Re: VERY sad. BC said no - ALAN

[Guest guest]

THANKS, Alan...you kick ass buddy! I appreciate your support more

than anything.

I will not give up, and I understand hope is not a bad thing. When I

wrote earlier I literally just got the news. I was

down/bumbed/pissed off for about 2 mins, then had to get back to work

(reality). Not to mention? Wanna know my true perspective and

inspiration the past week or two? Not to reveal a true tear jerker

(I cry just thinking about it)...but here goes nothin'. There's an

amazing person that I work with that comes to work every day to do

his deal...and he's dying. Yup, dying. Some might say, " Why the

hell does he still work? " 'Cuz he loves it...he's fighting...and

he'll continue to fight...hard. The sad thing? I barely knew this

guy a couple months ago...but in such a short period of time, he's

given and offered so much just bein' in the office. Talk about

perspective. Today I thought, " I " m havin' a bad day? " Give me

fuckin' break (excuse my french all).

I shall move on...and I shall be whole again. In fact, De Smet's

lookin' better and better every moment...and hell, I haven't been to

Europe in 8 years and I have spent quite a bit of time there in my

college and post-college years! May just be God tellin' me it's time

for a trip. Time to up the investigation.

GRACI Alan, I sooooo appreciate your words,

In surfacehippy , " Alan Ray " wrote:

> ,

>

> Hope is not your bad. Hope is all we have. I ask this only

because

> I figure I've read most of the same books and posts as you: Is

there

> room for appeals? I don't want information about your personal

> finance, but is it possible to go to Belgium for the less costly

> version? But I thought I understood JRI was offering a pricing

> arrangement that would make it competitive with Dr. de Smet. On

the

> other hand, short of mortgaging the rest of my life...I know I

> couldn't even afford either of those options.

>

> HOPE IS NOT " YOUR BAD " . Never feel that way. Don't quit until you

> can't get up. There's got to be a way for you to get whole again.

>

> It is sad, but it's not shocking. We must all begin with the

> essential truth that " money does not like people. " BC is money.

You

> are people, and therefore...outside of their frame, they don't like

> you because you're little and inconvenient. I'm sure I recall

> there's a class action suit againgst BCCA over just this issue.

You

> could join...just to add to their discomfort, and the cost of their

> lawyers. But that will likely take so long to play out in court

that

> we'll all be doddering and drooling in our rockers before you got a

> resurf from it. You could join the suit to pave the way for

needful

> Hippies who will certainly come after you.

>

> Whatever you do...never believe you did something bad, AND DON'T

GIVE

> UP UNTIL THEy TOSS THE SECOND SHOVELFUL OF DIRT ON YOUR CASKET.

THEY

> COULD MISS WITH THE FIRST...AND YOU MIGHT STILL MAKE A CLEAN

GETAWAY.

>

> Hobble on hippy...

> Alan

>

>

> > Welp, got word about 5 mins ago...BCCA said no coverage. Here's

> the

> > email I got from at JRI:

> >

> > I just received " the call " from Blue Cross. The request was

> > denied. They will not approve it because the implant is

considered

> > investigational. Also, they will not pay for everything

associated

> > with the surgery and exclude the implant as previously hoped.

> Sorry

> > for the bad news.

> >

> > Bastards. BC that is...JRI has been great.

> > My bad for getting my hopes up.

> > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> >

[Guest guest]

THANKS, Alan...you kick ass buddy! I appreciate your support more

than anything.

I will not give up, and I understand hope is not a bad thing. When I

wrote earlier I literally just got the news. I was

down/bumbed/pissed off for about 2 mins, then had to get back to work

(reality). Not to mention? Wanna know my true perspective and

inspiration the past week or two? Not to reveal a true tear jerker

(I cry just thinking about it)...but here goes nothin'. There's an

amazing person that I work with that comes to work every day to do

his deal...and he's dying. Yup, dying. Some might say, " Why the

hell does he still work? " 'Cuz he loves it...he's fighting...and

he'll continue to fight...hard. The sad thing? I barely knew this

guy a couple months ago...but in such a short period of time, he's

given and offered so much just bein' in the office. Talk about

perspective. Today I thought, " I " m havin' a bad day? " Give me

fuckin' break (excuse my french all).

