upworthy
Identity

Trans doctor says major insurance companies are refusing to pay her after legal name change

"As long as they're denying my claims for my services on that ground, they can do that to any trans healthcare provider of any type."

insurance companies; trans rights; trans doctor; trans community
Courtesy of Dr. Tiffany Najberg

Insurance companies can withhold pay for trans doctors and one doctor is fighting back.

Insurance companies can be a frustrating maze for consumers and for providers. It's not uncommon to call the number on the back of your insurance card and get a different answer every time you call with the same question. But for Dr. Tiffany Najberg, the fight with the insurance companies is a bit more personal.

Najberg is a transgender woman who has run into a multitude of problems in the insurance claims world—not as a patient, but as a provider. After changing her name legally and updating all of the required information on official websites, including the Council for Affordable Quality Healthcare and the National Plan and Provider Enumeration System, two websites insurance companies look at to verify providers' credentials and ability to practice, her claims have been denied.

In the beginning of this year-long saga, Najberg was receiving checks, but the checks were in her dead name and couldn't be cashed. After going several rounds with the insurance companies, the checks stopped coming and the insurance companies started denying her claims altogether. Of course, this prompted even more questions and frustration since Najberg updated the insurance companies with her legal name as required.


Najberg told Upworthy that on six different occasions, she and her billing company attempted to rectify the situation to no avail. These aren't small companies that may have never encountered such a request. In fact, many Americans with insurance are likely covered by one of the companies she's currently challenging. "Human, Cigna and Aetna flat out refused, but Medicaid, BlueCross BlueShield changed it immediately so it clearly has been approved through national databases," Najberg said.

The insurance companies' refusal to pay has been hurting Najberg and her practice, UrgentEMS, located in Shreveport, Louisiana. "My clinic treats everyone, but we aim towards communities that are underinsured and uninsured. I don’t have money to pay my rent next month because of this," the doctor told Upworthy.

Najberg explained that between the three major insurance companies, she is currently owed nearly $200,000 in unpaid claims. Of course, she could turn patients who have these particular insurances away, but for Najberg, that's not an option because she focuses on serving those who are underinsured and people in marginalized communities. She currently has over 100 trans patients who need continued healthcare with someone who makes them feel safe.

During the height of the pandemic, her clinic served as a place where people could get COVID-19 treatment, with Najberg proudly saying she treated everyone across the political spectrum. Najberg has built such a reputation on TikTok for her openness and ability to present public health issues in a relatable way that CDC officials have contacted her for pointers on how to engage the public.

But none of that matters if she can't keep her doors open, and the fear that comes from recognizing that possibility keeps her up at night. Through tears, Najberg expressed her concerns for the most vulnerable population she treats, saying, "I'll likely have to sleep in my car, and what about my trans patients? If my clinic closes, a few of them may kill themselves."

Dr. Najberg runs a clinic in Shreveport, Louisiana.

Courtesy of Dr. Tiffany Najberg

Najberg actually found herself in the position to lose everything last month after once again not being paid, but thankfully someone anonymously paid the rent on her office space, which costs around $5,000 a month. Recently, she has relied on donations from her followers in order to keep her doors open until she wins her fight with the insurance companies.

During the interview, Najberg informed Upworthy that one insurance company is now complying. "Aetna has started processing all the back claims and a new contract has been signed. I have no retirement anymore. I have no savings. I’ll never own property. For a lifetime to be wiped away over a name change is ridiculous," Najberg said.

A name change isn't uncommon. People change their names for multiple reasons, the main one being marriage, so it would stand to reason that insurance companies know how to navigate name changes within their system. What makes this name change so different if other companies had no issue?

It took Najberg months of phone calls to find out the reason for her denials was due to her name change and she was advised to submit under her dead name. But submitting an insurance claim under a different name than your own is insurance fraud and kind of illegal, she protested.

For Najberg, who's had a lifelong passion for helping people, the fight isn't just for herself.

"If they’re doing this to me, they have to be doing this to other people. If they get away with this, they’ll do it to other trans providers," Najberg told Upworthy.

If you'd like to support Dr. Tiffany in her fight against the insurance companies, you can sign her petition here, and if you'd like to donate to help her pay rent and get needed medical supplies, you can do that here.

Diane Tirado/Facebook

Left: Teacher Diane Tirado. Right: The note she left for students after being fired.

