Re: Help! I'm suing United Health Care-Denying medical needs

[Guest guest]

Before suing them, check to see if they have an adminstrative appeals

process. I know you are sick of them and do not want to go through

any more, but insist if they do have such a procedure insist on an

expedited review.

Also, if you intend on suing, do not wait too long. These insurance

companies are horrible.

> > >

> > > > My questions are: Successful Doctors in the US> (West

> > Coast preferably)

> > > Dr. Boyd in Salem OR did both of my hips when I was 40. I was

> > severely bilaterally dysplastic. Nearly three years later, and I

> am

> > thrilled with my hips. I was at a rehearsal today, and needed

to

> > make a quick bathroom run. It is a piece that I don't play much,

> so

> > I ran for the bathroom, thinking if I hurried, I could get back

to

> my

> > spot before I had to play. I ran back to applause, as most of

> these

> > people had never seen me run before! I've known most of them

for

> > over ten years!! One even said if she hadn't known me before my

> > surgeries, she never would have guessed that I'd had bad hips.

We

> > had a rehearsal from 9-3 today, and other than lunch, I was on

my

> > feet for most of that time-no pain! In fact, I'm going to be

> doing

> > an aerobics step tape later tonight. Another first for me!

> > > > What determines when> enough is enough - I know>

that

> is

> > individual but I am struggling with saying> OK it's time.

> > > What determined it for me was the increasingly negative impact

> my

> > hips were having on my life. I could have lived with the pain,

> > although it was definitely bad. But, I couldn't live with the

> > increasing disability. I had trained my German Shepherd puppy as

> a

> > service dog, just because he was so easy to train, and he loved

> it.

> > Thankfully, because I got to the point where life alone would

have

> > been very difficult without him. I finally decided to have

> something

> > done now while I was still young. If I had to be disabled, I

> > rathered it would be when I was older and didn't have so much

> energy

> > instead of now, which are the best years of my life so far.

> > >

> > > Since my hips were done, I've hugely increased my range of

> motion,

> > done a lot more traveling (went hiking in Puerto Rico and

> snorkeling

> > in the Caribbean while still on crutches), started dating again,

> and

> > have a list of things I either have never done, or haven't been

> able

> > to do in a long time. On the list are things like learning to

> dance,

> > roller skating, scuba diving... Sadly my German Shepherd passed

> away

> > suddenly about a year and a half ago. Thankfully I didn't need

> him

> > as a service dog anymore, as the one I have now has no aptitude

> for

> > it. In fact, she would probably be the first one to knock me

over!

> > >

> > > Cindy

> > > C+ 5/25/01 and 6/28/01

> > >

> > > _______________________________________________

> > >

> > >

> > >

> > >

[Guest guest]

Terry,

You would be well served to re-read carefully the message from Jude

regarding this kind of situation since she has had experience along

the same line.

Also, I would read carefully your actual insurance policy, paying

attention to things they will or will not cover. Many policies will

not cover travel and lodging expenditures other than ambulance rides

for people seeking medical services. If this is true in your case,

and if all your travel and lodging expenditures are non-refundable,

you will be out that money regardless of what happens.

Now if you are facing forfeiture of your travel and lodging

expenditures, consider calling the doctor in Massachusetts and

explaining your predicament, then ask him for a free consultation. I

am not saying you should have or should not have the procedure that

he provides, once again I would look to Jude for guidance on that

issure, I am saying you could add whatever you learn there to your

body of knowledge, and at least gain some use from your travel and

lodging expenditures, before they are forfeited or expired.

In a general sense, the best thing that you can do for yourself is to

learn as much as possible about the medical alternatives that are

abailable and appropriate for you, so that you can at least be a part

of an informed decision making process.

Good luck and best wishes,

Ian McGeough

> > >

> > > > My questions are: Successful Doctors in the US> (West

> > Coast preferably)

> > > Dr. Boyd in Salem OR did both of my hips when I was 40. I was

> > severely bilaterally dysplastic. Nearly three years later, and I

> am

> > thrilled with my hips. I was at a rehearsal today, and needed

to

> > make a quick bathroom run. It is a piece that I don't play much,

> so

> > I ran for the bathroom, thinking if I hurried, I could get back

to

> my

> > spot before I had to play. I ran back to applause, as most of

> these

> > people had never seen me run before! I've known most of them

for

> > over ten years!! One even said if she hadn't known me before my

> > surgeries, she never would have guessed that I'd had bad hips.