I shall move on...and I shall be whole again. In fact, De Smet's

lookin' better and better every moment...and hell, I haven't been to

Europe in 8 years and I have spent quite a bit of time there in my

college and post-college years! May just be God tellin' me it's time

for a trip. Time to up the investigation.

GRACI Alan, I sooooo appreciate your words,

In surfacehippy , " Alan Ray " wrote:

> ,

>

> Hope is not your bad. Hope is all we have. I ask this only

because

> I figure I've read most of the same books and posts as you: Is

there

> room for appeals? I don't want information about your personal

> finance, but is it possible to go to Belgium for the less costly

> version? But I thought I understood JRI was offering a pricing

> arrangement that would make it competitive with Dr. de Smet. On

the

> other hand, short of mortgaging the rest of my life...I know I

> couldn't even afford either of those options.

>

> HOPE IS NOT " YOUR BAD " . Never feel that way. Don't quit until you

> can't get up. There's got to be a way for you to get whole again.

>

> It is sad, but it's not shocking. We must all begin with the

> essential truth that " money does not like people. " BC is money.

You

> are people, and therefore...outside of their frame, they don't like

> you because you're little and inconvenient. I'm sure I recall

> there's a class action suit againgst BCCA over just this issue.

You

> could join...just to add to their discomfort, and the cost of their

> lawyers. But that will likely take so long to play out in court

that

> we'll all be doddering and drooling in our rockers before you got a

> resurf from it. You could join the suit to pave the way for

needful

> Hippies who will certainly come after you.

>

> Whatever you do...never believe you did something bad, AND DON'T

GIVE

> UP UNTIL THEy TOSS THE SECOND SHOVELFUL OF DIRT ON YOUR CASKET.

THEY

> COULD MISS WITH THE FIRST...AND YOU MIGHT STILL MAKE A CLEAN

GETAWAY.

>

> Hobble on hippy...

> Alan

>

>

> > Welp, got word about 5 mins ago...BCCA said no coverage. Here's

> the

> > email I got from at JRI:

> >

> > I just received " the call " from Blue Cross. The request was

> > denied. They will not approve it because the implant is

considered

> > investigational. Also, they will not pay for everything

associated

> > with the surgery and exclude the implant as previously hoped.

> Sorry

> > for the bad news.

> >

> > Bastards. BC that is...JRI has been great.

> > My bad for getting my hopes up.

> > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> >

[Guest guest]

THANKS, Alan...you kick ass buddy! I appreciate your support more

than anything.

I will not give up, and I understand hope is not a bad thing. When I

wrote earlier I literally just got the news. I was

down/bumbed/pissed off for about 2 mins, then had to get back to work

(reality). Not to mention? Wanna know my true perspective and

inspiration the past week or two? Not to reveal a true tear jerker

(I cry just thinking about it)...but here goes nothin'. There's an

amazing person that I work with that comes to work every day to do

his deal...and he's dying. Yup, dying. Some might say, " Why the

hell does he still work? " 'Cuz he loves it...he's fighting...and

he'll continue to fight...hard. The sad thing? I barely knew this

guy a couple months ago...but in such a short period of time, he's

given and offered so much just bein' in the office. Talk about

perspective. Today I thought, " I " m havin' a bad day? " Give me

fuckin' break (excuse my french all).

I shall move on...and I shall be whole again. In fact, De Smet's

lookin' better and better every moment...and hell, I haven't been to

Europe in 8 years and I have spent quite a bit of time there in my

college and post-college years! May just be God tellin' me it's time

for a trip. Time to up the investigation.

GRACI Alan, I sooooo appreciate your words,

In surfacehippy , " Alan Ray " wrote:

> ,

>

> Hope is not your bad. Hope is all we have. I ask this only

because

> I figure I've read most of the same books and posts as you: Is

there

> room for appeals? I don't want information about your personal

> finance, but is it possible to go to Belgium for the less costly

> version? But I thought I understood JRI was offering a pricing

> arrangement that would make it competitive with Dr. de Smet. On

the

> other hand, short of mortgaging the rest of my life...I know I

> couldn't even afford either of those options.