If you're of the mind that kids today are being coddled and not properly prepared for the real world, well, you might want to buckle up for this one. The story out of a public school in Florida has parents and teachers alike up in arms.

A Florida teacher was fired for giving her students zeros for missing assignments. Diane Tirado has been a teacher for years. Most recently, she was an eighth-grade history teacher at Westgate K-8 School in Port St. Lucie, Florida. Diane recently gave her students two weeks to complete an Explorer notebook project, but several students simply didn't hand it in. Since there was zero work done, Diane gave them zeros.

She got fired for it.

schools, teachers, education, grades, students, parentsMichael Scott from The Office saying "What?"Giphy

The elementary school has a rule called the “no zero policy."

The lowest possible grade that teachers can give students is a 50, even if they don't turn anything in. That means that an extremely poor completed assignment is worth the same number of points as no assignment at all.

Hardly seems fair, right? Westgate is far from the only school that has such a policy, however.

whiteboard, education, classroom, teacher, middle school, 8th grade A message written on the whiteboard for her students after Diane Tirado was firedDiane Tirado/Facebook

It's a rule that Diane, unsurprisingly, does not agree with. After she was fired for disobeying, she left her students a charming goodbye message on the whiteboard.

"Bye kids. Mrs. Tirado loves you and wishes you the best in life. I have been fired for refusing to give you a 50 percent for not handing anything in. Love, Mrs. Tirado"

The scale, as outlined by the school, reads as follows:

A = 90 to 100
B = 80 to 89
C = 70-79
D = 60-69
F = 50-59

Diane later shared the story on Facebook, hoping to spread awareness about the school's policy.

“A grade in Mrs. Tirado's class is earned," she said.

“I'm so upset because we have a nation of kids that are expecting to get paid and live their life just for showing up and it's not real."

Diane's post has gone viral, and most commenters agree with her position – it's not fair to hand out grades for work that doesn't exist.

No zero policies are common in many schools, and teachers notoriouslyhate them. But it's at least worth considering why they exist. Some educators say it's because when a student earns a zero, it's very difficult for them to ever recover their grade in that class. In other words, it may be too harsh. Others argue that, if you don't want a zero, don't turn in nothing! Getting an earned-zero is a great way to learn to at least try.

A follow up statement from the school stated: "Ms. Tirado was released from her duties as an instructor because her performance was deemed sub-standard and her interactions with students, staff, and parents lacked professionalism and created a toxic culture on the school’s campus. ... During her brief time of employment at West Gate, the school fielded numerous student and parent complaints as well as concerns from colleagues. Based on new information shared with school administrators, an investigation of possible physical abuse is underway."

However, school representatives did not deny the existence of the no zero policy, and Tirado claims the school engaged in a smear campaign after she became a "whistleblower" on their policies. She's currently considering legal action against the district.

Still, the debate over the grading policy rages on.

“The reason I took on this fight was because it was ridiculous. Teaching should not be this hard," Diane said.

This article originally appeared 6 years ago.

Democracy

Trevor Noah implores U.S. journalists to ask themselves this one vital question

"Ask yourself that question every day, because you have one of the most important roles in the world."

Trevor Noah received high praise for his closing remarks at the 2022 White House Correspondents' Dinner.

Back in 2022, for the first time in six years, the annual White House Correspondents' Dinner (WHCD) was held with the president of the United States in attendance in Washington, D.C. The WHCD has been a tradition in Washington for more than a century and for the past several decades it has taken the form of a comedic roast of both the government and the press. The dinner on April 30, 2022 was hosted by comedian and former host of "The Daily Show" Trevor Noah, who's known for his smart, witty commentary on social and political issues.

The "let's invite a comedian to publicly and viciously make fun of us for a couple of hours" idea may be a bit odd, but these events have proven quite popular over the years, with many viral moments (including President Obama's infamous GIF-worthy mic drop) coming from them. The dinner opened with Noah joking about it being a superspreader event, earning some uncomfortable laughter as the COVID-19 pandemic was still fresh, and then the individual roasts commenced. Noah didn't hold back slamming people across the political and media spectrum—all in good fun, of course—including President Biden himself.

But it was Noah's closing remarks that earned the most attention. In his signature style, Noah managed to bring a serious and thoughtful element to a night of ribbing and laughter when he admonished the press to recognize both their freedom and their responsibility.

