RE: Insurance, Anne

March 21, 2006

Well, after gaining my composure I contacted the insurance and asked to

complain to the higher up, on the 15th I had received a letter dated the

7th that said I had the right to turn in additional information and that if

need be they would postpone the review of my case, since my doc had been

out of town I called right away to ask them to wait to review my case until

hearing from her...WELL the letter i received yesterday, a registered

letter no less, though dated the 14th, said the review of my case was done

on the 9th!!! So they denied it again without even giving my doctor a

chance to send or letter or anything, this is important because after this

I only have one more opportunity to plead my case at a hearing...the lady

on the phone, was like " It doesn't matter that you called the decision was

already made before " , since I called back, letter in hand that expressly

said I had the right tohand in add. info and even be represented, and that

I wanted to know who to complain to, I got a quick call back that they will

be reviewing my case over again once they hear from my doctor...THEN to

make matters worse, my doc emailed me and said she called the medical

director LAST WEEK and he hadn't gotten back with her AH!!!! and in the

mean time I contacted my union who will also be sending a letter of

support, although because of the wording of our new contract, their lawyer

won't be able to help out..maybe if I make enough noise I'll get me ten

visits yet, Anne

--On Monday, March 20, 2006 11:56 PM -0500 DeeTroll

wrote:

>

> HI Anne, I'm so sorry the insurance appeal didn't pan out for you.

> *sigh* What a shame hon. Hang in there though. When the going gets

> tough, the tough get going as they say and hopefully you'll find a way

> around it yet. I'm so sorry.

>

> Hugs

> Dee~

>

> **IF REPLYING TO THIS POST, PLEASE REMOVE ORIGINAL POST, THANKS**

>

> to search our archives, files, articles, etc.

>

> ***

March 21, 2006

You go girl. These jerks want their money, but they sure don't want to

pay for the services that your insurance premiums cover you for. Anyway,

how do they know its chronic pelvic muscle problems when it has yet been

properly evaluated and/or treated for the FIRST TIME, let alone

chronically!!

I guess I shouldn't complain, after listening to the medicals services of

others on this list who don't reside in the U.S., but I sure do get angry.

Keep fighting 'em.

Dusty

Re: Insurance, Anne