Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 , Just a suggestion. I am not a computer whiz but is it possible for Karyn or someone to write up a formal letter, perhaps on the PIA letter head?? Then we can all print it out, sign the letter and forward it to BCBS ? Would we forward it to the main headquarters ( is there such a place? ) or to our local insurance carrier thru our employer or whomever ? It is just a suggestion. Karyn is good at writing things and her written skills are very elegant and factual. It is just a suggestion if someone with those talents can do this. Then we can figure out a way to print it out from our own computer and mail it out separately. Let's bombard those insurance idiots with letters . ( Sorry , that was not nice ). It is a thought. Any suggestions from anyone ? How can we organize such an effort ? Lily from Ohio ( A rebel at heart !) insurance being dropped dear all, this just a note to let everyone know that BCBS is being dropped by the University of Minnesota... Dr. Sutherland will no longer be able to accept this insurance until futher notice from the hospital... They are note paying or reimbursing the hospital at the propper rate for the transplant prtion of the surgery which is currently 11,880.00... Dr. sutherland would anyone who has Blue Cross Blue sheild of any state to contact them and push them to cover this and to explain how inportant it is that they cover things that we need as patients... Again he wanted me to enforsize that it is not him that has made this decision and he will do what he can to help...His hand has been forced by both the insurance and the Hospital... Hopefully they can get this resoveled with a little help from us that have BCBS... Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 , Just a suggestion. I am not a computer whiz but is it possible for Karyn or someone to write up a formal letter, perhaps on the PIA letter head?? Then we can all print it out, sign the letter and forward it to BCBS ? Would we forward it to the main headquarters ( is there such a place? ) or to our local insurance carrier thru our employer or whomever ? It is just a suggestion. Karyn is good at writing things and her written skills are very elegant and factual. It is just a suggestion if someone with those talents can do this. Then we can figure out a way to print it out from our own computer and mail it out separately. Let's bombard those insurance idiots with letters . ( Sorry , that was not nice ). It is a thought. Any suggestions from anyone ? How can we organize such an effort ? Lily from Ohio ( A rebel at heart !) insurance being dropped dear all, this just a note to let everyone know that BCBS is being dropped by the University of Minnesota... Dr. Sutherland will no longer be able to accept this insurance until futher notice from the hospital... They are note paying or reimbursing the hospital at the propper rate for the transplant prtion of the surgery which is currently 11,880.00... Dr. sutherland would anyone who has Blue Cross Blue sheild of any state to contact them and push them to cover this and to explain how inportant it is that they cover things that we need as patients... Again he wanted me to enforsize that it is not him that has made this decision and he will do what he can to help...His hand has been forced by both the insurance and the Hospital... Hopefully they can get this resoveled with a little help from us that have BCBS... Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 , Just a suggestion. I am not a computer whiz but is it possible for Karyn or someone to write up a formal letter, perhaps on the PIA letter head?? Then we can all print it out, sign the letter and forward it to BCBS ? Would we forward it to the main headquarters ( is there such a place? ) or to our local insurance carrier thru our employer or whomever ? It is just a suggestion. Karyn is good at writing things and her written skills are very elegant and factual. It is just a suggestion if someone with those talents can do this. Then we can figure out a way to print it out from our own computer and mail it out separately. Let's bombard those insurance idiots with letters . ( Sorry , that was not nice ). It is a thought. Any suggestions from anyone ? How can we organize such an effort ? Lily from Ohio ( A rebel at heart !) insurance being dropped dear all, this just a note to let everyone know that BCBS is being dropped by the University of Minnesota... Dr. Sutherland will no longer be able to accept this insurance until futher notice from the hospital... They are note paying or reimbursing the hospital at the propper rate for the transplant prtion of the surgery which is currently 11,880.00... Dr. sutherland would anyone who has Blue Cross Blue sheild of any state to contact them and push them to cover this and to explain how inportant it is that they cover things that we need as patients... Again he wanted me to enforsize that it is not him that has made this decision and he will do what he can to help...His hand has been forced by both the insurance and the Hospital... Hopefully they can get this resoveled with a little help from us that have BCBS... Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 As an attorney who has represented insurance companies in the past it is frustrating to observe the battles between profitable (for the most part) insurance companies and profitable (for the most part) physicians. It seems that in today's health care system the only one who gets hurt when insurance compnies and doctors fight are the patients. It used to be that if you had insurance you could get treatment. Now, even with insurance it is not always possible to get decent health care. In the United States! At some point we as a society will have to make tough choices in order to ensure that we provide adequate medical care to those who need it. People need to come before profits. It is my prayer that BCBS and Dr. Sutherland will be able to find some middle ground that meets the needs of those who have decided they need his expertise. gabe > dear all, > > this just a note to let everyone know that BCBS is being dropped by the University of Minnesota... Dr. Sutherland will no longer be able to accept this insurance until futher notice from the hospital... They are note paying or reimbursing the hospital at the propper rate for the transplant prtion of the surgery which is currently 11,880.00... Dr. sutherland would anyone who has Blue Cross Blue sheild of any state to contact them and push them to cover this and to explain how inportant it is that they cover things that we need as patients... Again he wanted me to enforsize that it is not him that has made this decision and he will do what he can to help...His hand has been forced by both the insurance and the Hospital... Hopefully they can get this resoveled with a little help from us that have BCBS... > > Thanks > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 As an attorney who has represented insurance companies in the past it is frustrating to observe the battles between profitable (for the most part) insurance companies and profitable (for the most part) physicians. It seems that in today's health care system the only one who gets hurt when insurance compnies and doctors fight are the patients. It used to be that if you had insurance you could get treatment. Now, even with insurance it is not always possible to get decent health care. In the United States! At some point we as a society will have to make tough choices in order to ensure that we provide adequate medical care to those who need it. People need to come before profits. It is my prayer that BCBS and Dr. Sutherland will be able to find some middle ground that meets the needs of those who have decided they need his expertise. gabe > dear all, > > this just a note to let everyone know that BCBS is being dropped by the University of Minnesota... Dr. Sutherland will no longer be able to accept this insurance until futher notice from the hospital... They are note paying or reimbursing the hospital at the propper rate for the transplant prtion of the surgery which is currently 11,880.00... Dr. sutherland would anyone who has Blue Cross Blue sheild of any state to contact them and push them to cover this and to explain how inportant it is that they cover things that we need as patients... Again he wanted me to enforsize that it is not him that has made this decision and he will do what he can to help...His hand has been forced by both the insurance and the Hospital... Hopefully they can get this resoveled with a little help from us that have BCBS... > > Thanks > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2003 Report Share Posted January 15, 2003 As an attorney who has represented insurance companies in the past it is frustrating to observe the battles between profitable (for the most part) insurance companies and profitable (for the most part) physicians. It seems that in today's health care system the only one who gets hurt when insurance compnies and doctors fight are the patients. It used to be that if you had insurance you could get treatment. Now, even with insurance it is not always possible to get decent health care. In the United States! At some point we as a society will have to make tough choices in order to ensure that we provide adequate medical care to those who need it. People need to come before profits. It is my prayer that BCBS and Dr. Sutherland will be able to find some middle ground that meets the needs of those who have decided they need his expertise. gabe > dear all, > > this just a note to let everyone know that BCBS is being dropped by the University of Minnesota... Dr. Sutherland will no longer be able to accept this insurance until futher notice from the hospital... They are note paying or reimbursing the hospital at the propper rate for the transplant prtion of the surgery which is currently 11,880.00... Dr. sutherland would anyone who has Blue Cross Blue sheild of any state to contact them and push them to cover this and to explain how inportant it is that they cover things that we need as patients... Again he wanted me to enforsize that it is not him that has made this decision and he will do what he can to help...His hand has been forced by both the insurance and the Hospital... Hopefully they can get this resoveled with a little help from us that have BCBS... > > Thanks > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2003 Report Share Posted January 16, 2003 I know how fustrating it is to be dropped byan insurannce companie... I am presently filing a law suit against my old insurance company for breach of contract..... They said that they were going to dropp me from not following Doctors orders.... They wanted me to go thru Detox b/c They thought that I was getting addicted to prescriotion Drugs...... My attorney said that they had no right to drop me b/c I was under a contract with them for a year and I was only two to sixmonths into my contract.... then to make thins worse they made me go home on TPN and home health... The nurse that came to change the needle in my port did not know what she was doing and my port got infected and I almost Died from the infection and Fever.... They Did not want ot pay for my hospital bill but my atorney got wind of the info and he said either pay or we raise the amount of the law suit.... I am so glad to be away from them... My new Insurance is wonderful anything that i need I just call my case manager and she gets it done for me.... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2003 Report Share Posted January 16, 2003 I know how fustrating it is to be dropped byan insurannce companie... I am presently filing a law suit against my old insurance company for breach of contract..... They said that they were going to dropp me from not following Doctors orders.... They wanted me to go thru Detox b/c They thought that I was getting addicted to prescriotion Drugs...... My attorney said that they had no right to drop me b/c I was under a contract with them for a year and I was only two to sixmonths into my contract.... then to make thins worse they made me go home on TPN and home health... The nurse that came to change the needle in my port did not know what she was doing and my port got infected and I almost Died from the infection and Fever.... They Did not want ot pay for my hospital bill but my atorney got wind of the info and he said either pay or we raise the amount of the law suit.... I am so glad to be away from them... My new Insurance is wonderful anything that i need I just call my case manager and she gets it done for me.... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2003 Report Share Posted January 16, 2003 \\\\\\\\\ , Though I live in Maine my BCBS is of Illinois. Mc's is my empoyer and Corporate offices are in Oak Brook. They have been very willing to work with us regarding Cassie's care. They have yet to turn down any request made from her Dr's for anything. We've never had to fight for anything. So... What do you need? Ph, by the way I have an extra in with BCBS of ILL. I'm the human resource mamanger for my parents company, one of the many hats I wear. I have spend quite a bit of time getting them pay for stuff for other people, and I also can call in my ties within our program administrator's office. I just need a few more details on why the won't take BCBS. Also, here in the state of Maine we have big insuarance problems with Antham BCBS so I'm sure I could rattle a few people to our cause. Including the state insurance commisioner. let me know what we can do. We have been pushing this prodedure on Cassie's Dr's and from what I hear Dr Sutherland is the man to do the procedure if he can't take my insurance then he can't do it! Not only that, for what health insurance costs it sucks if it can't help with you illnes. god bless Patty in Banor Maine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2003 Report Share Posted January 19, 2003 I want to let you know I am writing a letter to BCBS in regard to the need to provide coverage for this surgery, and Pancreatitis in general. It is extremely cost effective to provide treatment Vs deal with the complications that can develop. I am patterning the letter after the numerous legislative approaches that were undertaken to persuade Medicare to become so proactive with preventive Diabetes care. We are on the same wave length. I'll let you know. I will send it to BCBS as well as the National Insurance Board. I will cc it to every member of congress. If you are interested in having it sent to your state insurance board, please forward me the contact information. ASAP! Additional information I need to support the letter are facts and figures pertaining to the cost of your health care. Please spend some time and figure out how much you spend on medications, hospitalizations, treatments, diagnostics, psychiatric care, Diabetes. My emphasis is on the fact that an Islet Cell Transplant will prevent Diabetes when done in an effective time period with certain considerations. Effective pain management will minimize or reduce ER visits, et. I need cost comparisons. I have worked in insurance prior approval and authorization for a decade. I will take any information you can send me and make a plea for this. Karyn E. , RN Founder / Executive Director Pancreatitis Association International Corp. Office: Indps, IN, USA 1- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2003 Report Share Posted January 19, 2003 I want to let you know I am writing a letter to BCBS in regard to the need to provide coverage for this surgery, and Pancreatitis in general. It is extremely cost effective to provide treatment Vs deal with the complications that can develop. I am patterning the letter after the numerous legislative approaches that were undertaken to persuade Medicare to become so proactive with preventive Diabetes care. We are on the same wave length. I'll let you know. I will send it to BCBS as well as the National Insurance Board. I will cc it to every member of congress. If you are interested in having it sent to your state insurance board, please forward me the contact information. ASAP! Additional information I need to support the letter are facts and figures pertaining to the cost of your health care. Please spend some time and figure out how much you spend on medications, hospitalizations, treatments, diagnostics, psychiatric care, Diabetes. My emphasis is on the fact that an Islet Cell Transplant will prevent Diabetes when done in an effective time period with certain considerations. Effective pain management will minimize or reduce ER visits, et. I need cost comparisons. I have worked in insurance prior approval and authorization for a decade. I will take any information you can send me and make a plea for this. Karyn E. , RN Founder / Executive Director Pancreatitis Association International Corp. Office: Indps, IN, USA 1- Quote Link to comment Share on other sites More sharing options...
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