- YouTubewww.youtube.com


“If you ever begin to doubt your responsibilities, if you ever begin to doubt how meaningful it is, look no further than what’s happening in Ukraine," Noah told the reporters in the room. "Look at what’s happening there. Journalists are risking and even losing their lives to show the world what is happening. You realize how amazing that is?

“In America, you have the right to seek the truth and speak the truth, even if it makes people in power uncomfortable. Even if it makes your viewers or readers uncomfortable. You understand how amazing that is?" he reiterated.

Noah pointed out that he had just stood there and made fun of the president of the United States and he was going to be fine. Then he contrasted that with the reality Russian journalists are living under Vladimir Putin.

“Ask yourself this question," he said to the members of the media. "If Russian journalists who are losing their livelihoods … and their freedom for daring to report on what their own government is doing—If they had the freedom to write any words, to show any stories, or to ask any questions—if they had, basically, what you have—would they be using it in the same way that you do?

"Ask yourself that question every day," he said, "because you have one of the most important roles in the world."

People had high praise for Noah's entire evening of hosting, but especially for his closing remarks. Russia's war on Ukraine has put a spotlight on many things we tend to take for granted, including the freedom of the press.

Journalists play a vital role in society and it's one they must take seriously. To be fair, most journalists do feel the weight of their responsibility, but the corporatization of news media and a 24/7 news cycle has created a competitive landscape in which coverage is sometimes determined by what will drive traffic or viewers rather than on what's truly newsworthy or important. The demonization of news outlets by some has also created a hostile media environment, and news organizations have to resist the urge to kowtow to the loudest voices or inadvertently amplify the wrong things. Journalists often have to fight for the truth on multiple fronts, sometimes inside their own newsrooms.

As we see attacks on the media ramping up, both legitimate criticisms and blatant violations of the first amendment, the responsibility shouldered by journalists is weightier than ever. Speaking truth to and about power may not always be popular, and being careful to get the facts straight may not result in as many clicks as sensational or conspiratorial headlines do, but when you cut through the noise of social media and the political melee, what will endure—hopefully—is the real reporting of what's actually happening. In addition to the public need to be intelligently and accurately informed, future generations will depend on the historical record that real reporters and journalists help provide.

Thank you, Trevor Noah, for reminding reporters that the fight is worth it and for using this opportunity to remind the press of its primary purpose with such a simple yet profound question.

This article originally appeared three years ago.

Pets

Four guys asked their new neighbor if they could walk her dog. Then the dog wrote back.

"If you ever get bored, we are more than happy to look after him/her."

via Stevieticks / Instagram

A black dog and a note form "the boys from number 23."

If you've lived your whole life with a dog, a home has to feel pretty empty without one. Your heart has to feel like there's something missing as well. When Jack McCrossan, originally from Scotland, moved to Bristol, England with his three friends, they were bummed out to learn that their landlord didn't allow dogs.

So when they saw a beautiful black Sheprador (a German Sheppard Lab mix) in their neighbor's window, they knew that had to become buddies with her. They wrote the dog's owner, Sarah Tolman, a letter asking to arrange a play date with the dog. "If you ever need someone to walk him/her, we will gladly do so," they wrote.

"If you ever get bored (we know you never will, but we can dream), we are more than happy to look after him/her. If you want to come over and bring him/her to brighten our day, you are more than welcome. If you want to walk past our balcony windows so we can see him/her, please do," the letter continued.


"We hope this doesn't come too strong, but our landlord won't allow pets, and we've all grown up with animals. The adult life is a struggle without one," they wrote. "Yours sincerely, The boys from number 23," the letter concluded.

Soon after, the boys in 23 received a response from the dog herself, Stevie Ticks, accepting the offer. However, it may have been written by her human, Sarah Tolman. In the letter, Stevie shares a bit about herself, saying she's two years and four months old, was adopted in Cyprus, and that she's "very friendly and full of beans." (The boys shouldn't worry about a gassy hound, in England, "full of beans" means lively.)


