Fw: Insurance Company Letter

[Guest guest]

Was your daughter implanted with saline implants?

[Guest guest]

From: " by way of ilena rose " <Scarlett6@...>

Sent: Tuesday, April 03, 2001 9:29 AM

Subject: Insurance Company Letter

> I am responding to a note posted by one of our group who is having

difficulty

> getting insurance coverage for explantation. The following proved to be

very

> effective at getting my daughter's insurance company to cover her surgery.

> Some may not be experiencing symptoms that doctors would be willing to

> include in their letters, however, for those who have been diagnosed with

> connective tissue disease, perhaps this may help some. If possible, it

might

> be helpful to get a copy of either the individual manufacturer's package

> insert to include a copy with the request for coverage (or perhaps Dow's

if

> the insert is not currently available.)

>

> Please forward to your list.

> Thanks,

> Cathie

>

> I found both letters from my daughter's Rheumatologist and her

Neurologist. I

> don't know if this will help or not.

>

> Here is what the Rheumatologist said:

>

> Dear (Insurance Company):

>

> The above named individual was evaluated at our clinic. She was advised to

> have her breast implants removed because of her underlying encapsulation

and

> connective tissue disease. Because of this medical condition, she is

having

> difficulty performing every day activities.

>

> Signed

> Dr. etc.etc. (Rheumatologist)

>

> My daughter had seen the Neurologist complaining of differnt shooting

pains

> in her neck, arms and legs, also weakness and sleep dificulties. When she

> returned to see him again, here is what he wrote. I am excluding his name,

> since I am not sure how he would feel about posting it.

>

> Followup notes

> Patient continues to have aching and shooting pain in her neck, arms and

> legs. She has some weakness and finds that if she walks for a very long

> period of time, she gets veyr tired and cannot walk any more. She also has

> sleep difficulties.

>

> It is my recommendation that she have her breast implants removed.

>

> She has evidence of autoimmune disease, myasthenia gravis with elevated

> acetylcholine receptor antibidies and with positive repetitive nerve

> stimulation showing evidence of autoimmune disease. I think it is

imperative

> that she have the breast implants removed and not replaced with any other

> breast imiplants. I believe that she does, indeed suffer from human

adjuvant

> disease which is creating a myasthenia gravis-like syndrome.in this

patient.

> Many patients who have their breast implants removed do, in fact, improve.

It

> has been recommended by several breast implant manufacturers in their

package

> insert, that if they suspect auto-immune disease, the breast implants

should

> be removed and not replaced with any other breast implants.

>

> I urged the patient to get a copy of her package insert to show to her

> insurance company.

>

> Signed: Dr. (Neurologist)

>

>

[Guest guest]

The letter that I posted was from a woman named Cathie who was posting

information that pertained to her daughter and her insurance company and two

doctors' communications.

Her e-mail addy is also listed at the top of the letter, should any of you

have any further questions about it, and desire to write to her.

Patty

----- Original Message -----

From: <idealifd@...>

< >

Sent: Tuesday, April 03, 2001 1:46 PM

Subject: Re: Fw: Insurance Company Letter

> Was your daughter implanted with saline implants?

>