>

> HOPE IS NOT " YOUR BAD " . Never feel that way. Don't quit until you

> can't get up. There's got to be a way for you to get whole again.

>

> It is sad, but it's not shocking. We must all begin with the

> essential truth that " money does not like people. " BC is money.

You

> are people, and therefore...outside of their frame, they don't like

> you because you're little and inconvenient. I'm sure I recall

> there's a class action suit againgst BCCA over just this issue.

You

> could join...just to add to their discomfort, and the cost of their

> lawyers. But that will likely take so long to play out in court

that

> we'll all be doddering and drooling in our rockers before you got a

> resurf from it. You could join the suit to pave the way for

needful

> Hippies who will certainly come after you.

>

> Whatever you do...never believe you did something bad, AND DON'T

GIVE

> UP UNTIL THEy TOSS THE SECOND SHOVELFUL OF DIRT ON YOUR CASKET.

THEY

> COULD MISS WITH THE FIRST...AND YOU MIGHT STILL MAKE A CLEAN

GETAWAY.

>

> Hobble on hippy...

> Alan

>

>

> > Welp, got word about 5 mins ago...BCCA said no coverage. Here's

> the

> > email I got from at JRI:

> >

> > I just received " the call " from Blue Cross. The request was

> > denied. They will not approve it because the implant is

considered

> > investigational. Also, they will not pay for everything

associated

> > with the surgery and exclude the implant as previously hoped.

> Sorry

> > for the bad news.

> >

> > Bastards. BC that is...JRI has been great.

> > My bad for getting my hopes up.

> > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> >

[Guest guest]

Do not go gentle into that good night.

When we quit, they win.

> > > Welp, got word about 5 mins ago...BCCA said no coverage.

Here's

> > the

> > > email I got from at JRI:

> > >

> > > I just received " the call " from Blue Cross. The request was

> > > denied. They will not approve it because the implant is

> considered

> > > investigational. Also, they will not pay for everything

> associated

> > > with the surgery and exclude the implant as previously hoped.

> > Sorry

> > > for the bad news.

> > >

> > > Bastards. BC that is...JRI has been great.

> > > My bad for getting my hopes up.

> > > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> > >

[Guest guest]

Do not go gentle into that good night.

When we quit, they win.

> > > Welp, got word about 5 mins ago...BCCA said no coverage.

Here's

> > the

> > > email I got from at JRI:

> > >

> > > I just received " the call " from Blue Cross. The request was

> > > denied. They will not approve it because the implant is

> considered

> > > investigational. Also, they will not pay for everything

> associated

> > > with the surgery and exclude the implant as previously hoped.

> > Sorry

> > > for the bad news.

> > >

> > > Bastards. BC that is...JRI has been great.

> > > My bad for getting my hopes up.

> > > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> > >

[Guest guest]

,

I have BCCA and I've been there. Your story has rekindled all my

emotions when I was denied– bitter anger, resentment, deep

disappointment, fear, depression and confusion. It's tough, but

it's not the end of the world. You now have 5 options: (1)you

can appeal, (2)you can take legal action, (3)you can wait for FDA

approval, (4)you can pay out of pocket, or (5)you can have

's large head metal-on-metal THR as it is FDA approved.

Re: option 1 - I appealed and was denied and JRI says no BCCA appeal

has been successful, so not much hope for this. I even appealed the

appeal denial to the state with no luck.

Re: option 2 - I'm in a group plan, and as such, am not eligible

for the class action lawsuit under Fleitman. I found a

couple of attorneys in SoCal specializing in insurance that were

willing to take my case and can give you their names. The problem

here is the case could easily extend beyond the anticipated time of

FDA approval.

Re: option 3 – The educated guess on approval is early in 2005.

Before you decide to wait, I suggest you get a JRI surgeon's

opinion on whether your hip could, or will likely deteriorate too

much in the meantime to be eligible for resurfacing. My OA was

diagnosed in 1979 and I waited 18 years for an alternative to THR for

my first hip. (and BCCA paid for it then). I waited 2 years after the

BCCA denial for my second hip and it was almost too far gone for

resurfacing. (Another reason to go with the most experienced surgeon

you can find.)

