Forum: Insurance Hell
08-04-2009, 02:49 PM
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Replies: 10
Views: 17,869
My company got involved to get my denials...
My company got involved to get my denials reversed as we are self-insured as well. Make sure you get your HR dept as much info as possible. What really helped me was the reduced recovery time that...
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Forum: New Member Introductions
07-29-2009, 10:31 AM
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Replies: 8
Views: 12,683
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Forum: The Big File
07-29-2009, 10:21 AM
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Replies: 2
Views: 6,068
Surgery scheduled
Had my pre-op appointments yesterday and my surgery is a go next Wednesday August 5. I'll be getting the Bryan disc. It's taken 2 years to get here but I'm hoping the Bryan disc will make the wait...
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Forum: The Big File
07-29-2009, 10:13 AM
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Replies: 14
Views: 16,145
Sorry to hear about that. Losing a pet can be...
Sorry to hear about that. Losing a pet can be very tough. My daughter, who is only 7, still remembers the exact date that one of our Jack Russell Terrier's(or terrorist as the case may be) passed...
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Forum: Insurance Hell
04-01-2009, 07:47 AM
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Replies: 13
Views: 43,760
Good news! I was told yesterday afternoon that...
Good news! I was told yesterday afternoon that Aetna had reversed ActiveHealth's decisions to deny the surgery. Basically ActiveHealth was NOT following Aetna's guidelines even though they are...
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Forum: The Big File
03-25-2009, 04:11 PM
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Replies: 6
Views: 15,877
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Forum: The Big File
03-10-2009, 08:16 AM
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Replies: 8
Views: 14,590
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Forum: Insurance Hell
03-10-2009, 08:07 AM
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Replies: 13
Views: 43,760
Hmm, would they cover Germany that way? I...
Hmm, would they cover Germany that way? I alomost wonder if it would be worth it to get the newer technology. Of course, newer doesn't always mean better but I'm starting to look at an overseas...
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Forum: Insurance Hell
03-09-2009, 12:36 PM
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Replies: 1
Views: 211,373
For those who have gone overseas
What would happen in the case of complications? I'm curious becuase if I do have to go overseas I'm concerned about what would happen if there were long or short term complications. I doubt my...
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Forum: Insurance Hell
03-09-2009, 11:57 AM
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Replies: 13
Views: 43,760
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Forum: Insurance Hell
02-26-2009, 09:37 PM
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Replies: 13
Views: 43,760
I'm in the same situation Bob. We're self...
I'm in the same situation Bob. We're self insured with Aetna providing ballon coverage. Not sure if that makes a difference in their policy. It is frustrating. Essentially, my employer is on hook...
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Forum: Insurance Hell
02-26-2009, 08:05 AM
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Replies: 13
Views: 43,760
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Forum: Insurance Hell
02-25-2009, 05:45 PM
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Replies: 13
Views: 43,760
Need Aetna help
All, Aetna provides umbrella coverage to my company which is self insured. They have denied coverage for my ADR claiming that nobody covers that procedure currently. I've heard of Aetna covering...
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Forum: Insurance Hell
02-16-2009, 08:19 PM
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Replies: 39
Views: 108,984
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Forum: The Big File
02-16-2009, 08:13 PM
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Replies: 24
Views: 34,463
Another update
I called my doc's nurse again this morning to see if they had heard anything. She called back just as I was leaving work with some hopefully good news.
After the first appeal denial and asked my...
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Forum: Insurance Hell
02-11-2009, 02:53 PM
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Replies: 13
Views: 23,402
Oddly enough that's the exact same argument I...
Oddly enough that's the exact same argument I just made to my insurance company. That nothing in my statement of benefits limited procedures based on the lack of long term data. FDA approval was...
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Forum: The Big File
02-02-2009, 03:30 PM
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Replies: 24
Views: 34,463
Ok, another update. 2nd appeal denied. The...
Ok, another update. 2nd appeal denied. The reviewer, who claims to be a doctor, said that the surgery would be part of a clinical trial and therefore is experimental/investigational. What a...
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Forum: Insurance Hell
01-16-2009, 02:31 PM
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Replies: 2
Views: 4,595
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Forum: Insurance Hell
01-13-2009, 03:04 PM
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Replies: 2
Views: 4,595
Additional info
It appears that ActiveHealth Management is owned by Aetna. I've heard that Aetna can be ADR friendly so hopefully this bodes well for the appeal(s).
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Forum: Insurance Hell
01-13-2009, 02:57 PM
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Replies: 2
Views: 4,595
ActiveHealth Management
For what it's worth, ActiveHealth is the organisation that has initially denied my ADR request. The appeal info has been sent and should be received and completed this week or very early next week. ...
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Forum: The Big File
01-12-2009, 08:58 AM
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Replies: 9
Views: 13,928
My surgery is scheduled for the 26th and I'm...
My surgery is scheduled for the 26th and I'm still waiting for word on my first appeal. I'm supposed to call tomorrow for an update. Personally I see my surgery being delayed at least until April. ...
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Forum: The Big File
01-09-2009, 09:01 AM
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Replies: 24
Views: 34,463
Thanks Kristi. I would be in heaven if the...
Thanks Kristi. I would be in heaven if the headaches went away. I've had one nearly every day since September 1997 and it's something I've just become used to. I manage them now with 800mb of...
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Forum: The Big File
01-05-2009, 09:13 AM
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Replies: 24
Views: 34,463
Insurance denied
Well, not terribly surprised but insurance denied the initial request so it's appeal time. What is surprising is that the procedure they approved was just decompression, not even fusion.
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Forum: The Big File
12-12-2008, 04:23 PM
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Replies: 9
Views: 15,001
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Forum: The Big File
12-12-2008, 04:20 PM
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Replies: 1
Views: 7,008
Any correlation between injury and recovery time?
I'm wondering if there is a correlation between severity of problem pre-op and length of recovery post-op. I think it makes sense that people who have multiple levels done take longer to recover but...
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