Re: - Insurance?

October 15, 2004

In a message dated 10/15/2004 9:46:44 AM Pacific Daylight Time,

lisak70@... writes:

When I asked if I should get a caseworker to

speed up the process, I was told that it might be best if I left things

alone so as to not complicate or confuse the paperwork.

It is true,,, paperwork with insurance takes time,,, give it 6 weeks then

worry. I got my caseworker involved because of a " hold status " .

Lee

October 15, 2004

In a message dated 10/15/2004 12:08:37 PM Pacific Daylight Time,

lisak70@... writes:

Out of all the waiting I've done throughout the

past 6 months (delays, cancelled appointments, etc.) this is certainly the

most difficult.

i know... it is very frustrated having to wait,,, when I was told that they

had put me on " hold status " , i was REALLY UPSET, as Medicaid were debating

whetever to cover me or not, due to new rule change.

I wish i have some magic spell to use on you.. hang in there, your time will

come!

Lee

October 15, 2004

In a message dated 10/15/2004 11:17:03 AM Alaskan Daylight Time,

spottedlee@... writes:

> i know... it is very frustrated having to wait,,, when I was told that

> they

> had put me on " hold status " , i was REALLY UPSET, as Medicaid were debating

> whetever to cover me or not, due to new rule change.

Lee, doesn't Virginia Mason take care of everything as far as getting the

coverage goes?

Pam

October 15, 2004

In a message dated 10/15/2004 12:36:59 PM Pacific Daylight Time,

plsav42@... writes:

Lee, doesn't Virginia Mason take care of everything as far as getting the

coverage goes?

yes they do, but when they got the news,, they passed on info to me,,, and

they in a way, did helped, but having a caseworker through Medicaid helped too,

as she kept me posted every few days as she finds out what was going on.

It helps to have caseworker in the " inside " (state office) who can find all

the " scoop " that VMMC wouldn't know. Other than that " delay " ,,, I didn't have

to do a thing.. just let them do their job and wait.

Lee

October 15, 2004

In a message dated 10/15/2004 12:36:59 PM Pacific Daylight Time,

plsav42@... writes:

Lee, doesn't Virginia Mason take care of everything as far as getting the

coverage goes?

I forgot to mention that when the State put me on hold,,, i was one of first

to be placed on " hold status " as they placed EVERYONE who was getting

elective surgery (not just CI) on hold, it wasn't just me. It was at the

" budget

planning time " as they decide whetever to cover CI or not, as they were

cutting services.

Lee

October 15, 2004

In a message dated 10/15/2004 11:42:26 AM Alaskan Daylight Time,

spottedlee@... writes:

> yes they do, but when they got the news,, they passed on info to me,,, and

>

> they in a way, did helped, but having a caseworker through Medicaid helped

> too,

> as she kept me posted every few days as she finds out what was going on.

> It helps to have caseworker in the " inside " (state office) who can find all

>

> the " scoop " that VMMC wouldn't know. Other than that " delay " ,,, I didn't

> have

> to do a thing.. just let them do their job and wait.

>

> Lee

Thanks! I only have Medicare and no Medicaid so they told me early on that

most of my implant will be covered and then we have not mentioned it further.

I presume they would not have gone ahead to a surgery date and all our

appointments planned if there were any question about the coverage. I hate the

money

angle and just haven't mentioned it again after they said it was a " go " .

Pam

October 15, 2004

In a message dated 10/15/2004 12:51:50 PM Pacific Daylight Time,

lisak70@... writes:

You mentioned a rule change with Medicaid. Do you know what that was in

regards to?

Each State has it own rules,,, at the time they had me on hold, they were

ordered to cut back on elective surgery,,,, so they " held " all elective

surgeries preauthrozation until they decide which services to cut.

As for my state, now the look at each electives on " case by case " basic, it

used to be they accept all requests it came in from my CI Center... but not

anymore. This was why all of us were REALLY SURPRISED that the State

aurthorized our request for funding for batteries within 2 weeks, not the usual

one

month or so.