Re: option 4 - $17,500 (JRI's cash price) is still beyond the

means of many of us. You can compare prices in Belgium, but India

certainly has the lowest according to info on this site.

Re: 5 – a personal decision that only you can ultimately make.

As Alan says it's not you. You still have some cards to play.

We're here .

Dave

C+ Amstutz, 3.24.1998, 2.12.2004

> > > Welp, got word about 5 mins ago...BCCA said no coverage.

Here's

> > the

> > > email I got from at JRI:

> > >

> > > I just received " the call " from Blue Cross. The request was

> > > denied. They will not approve it because the implant is

> considered

> > > investigational. Also, they will not pay for everything

> associated

> > > with the surgery and exclude the implant as previously hoped.

> > Sorry

> > > for the bad news.

> > >

> > > Bastards. BC that is...JRI has been great.

> > > My bad for getting my hopes up.

> > > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> > >

[Guest guest]

...Look into having the procedure done in India...yes,

India....I hear the Dr's were trained in England and they are FAR,

FAR cheaper than any other place on the planet. Susie in Memphis

-- In surfacehippy , " dm_griggzy "

wrote:

> ,

>

> I have BCCA and I've been there. Your story has rekindled all my

> emotions when I was denied– bitter anger, resentment, deep

> disappointment, fear, depression and confusion. It's tough, but

> it's not the end of the world. You now have 5 options: (1)you

> can appeal, (2)you can take legal action, (3)you can wait for FDA

> approval, (4)you can pay out of pocket, or (5)you can have

> 's large head metal-on-metal THR as it is FDA approved.

>

> Re: option 1 - I appealed and was denied and JRI says no BCCA

appeal

> has been successful, so not much hope for this. I even appealed

the

> appeal denial to the state with no luck.

>

> Re: option 2 - I'm in a group plan, and as such, am not eligible

> for the class action lawsuit under Fleitman. I found a

> couple of attorneys in SoCal specializing in insurance that were

> willing to take my case and can give you their names. The problem

> here is the case could easily extend beyond the anticipated time

of

> FDA approval.

>

> Re: option 3 – The educated guess on approval is early in 2005.

> Before you decide to wait, I suggest you get a JRI surgeon's

> opinion on whether your hip could, or will likely deteriorate too

> much in the meantime to be eligible for resurfacing. My OA was

> diagnosed in 1979 and I waited 18 years for an alternative to THR

for

> my first hip. (and BCCA paid for it then). I waited 2 years after

the

> BCCA denial for my second hip and it was almost too far gone for

> resurfacing. (Another reason to go with the most experienced

surgeon

> you can find.)

>

> Re: option 4 - $17,500 (JRI's cash price) is still beyond the

> means of many of us. You can compare prices in Belgium, but India

> certainly has the lowest according to info on this site.

>

> Re: 5 – a personal decision that only you can ultimately make.

>

> As Alan says it's not you. You still have some cards to play.

> We're here .

>

> Dave

> C+ Amstutz, 3.24.1998, 2.12.2004

>

>

>

> > > > Welp, got word about 5 mins ago...BCCA said no coverage.

> Here's

> > > the

> > > > email I got from at JRI:

> > > >

> > > > I just received " the call " from Blue Cross. The request

was

> > > > denied. They will not approve it because the implant is

> > considered

> > > > investigational. Also, they will not pay for everything

> > associated

> > > > with the surgery and exclude the implant as previously

hoped.

> > > Sorry

> > > > for the bad news.

> > > >

> > > > Bastards. BC that is...JRI has been great.

> > > > My bad for getting my hopes up.

> > > > I'll move on, but I'm pretty dang bumbed...I was so hopeful,

> > > >

[Guest guest]

> Re: VERY sad. BC said no - ALAN

>

>

> ...Look into having the procedure done in India...yes,

> India....I hear the Dr's were trained in England and they are FAR,

> FAR cheaper than any other place on the planet. Susie in Memphis

>

>

http://www.hipresurfacingindia.com/

rolo