Guest guest Posted February 26, 2011 Report Share Posted February 26, 2011 So what is the condition specifically you have the led to your denial? Just High blood pressure is enough. Once you look at a persons age, gender and smoking Hx the BP is the single best predictor of how long you will live. Thus life insuracne companies will for sure not insure you at at standard risk. They have been doing this since 1905 CE Grim MDFemale, 50 y/o, hyerplasiaHas anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2011 Report Share Posted February 26, 2011 Colorado has a program called " Cover Colorado. " It is paid for by reasonable premiums + other public sources. Lots of states have such programs. The one good thing I've seen with Obamacare is the end of refusals for pre-existing. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Kathy Dugan Female, 50 y/o, hyerplasia Has anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2011 Report Share Posted February 26, 2011 I had to get disability and thus got Medicare. It's humiliating but I did what I had to do. Female, 50 y/o, hyerplasia Has anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 IT A NIGHTMARE TRYING TO GET INSURANCE I DONT KNOW WHAT TO DO AT THIS POINT MY DIEASE IS GETTING WORSE,I TRIED CLINICAL TRIALS BUT NO ONE IS DOING CLINICALTRIALS ON HYPERALDOSTERONISM.UNBELIEVABLE! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 They are doing them at National Institutes of Health (NIH) 9000 Rockville Pike Bethesda, land 20892. Need to tell us more about how you think you have HYPERALDOSTERONISM. > > Â Â IT A NIGHTMARE TRYING TO GET INSURANCE I DONT KNOW WHAT TO DO AT THIS POINT MY DIEASE IS GETTING WORSE,I TRIED CLINICAL TRIALS BUT NO ONE IS > DOING CLINICALTRIALS ON HYPERALDOSTERONISM.UNBELIEVABLE! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 Have you tried to get Medicaid? > > > > IT A NIGHTMARE TRYING TO GET INSURANCE I DONT KNOW WHAT TO DO AT THIS POINT MY DIEASE IS GETTING WORSE,I TRIED CLINICAL TRIALS BUT NO ONE IS > > DOING CLINICALTRIALS ON HYPERALDOSTERONISM.UNBELIEVABLE! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 Do you live near a teaching hospital or university with a medical school? When I was uninsured I was able to get free medical care through one of the local universities. > > > > IT A NIGHTMARE TRYING TO GET INSURANCE I DONT KNOW WHAT TO DO AT THIS POINT MY DIEASE IS GETTING WORSE,I TRIED CLINICAL TRIALS BUT NO ONE IS > > DOING CLINICALTRIALS ON HYPERALDOSTERONISM.UNBELIEVABLE! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 Did they do an MRI or CT scan? Have you cut your sodium intake down to 1500MG a day? > > I never tried to get medicaid to me it would be degrading and also ive heard your income > has to be annually around 15,000 that leaves me out.I was diagnosed with hyperald-- > 10 years ago. i had beome very weak i thought i may have over exercised myself, the > weakness continued until i drove myself to work one morning upon getting out of the > car i fell to the ground i was able through the grace of God pull myself back to the drivers > seat drove myself home by pressing one leg on the gas and one on the break.i was > taken to the emergencey room where test revealed i had dangerously low pottassium, > after that episode experienced temporary paralysis off and on all these little muscle > spasms and weakness and a whole lot more down the road.Doctors tested for a year > before the diagnosis that no one had heard of.Im on 200mg a day of spironolactone... > one time daily 300 mg   of avapro and lisinipril. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 I did away with salt 20 years ago when i found out i had HBP foods already have enough natural salt in them without adding.my breakfast consists of cheerios and i have dinner for lunch two meals daily with 8 glasses of water. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 Seems you should be on Medicaid. If so all medical and dental care will be paid for. Next time check out clerk makes rude comments report them to supervisor. > >> > > > >> > > IT A NIGHTMARE TRYING TO GET INSURANCE I DONT KNOW WHAT TO DO AT THIS POINT MY DIEASE IS GETTING WORSE,I TRIED CLINICAL TRIALS BUT NO ONE IS > >> > > DOING CLINICALTRIALS ON HYPERALDOSTERONISM.UNBELIEVABLE! > >> > > > >> > > >> > > >> > > >> > > >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2011 Report Share Posted February 27, 2011 Do you own your home? > >  Trying to keep cholesterol normal my BP is always 120/70 checked on the guidelines > for medicaid here in NC its 10,000 a year,if i quit work i cant hold my home or other > debts,im a widow.I dont owe much ive always been good with money but a month out > of work could be devastating i use to have a charity where i helped people with patient > care assistance and prescription drug counseling i didnt take in much money i incurred > the financial responsibility but i love people and find it so rewarding helping others in > need.I know that God will take care of me even if i have to meet him a little early.I > personnaly believe that the worst is yet to come i know so many people that dont > have insurance,loss of jobs,divorce,illness,incarceration and more. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Looks like you have the setting turned off that shows what you are replying to. Need to turn that setting on or copy paste what you are replying to. > > At times all of the above. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Don't be embarrassed about getting disability. People like you are what is was designed for and YOU PAID INTO IT. If you are under 65 and have Medicare from SS Disability, I know you worked. I know it's not ideal, but you earned it. Juli 40y F Post Adrenalectomy 12.15.10 To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sun, February 27, 2011 12:28:45 AMSubject: Re: Insurance I had to get disability and thus got Medicare. It's humiliating but I did what I had to do. Female, 50 y/o, hyerplasia Has anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Don't be embarrassed about getting disability. People like you are what is was designed for and YOU PAID INTO IT. If you are under 65 and have Medicare from SS Disability, I know you worked. I know it's not ideal, but you earned it. Juli 40y F Post Adrenalectomy 12.15.10 To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sun, February 27, 2011 12:28:45 AMSubject: Re: Insurance I had to get disability and thus got Medicare. It's humiliating but I did what I had to do. Female, 50 y/o, hyerplasia Has anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 juli who are you your intro sentence please will all mailDon't be embarrassed about getting disability. People like you are what is was designed for and YOU PAID INTO IT. If you are under 65 and have Medicare from SS Disability, I know you worked. I know it's not ideal, but you earned it. Juli40y F Post Adrenalectomy 12.15.10To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sun, February 27, 2011 12:28:45 AMSubject: Re: Insurance I had to get disability and thus got Medicare. It's humiliating but I did what I had to do. Female, 50 y/o, hyerplasiaHas anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 If you don't own your home can get sec.8 housing. > > > >  Trying to keep cholesterol normal my BP is always 120/70 checked on the > >guidelines > > for medicaid here in NC its 10,000 a year,if i quit work i cant hold my home or > >other > > debts,im a widow.I dont owe much ive always been good with money but a month > >out > > of work could be devastating i use to have a charity where i helped people with > >patient > > care assistance and prescription drug counseling i didnt take in much money i > >incurred > > the financial responsibility but i love people and find it so rewarding helping > >others in > > need.I know that God will take care of me even if i have to meet him a little > >early.I > > personnaly believe that the worst is yet to come i know so many people that > >dont > > have insurance,loss of jobs,divorce,illness,incarceration and more. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Here in Houston it is crazy! The majority of the fraud cases are doctors. 86% here. It's in the papers all the time. Pain clinics that gie addicts pain meds in return for using the addicts ID to turn in fake claims. If people had spending accounts, incentives for wise shopping and were paying their own bills, this would be a minor problem. If I'm not mistaken, Medicare fraud and abuse runs about $60 BILLION a year. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StudyCircle Former Owner of New York Blood Laboratory Sentenced for Medicare Fraud Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Dont kid yourself, as some of the biggest cases have involved chiropractors and physical therapists >Here in Houston it is crazy! The majority of the fraud cases are doctors. 