommate/family aren’t cruel enough to hurt or “accidentally” release your cat, but that does happen and it’s very sad. And even if they tolerate it, will they be happy? Depending on your relationship with said housemate(s), this could affect you more than your cats. Consideration for others is definitely something to keep in mind. A happy housemate is a good housemate.

So there you have it. Every consideration I could think of about getting a cat. I hope it helps. Peace, love, and kitties to you all.

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