Re: re: another insurance quandry

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In a message dated 1/3/02 10:29:34 AM Pacific Standard Time, hags1@... writes:

Ooh I don't know if I should said in case they could track me down and know what I have said about them! But it is a quite well known company

I underrstand... I was just wondering if it was MY insurance company, which is Fortis. You can email me privately if it is Fortis. hee hee Jen

[Guest guest]

In a message dated 1/3/02 11:02:57 AM Pacific Standard Time, niki_jay175@... writes:

So does this mean if I tell my insurance company that I'm uncomfortable with my lack of boobies, they'll pay for me to look like Dolly Parton?! Woohoo! I'll have to remember that one!

Oh I needed a good laugh. Thanks. Jen

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Thanks so much --

[Guest guest]

That is too funny you crack me up!! --

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Oh it is not Fortis so you are ok (hopefully) but if your daughter needs the breast augmentation let me know and I will give you my employers name!! Hahaha -

[Guest guest]

which is frustrating because another lady I worked with

> wanted a boob job that they said was cosmetic but then they went

ahead and

> changed their mind and covered it because she was uncomfortable?

So does this mean if I tell my insurance company that I'm

uncomfortable with my lack of boobies, they'll pay for me to look

like Dolly Parton?! Woohoo! I'll have to remember that one!

Sorry to hear that you're having a tough time with your insurance.

Don't give up!! Good luck!

Niki

Kaylie & Danny (STAR grads)

Phila., PA

[Guest guest]

I think it should be illegal for an insurance company to deny any child coverage for any type of treatment that is determined by a doctor to be medically necessary. If a doctor prescribes a treatment then the insurance company should pay for it. It is that simple. Adults can go out and earn or aquire money for a needed treatment. Adults may deny treatment if they so wish to. Children do not have that luxury so it is up to the parents to make the decisions to do what we think is best for our children. If our children do not get needed treatment, parents could get charged with abuse for not seeking medical attention for our children. Also when our children become of age that they wonder why we did not do something about their plagio or whatever it may be Insurance companies are hindering our ability to adaquately provide for our children by not covering services that should be payed for by them in the first place. I also feel that insurance companies have a moral obligation to children. When my son was denied coverage for something (cannot remember if it was for the DOC Band or the synegsis), I told them I want whoever made the decision to come and explain to my son why the service was denied (of course it is impossible to explain his condition and needed treatment to a 8-month old) why . She quickly changed and said "he probably needs it, but it is against our policy....". Luckily, the services that have not been covered were inexpensive (I however feel that $3,000 is more than what I can afford since I owe over $2,000 from wheren was born..but I am willing to do whatever it takes to get what needs) compared to other services. I just wonder when it will stop though. There may come a time where my son needs a treatment that is very expensive and the insurance will not cover it. I just wonder since they deny the inexpensive treatments what will happen if needed a tretment that I could not afford.

I have been wanting to write my congressmen about how insurance companies deny coverage of services deemed necessary by a doctor. Although adults get deny too, I feel it is especially difficult when children are denied the coverage.

ANdrews

Mom to 8-months

Virginia

Re: re: another insurance quandry

Yes I tried to explain the whole thing to him and he kept saying "what is it called again?" and "why would they try PT on a baby?" I felt like beating my head on the wall after speaking with him. I am sure with me bugging him and appealing he will be educated in the end!! But I found it interesting that in their literature to tell to subscribers that it listed word for word the tort and the plagio as a result. - For more plagio info

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In a message dated 1/3/02 6:53:29 PM Pacific Standard Time, niki_jay175@... writes:

I think thats funny too! Just watch though, they might not pay for a band but they would recommend putting a boobie on the flat spot of the head to make it nice and round! ;o) All the boys will want to sit behind when she gets to school!! Sorry, I couldn't resist!!

chuckle chuckle. Jen

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You guys have given me laughs all day on this!! --

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> It is funny you should say that because in our letter we are going

to add

> that it isn't like we are wanting to have a breast

> augmentation.....we are talking about her future health. My hubby

isn't sure

> we should say that but I think it is funny. Jen

I think thats funny too! Just watch though, they might not pay for a

band but they would recommend putting a boobie on the flat spot of

the head to make it nice and round! ;o) All the boys will want to

sit behind when she gets to school!! Sorry, I couldn't

resist!!

Niki

Kaylie & Danny (STAR grads)

Phila., PA

[Guest guest]

Oh Niki! You kill me!

Kendra

Re: re: another insurance quandry

> It is funny you should say that because in our letter we are going to add > that it isn't like we are wanting to have a breast > augmentation.....we are talking about her future health. My hubby isn't sure > we should say that but I think it is funny. JenI think thats funny too! Just watch though, they might not pay for a band but they would recommend putting a boobie on the flat spot of the head to make it nice and round! ;o) All the boys will want to sit behind when she gets to school!! Sorry, I couldn't resist!!NikiKaylie & Danny (STAR grads)Phila., PAFor more plagio info

[Guest guest]

,

I agree that if a dr (especially a specialist) deems it necessary then it

should be covered. It really irriated me that I had a letter of medical

necessity from the specialist and ped (BOTH of whom were in THEIR network)

and they still denied my claim three times. SO frustrating!!!

Marci (Mom to )

Oklahoma