86% here. It's in the papers all the time. Pain clinics that gie addicts pain meds in return for using the addicts ID to turn in fake claims. > > > > > >> If people had spending accounts, incentives for wise shopping and were paying their own bills, this would be a minor problem. If I'm not mistaken, Medicare fraud and abuse runs about $60 BILLION a year. >> >> >> >> Val >> >> >> >> From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StudyCircle >> >> >> Former Owner of New York Blood Laboratory Sentenced for Medicare Fraud >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 XOXO Juli! I lived in OK city once. Nice place. Don't be embarrassed about getting disability. People like you are what is was designed for and YOU PAID INTO IT. If you are under 65 and have Medicare from SS Disability, I know you worked. I know it's not ideal, but you earned it. Juli 40y F Post Adrenalectomy 12.15.10 To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sun, February 27, 2011 12:28:45 AMSubject: Re: Insurance I had to get disability and thus got Medicare. It's humiliating but I did what I had to do. Female, 50 y/o, hyerplasia Has anyone been denied health insurance because of our condition? If so, what did you do? I have been denied twice now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 I'm sure you're right. I just had assumed that the fraud was mostly by patients and was surprised it was mostly by the professional. Dont kid yourself, as some of the biggest cases have involved chiropractors and physical therapists >Here in Houston it is crazy! The majority of the fraud cases are doctors. 86% here. It's in the papers all the time. Pain clinics that gie addicts pain meds in return for using the addicts ID to turn in fake claims. > > > > > >> If people had spending accounts, incentives for wise shopping and were paying their own bills, this would be a minor problem. If I'm not mistaken, Medicare fraud and abuse runs about $60 BILLION a year. >> >> >> >> Val >> >> >> >> From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StudyCircle >> >> >> Former Owner of New York Blood Laboratory Sentenced for Medicare Fraud >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 I want to share a little known fact about the medical community, one set up by the government (Medicare) and not docs. But we discussed earlier one of your fathers medicare being billed for procedures not being actually done. There is a sad reason. Good for hard workers, but a pathway to fraud. Set up within medicare is this system (and other insurances have adopted), is this EVU (estimated value units) based on a procedure. Say a doc (or PA-C) gets a flat $35 for an office visit. That's not much compared to others, but lets say he or she just knicks a booger with a pair of tweezers....that's now a procedure, they add a "modifier" and now his payment went from $35 to $135! If he ordered an xray, a lab, anything adds to it. And if in practice for yourself it is paid quarterly and the cash is in your pocket. Good thing you added procedures as now it is getting worthwhile! (sarcasm intended there...but do you get it?). I know for me it could mean more money in practice (I don't work where this is done in my name), but I disagree with this method. It is a pathway to fraud if I ever saw one. Like setting a candy bar on a childs pillow and then spanking them if they touch it! Terrible. But mysterious "procedures" are likely due to adding to the bill for medicare (most of patients will NEVER know) and sometimes literally doubling your income!>>> If people had spending accounts, incentives for wise shopping and were paying their own bills, this would be a minor problem. If I'm not mistaken, Medicare fraud and abuse runs about $60 BILLION a year.>> >> >> >> Val>> >> >> >> From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StudyCircle>> >> >> Former Owner of New York Blood Laboratory Sentenced for Medicare Fraud>> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Again, if people had spending accounts, incentives for wise shopping and were paying their own bills, this would be a minor problem. It would only become an issue when a catastrophic level of deductible was reached. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Bingham I want to share a little known fact about the medical community, one set up by the government (Medicare) and not docs. But we discussed earlier one of your fathers medicare being billed for procedures not being actually done. There is a sad reason. Good for hard workers, but a pathway to fraud. Set up within medicare is this system (and other insurances have adopted), is this EVU (estimated value units) based on a procedure. Say a doc (or PA-C) gets a flat $35 for an office visit. That's not much compared to others, but lets say he or she just knicks a booger with a pair of tweezers....that's now a procedure, they add a " modifier " and now his payment went from $35 to $135! If he ordered an xray, a lab, anything adds to it. And if in practice for yourself it is paid quarterly and the cash is in your pocket. Good thing you added procedures as now it is getting worthwhile! (sarcasm intended there...but do you get it?). I know for me it could mean more money in practice (I don't work where this is done in my name), but I disagree with this method. It is a pathway to fraud if I ever saw one. Like setting a candy bar on a childs pillow and then spanking them if they touch it! Terrible. But mysterious " procedures " are likely due to adding to the bill for medicare (most of patients will NEVER know) and sometimes literally doubling your income! >Here in Houston it is crazy! The majority of the fraud cases are doctors. 86% here. It's in the papers all the time. Pain clinics that gie addicts pain meds in return for using the addicts ID to turn in fake claims. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 It's by no means a minor problem as the money is depleting the system. You might get an xray ordered you don't need as it helps add to the EVU and the bonus payments of a doc or a clinic. Don't be fooled even if the doc is not "getting" these payments directly, the organization, group, or clinic is getting them as they will bill, and this is all legal mind you if done right and not an outright lie, with the modifiers and etc.. But it is an incredible temptation. I worked for large group for 7 months that used this for the "bonuses". I was paid lower then normal, and supposedly the bonuses were so good. Well they are IF you are willing to do unnecessary things to patients. I worked there with another PA who's bonuses were huge (a list was put out every quarter and OB/GYNs, because they are all procedure based were raking in $20,000 to $50,000 a quarter extra) and I finally caught on when I got a call for a rheumatologist one afternoon, after she had filled in for me a few days, about why would she order these specialized tests as they are for the specialists not a rural clinic. I figured it out. Everything ordered, done, touched, got some more EVU's in her bank account and padded her paycheck. This is likely done all over. >Here in Houston it is crazy! The majority of the fraud cases are doctors. 86% here. It's in the papers all the time. Pain clinics that gie addicts pain meds in return for using the addicts ID to turn in fake claims. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Seems to me it takes two to commit this type of fraud.Ce Grim MDI'm sure you're right. I just had assumed that the fraud was mostly by patients and was surprised it was mostly by the professional. Dont kid yourself, as some of the biggest cases have involved chiropractors and physical therapists>Here in Houston it is crazy! The majority of the fraud cases are doctors. 86% here. It's in the papers all the time. Pain clinics that gie addicts pain meds in return for using the addicts ID to turn in fake claims. >>>>>>> If people had spending accounts, incentives for wise shopping and were paying their own bills, this would be a minor problem. If I'm not mistaken, Medicare fraud and abuse runs about $60 BILLION a year.>> >> >> >> Val>> >> >> >> From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StudyCircle>> >> >> Former Owner of New York Blood Laboratory Sentenced for Medicare Fraud>> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2011 Report Share Posted March 1, 2011 when my mother was just getting Medicare she would get letters form them listing all Dr visits and treatments she received. When she started getting medicade they sent nothing. Many venders had access to both her medicare and medicade information. If you are 90 years old not always easy to remember all treatments you might have recived. So very easy for the venders to cheat the system. > >> > > >> >> If people had spending accounts, incentives for wise shopping > >> and were paying their own bills, this would be a minor problem. If > >> I'm not mistaken, Medicare fraud and abuse runs about $60 BILLION a > >> year. > >> >> > >> >> > >> >> > >> >> Val > >> >> > >> >> > >> >> > >> >> From: hyperaldosteronism [mailto:hyperaldosteronism > >> ] On Behalf Of StudyCircle > >> >> > >> >> > >> >> Former Owner of New York Blood Laboratory Sentenced for Medicare > >> Fraud > >> >> > >> >> > >> >> > >> >> > >> >> > >> > >> > > > > > Quote Link to comment Share on other sites More sharing options...
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