We

> > had a rehearsal from 9-3 today, and other than lunch, I was on

my

> > feet for most of that time-no pain! In fact, I'm going to be

> doing

> > an aerobics step tape later tonight. Another first for me!

> > > > What determines when> enough is enough - I know>

that

> is

> > individual but I am struggling with saying> OK it's time.

> > > What determined it for me was the increasingly negative impact

> my

> > hips were having on my life. I could have lived with the pain,

> > although it was definitely bad. But, I couldn't live with the

> > increasing disability. I had trained my German Shepherd puppy as

> a

> > service dog, just because he was so easy to train, and he loved

> it.

> > Thankfully, because I got to the point where life alone would

have

> > been very difficult without him. I finally decided to have

> something

> > done now while I was still young. If I had to be disabled, I

> > rathered it would be when I was older and didn't have so much

> energy

> > instead of now, which are the best years of my life so far.

> > >

> > > Since my hips were done, I've hugely increased my range of

> motion,

> > done a lot more traveling (went hiking in Puerto Rico and

> snorkeling

> > in the Caribbean while still on crutches), started dating again,

> and

> > have a list of things I either have never done, or haven't been

> able

> > to do in a long time. On the list are things like learning to

> dance,

> > roller skating, scuba diving... Sadly my German Shepherd passed

> away

> > suddenly about a year and a half ago. Thankfully I didn't need

> him

> > as a service dog anymore, as the one I have now has no aptitude

> for

> > it. In fact, she would probably be the first one to knock me

over!

> > >

> > > Cindy

> > > C+ 5/25/01 and 6/28/01

> > >

> > > _______________________________________________

> > >

> > >

> > >

> > >

[Guest guest]

Hello,

Thanks. You bet. I have already called and faxed their appeals

department and also their legal department. I'm over being upset

with them; now it's time to play hard-ball and act nasty. I've been

warned by others the lawsuit will get really ugly.

Years of owning a newspaper and being in the publishing end of it

too, I know what NASTY is all about. I gave United Health Care till

the 29th to respond. If not, I'm going straight to Federal court

with my lawsuit. And, I have already told them I will turn this into

a class action suit if I can.

I pay my insurance every month, how dare they deny my care. This

lawsuit is also for every other man, woman and child that were denied

medical care by United Health Care.

No, I won't wait too long; plan to file next week if I don't hear

from them.

Hip-hip hooray,

Terrie

> > > >

> > > > > My questions are: Successful Doctors in the US>

(West

> > > Coast preferably)

> > > > Dr. Boyd in Salem OR did both of my hips when I was 40. I

was

> > > severely bilaterally dysplastic. Nearly three years later, and

I

> > am

> > > thrilled with my hips. I was at a rehearsal today, and needed

> to

> > > make a quick bathroom run. It is a piece that I don't play

much,

> > so

> > > I ran for the bathroom, thinking if I hurried, I could get back

> to

> > my

> > > spot before I had to play. I ran back to applause, as most of

> > these

> > > people had never seen me run before! I've known most of them

> for

> > > over ten years!! One even said if she hadn't known me before

my

> > > surgeries, she never would have guessed that I'd had bad hips.

> We

> > > had a rehearsal from 9-3 today, and other than lunch, I was on

> my

> > > feet for most of that time-no pain! In fact, I'm going to be

> > doing

> > > an aerobics step tape later tonight. Another first for me!

> > > > > What determines when> enough is enough - I know>

> that

> > is

> > > individual but I am struggling with saying> OK it's time.

> > > > What determined it for me was the increasingly negative

impact

> > my

> > > hips were having on my life. I could have lived with the

pain,

> > > although it was definitely bad. But, I couldn't live with the

> > > increasing disability. I had trained my German Shepherd puppy

as

> > a

> > > service dog, just because he was so easy to train, and he loved

> > it.

> > > Thankfully, because I got to the point where life alone would

> have

> > > been very difficult without him. I finally decided to have

> > something

> > > done now while I was still young. If I had to be disabled, I

> > > rathered it would be when I was older and didn't have so much

> > energy

> > > instead of now, which are the best years of my life so far.