Your state will definally have different rules.

Lee

October 15, 2004

In a message dated 10/15/2004 1:06:41 PM Pacific Daylight Time,

lisak70@... writes:

I'll check my state (Wisconsin) Medicare and

Medicaid guidelines in regards to that.

good idea, but I still bleieve you will get it,,,

Lee

October 15, 2004

Hi Alice,

I just got off the phone with my CI center and they haven't heard from my

insurance company yet. It has been 2-3 weeks since my paperwork was

submitted, but someone in the office is going to follow up to find out if

the approval went through. When I asked if I should get a caseworker to

speed up the process, I was told that it might be best if I left things

alone so as to not complicate or confuse the paperwork. I was told that

approval could take up to 6 weeks. 2-3 weeks have already passed, so the

latest I can expect to hear back from my insurance company would be early to

mid November. Gosh -- I hope it doesn't take *that* long. I'm practically

climbing the walls in nervous anticipation. LOL!

October 15, 2004

(Pulls down off the walls and reminds her she is not a cat

nor a monkey, so will tie her to a chair until she get the insurance

approval. this action is in ehr best interests, cant have her having

accidents and busting her braille reading fingers. Jackie, what is

that stuff again, Xanax? may need it you think? I worry about

her. No no *I* dont need the Xanax!! I just need a shell phone!)

*---* *---* *---* *---* *---*

Shoot for the moon. Even if you miss it you will land among the stars.

& Gimlet (Guide Dawggie)

Portland, Oregon

N24C 3G 8/2000 Hookup

rlclark77@...

http://home.comcast.net/~rlclark77/

October 15, 2004

,

I'm sorry that you are dealing with this. I think that I would be a

squeaky wheel by now calling CI Center daily. I know that this is

wearing on you and wish there were something we could do to help.

It would be horrid to have to wait 6 weeks for approval - at least

for me.

Alice

>

.. I was told that

> approval could take up to 6 weeks. 2-3 weeks have already passed,

so the latest I can expect to hear back from my insurance company

would be early to mid November. Gosh -- I hope it doesn't take

*that* long. I'm practically climbing the walls in nervous

anticipation. LOL! >

October 15, 2004

and ,

, thank you for peeling me off the walls. Oops! There I go again like

a magnet to steel. ...do you mind? Perhaps you could tie me down to a

chair. LOL!

I *could* use some Xanax right now. , do you have any you can send me?

Hehehehe. (Otherwise I'll settle for a box of chocolate -- or better yet --

a magic wand that will instantly speed up time. LOL!)

October 15, 2004

Lee,

Sometimes I wish that I had been told to expect a 6 week wait. That way, if

approval came sooner, I'd be pleasantly surprised and wouldn't be a bundle

of nerves right now. LOL! Out of all the waiting I've done throughout the

past 6 months (delays, cancelled appointments, etc.) this is certainly the

most difficult.

October 15, 2004

Lee and list,

You mentioned a rule change with Medicaid. Do you know what that was in

regards to? I have both Medicare (primary) and Medicaid (secondary).

Too bad we can't perform a little magic. <smile> I keep telling myself that

my time will come. If I've waited this long to get a CI, I can wait a little

longer!

October 15, 2004

Lee,

Thanks for the explanation. I'll check my state (Wisconsin) Medicare and

Medicaid guidelines in regards to that. My surgeon and audi don't anticipate

any problems with approval but we *are* dealing with an insurance company.

We'll see what happens in my case!

October 15, 2004

Lee,

My surgeon and audi said the same thing. They don't anticipate any problems,

so I'm very happy about that.

October 16, 2004

,

If you are still stuck to the wall, I am going to demagnetize you.

Then of course I dont mind, I will tie you down. (snickers)

*---* *---* *---* *---* *---*

This isn't an office. It's hell with fluorescent lighting.

& Gimlet (Guide Dawggie)

Portland, Oregon

N24C 3G 8/2000 Hookup

rlclark77@...