"I love meeting new people and it would be great if we can be friends. I must warn you that the price of my friendship is 5 x ball throws a day and belly scratches whenever I demand them," the letter continued. A few days later, the boys got to meet Stevie. "Meeting Stevie was great!" McCrossan told Buzzfeed. "She was definitely as energetic as described. We got to take her for a walk and she wouldn't stop running!"

black labrador, dogs, dog-walkers, kind nieghbors, stevieticks, bristol, ukA black labrador (representative image).via Canva/Photos

Tolman thought the boys' letter was a fantastic gesture in an era where, quote often, neighbors are strangers. "In a day and age where people don't really know or speak to their neighbors, it was really nice for them to break down that barrier," she said. After the story went viral, she saw it as an opportunity for people to share their love of dogs with the world. "My mother and I are amazed at all the love we've received from around the world these past few days," Tolman wrote as Stevie. "If you have a doggo in your life, share that love with those around you."

A lot has changed in the past 6 years since this story warmed hearts around the globe. The boys have since moved away, but as of September 2024, Stevie is around 8 years old and still doing well. Her keeper and Sarah's partner, Chris Bowley, shared an update on Instagram. "[The boys] sadly moved out of Bristol. However, we have always tried to keep the ethos going of Stevie having as many friends and meetups as possible," Bowley wrote.


This article originally appeared six years ago.

Image via Canva

Elementary school teacher Alice Yates does hair for student who lost a parent.

Teachers play a much larger role than simply being educators. And elementary school teacher Alice Yates (@missaliceinteacherland) understands what it means to go above and beyond for her students, especially those in need.

In a new video shared on Instagram, Yates shared an emotional video about a student who recently lost a parent. After noticing she was coming to school with her hair unbrushed most days, she decided to step in with kindness and help take care of her by doing her hair everyday.

In the start of the video, Yates shows herself brushing out a little girl's hair as she tells her story in the captions. "A few months ago one of my student's parent died pretty suddenly...she was coming to school with her hair not even brushed most days," she writes. "I just wanted to help where I could. So I bought a cheap comb and hair ties so that I could at least do a basic pony for her to get her hair out of her face."


The small act of love did not go unnoticed. Her other students noticed Yates doing the student's hair, and wanted to get their hair done, too. "Then the other girls in the class started asking if I'd do their hair too. Now during breakfast, we have chitchats while we do hair! I wouldn't trade this time for anything. It has helped us all become so much closer.❤️"

She goes on to explain that she wasn't sure if parents would be okay with it, but was put at ease after getting a thankful message from one.

"I was a little nervous some parents might take it the wrong way that I'm doing their kids hair, but then I got this message: 'I just FaceTimed with [student's name] and saw her hair. It was adorable. Thank you for being extra sweet to my girl while I'm away. I don't even know what her hair looked like when she came in lol."

Yates offered more details as to why she treasures the personal interactions with her students. "I love being the teacher that I needed growing up...when I was a kid many of my teachers didn’t take the time to get to know us. They didn’t really show us love, tell us about their family, or even ask about ours," she writes. "They showed up, taught from a McGraw Hill Teacher Guide and went home. I think back on school and I hated it most years. I can count on one hand the teachers that I felt safe and happy with."

It was that experience that made her want to be a different teacher. "School filled me with so much anxiety and I think it’s a huge reason why I pour my heart and soul into teaching now," she writes. "I find so much comfort in looking into a parents eyes and telling them that I will take care of their baby, and they look back and me and know I mean it. ❤️"

Yates' emotional video got an incredibly supportive response from viewers. "And that’s a vocation right there & exactly the teacher our children need 💕," one wrote. Another shared, "This is beautiful bc when I was in 3rd grade my dad almost died in a motorcycle accident. Needless to say with no family nearby, most days I was barely dressed much less brushed. My teacher would bring barrettes to put up my hair and ill never forget the difference it made in my life ♡." And another viewer added, "They will never forget you and the time you took for them ❤️."

If you would like to contribute to Miss Alice's classroom, you can shop her Amazon Classroom Wishlist here.

Celebrating a child's art can be fun for all.

Have you ever read “The Artist’s Way”? Written by Julia Cameron in 1992, it’s a wonderful workbook that teaches you ways to unlock your creative potential. There are the “morning pages,” a daily ritual in which you wake up, then log three free-written pages by hand, tossing whatever ideas come from your mind onto the page. The weekly “artist date,” which sees you out in the world, enriching your creative soul. And the rotating lessons, each centered around a specific “block” you may have concerning your creativity.