> > > >

> > > > Since my hips were done, I've hugely increased my range of

> > motion,

> > > done a lot more traveling (went hiking in Puerto Rico and

> > snorkeling

> > > in the Caribbean while still on crutches), started dating

again,

> > and

> > > have a list of things I either have never done, or haven't been

> > able

> > > to do in a long time. On the list are things like learning to

> > dance,

> > > roller skating, scuba diving... Sadly my German Shepherd

passed

> > away

> > > suddenly about a year and a half ago. Thankfully I didn't need

> > him

> > > as a service dog anymore, as the one I have now has no aptitude

> > for

> > > it. In fact, she would probably be the first one to knock me

> over!

> > > >

> > > > Cindy

> > > > C+ 5/25/01 and 6/28/01

> > > >

> > > > _______________________________________________

> > > >

> > > >

> > > >

> > > >

[Guest guest]

Thanks, I will read it; do you know what post it is? I am new to

this site but will scan the posts when I'm finished replying to a few

others.

When I called United Health Care back in anger, disgust, bewilderment

and alarm, I was told they denied my approval because I could seek

the same kind of care 30 miles from where I live, in otherwords, in

my " network " , which is totally false. My OS, who is very well known

and is also known for his resurfacing procedures, says I need the

PAO, and I need it pronto. My insurance company referred me to 3

other doctors here they said could do the same thing. How

ridiculous! After they gave me their names, one of the surgeons is

already a doctor of mine, and he sure doesn't do PAO's, and the other

two doctors I spoke with don't do them either, and didn't know who

did.

Evidently, either they (UHC) can't read, or they are just total

morons because my surgeon told them there were NO doctors here in

Kentucky that could perform the PAO (periacetabular osteotomy)on me.

I think they are poo-pooing me off because the pelvic osteotomy is so

expensive. What they are not figuring out is that THR's over time

must be revised so there is the added cost of revisions, and hip

resurfacing procedures are still new enough that they are not sure

how long they will last.

Actually, I wanted the resurfacing procedure done, but my OS who does

them said I didn't have enough socket in either hip to have it done.

Ouch!

Thanks for the info,

Hip-hip-hurray,

Terrie

> > > >

> > > > > My questions are: Successful Doctors in the US>

(West

> > > Coast preferably)

> > > > Dr. Boyd in Salem OR did both of my hips when I was 40. I

was

> > > severely bilaterally dysplastic. Nearly three years later, and

I

> > am

> > > thrilled with my hips. I was at a rehearsal today, and needed

> to

> > > make a quick bathroom run. It is a piece that I don't play

much,

> > so

> > > I ran for the bathroom, thinking if I hurried, I could get back

> to

> > my

> > > spot before I had to play. I ran back to applause, as most of

> > these

> > > people had never seen me run before! I've known most of them

> for

> > > over ten years!! One even said if she hadn't known me before

my

> > > surgeries, she never would have guessed that I'd had bad hips.

> We

> > > had a rehearsal from 9-3 today, and other than lunch, I was on

> my

> > > feet for most of that time-no pain! In fact, I'm going to be

> > doing

> > > an aerobics step tape later tonight. Another first for me!

> > > > > What determines when> enough is enough - I know>

> that

> > is

> > > individual but I am struggling with saying> OK it's time.

> > > > What determined it for me was the increasingly negative

impact

> > my

> > > hips were having on my life. I could have lived with the

pain,

> > > although it was definitely bad. But, I couldn't live with the

> > > increasing disability. I had trained my German Shepherd puppy

as

> > a

> > > service dog, just because he was so easy to train, and he loved

> > it.

> > > Thankfully, because I got to the point where life alone would

> have

> > > been very difficult without him. I finally decided to have

> > something

> > > done now while I was still young. If I had to be disabled, I

> > > rathered it would be when I was older and didn't have so much

> > energy

> > > instead of now, which are the best years of my life so far.

> > > >

> > > > Since my hips were done, I've hugely increased my range of

> > motion,

> > > done a lot more traveling (went hiking in Puerto Rico and

> > snorkeling

> > > in the Caribbean while still on crutches), started dating

again,

> > and

> > > have a list of things I either have never done, or haven't been

> > able

> > > to do in a long time. On the list are things like learning to

> > dance,

> > > roller skating, scuba diving... Sadly my German Shepherd

passed

> > away

> > > suddenly about a year and a half ago. Thankfully I didn't need

> > him

> > > as a service dog anymore, as the one I have now has no aptitude

> > for

> > > it. In fact, she would probably be the first one to knock me

> over!

> > > >

> > > > Cindy

> > > > C+ 5/25/01 and 6/28/01

> > > >

> > > > _______________________________________________

> > > >

> > > >

> > > >

> > > >