For the uninitiated, this may all sound a bit “woo-woo.” But the core idea is that, unknowingly, society stifles our creativity in a million and one ways. Teachers who were mean and cruel, mocking your attempts at art. Distracted parents, more concerned with grades than anything else. Existence within a culture that prizes financial stability and success over creative outpourings of the soul.

Luckily, the daughter of TikTok user @abigail.ellesociety will never have to worry about any of that. In a joyous viral video (that’s racked up 4.2 million views, 945,000 likes, and over 109,000 shares), Abigail shares the art show she threw her four-year-old daughter. Besides the three-foot-tall host, the video depicts a trendy scene that would look at home in any gallery in Los Angeles or Manhattan.

woman in white long sleeve shirt and blue denim jeans sitting on brown wooden tableIt's never too late (or too early) to unleash your inner artist. Photo by Matthieu Jungfer on Unsplash



“You throw your four-year-old an art show”

Welcome to @abigail.ellesociety’s art show. The video begins with the four-year-old artist in residence dressed in a chic, all-black outfit. She sports a sleek, pulled-back hairdo (no surprise, given that her mom is a hairstylist and owns Elle Society Salon in Troutdale, Oregon) and welcomes admirers, patrons, and fellow peers into the space. Some even arrive with flowers.


children standing next to art exhibitPeople online are loving the four-year-old's art show. Photo credit: Canva

Her art is proudly displayed on the walls. There's Pikachu, depicted in watercolor. Hand-drawn rainbows and purple butterflies. Minions scowling; minions lifting weights. Minions wielding a lasso. (The artist’s affinity for the “Despicable Me” henchmen did not go unnoticed, with the official Illumination’s Minions account commenting, “She’s an artisté ✨”. The official Barbie account also chimed in, commenting, “to be loved is to be seen 💓”.) Peckish guests enjoyed a delicious spread of finger foods, including pigs in a blanket and pinwheel turkey wraps.

In the comments, TikTok users gushed over the four-year-old’s art show, with @zee_nicolee writing, “This new generation of moms are really healing so many of us 🥰🥰 Great job, Mama 🥰”.

@astoldbyawa said, “I’m literally gonna be this type of mom idc.” While @uncancelable.sahra chimed in, “Can you imagine seeing her art in a museum one day?”


How to honor your child’s creativity

The benefits of supporting a child’s art are endless. Beyond the creative realm, honoring their art is a significant step toward fostering self-respect, confidence, and self-expression. Here are 4 ways to celebrate your child’s inner artist.

  1. Take their art seriously. The beauty of the art show is how free it is—it’s not an art show “for kids,” it’s a real, bonafide art show! The artist—and her work—are taken seriously. Have your child sign and date everything they make (and like!) on the back. Save these treasures, either digitally or physically, to create a living record of their artistic journey: a lovely portfolio for them and you!
  2. Create a cork wall display. For a natural, “artsy” feel, constructing a wall-to-wall (or even extremely large) corkboard could provide the perfect canvas for a budding artist’s portfolio. For inspiration, check out this one posted by @florenceandhenri on Instagram, which shows rows and rows of neatly organized child artwork held up by pushpins. It’s an easy way to rotate pieces in and out, and is a nice alternative to the ubiquitous chalk wall. “[A cork wall] helps with acoustics,” writes @florenceandhenri. “It’s tactile and brighter than a wall full of black.”
  3. Repurpose as stationary. This technique saves money—and the planet! Turn artwork into writing cards, thank you notes, and letters by writing on the back. It’s a personal, homey touch that many recipients will appreciate. If you want to go the extra mile, try your hand at the Japanese art of origami and fold the artwork until it becomes an envelope.
  4. Save art in a collage. Although these are precious artifacts, physical copies of a child’s art can accumulate quickly—and if you’re not an archivist, saving them can feel more like a chore than a celebration. Turn those works into a collage, either digitally or physically. You can even get creative with the design, like a collage that looks like your home state or a collage using the letters in your child's name.

Remember, honoring your child’s art is supposed to be fun. If you get trapped in a "do it perfectly" mentality, just refer back to the original art show video. In it, everyone is relaxed and having a good time. The art is hung nicely (but not overly styled or organized). The four-year-old artist is excited to share her work with others. And there are heaps of pigs in a blanket. Those always help. For more inspiration, check out the full art show TikTok below:


@abigail.ellesociety

🧑‍🎨🎨