Forum: Insurance Hell
11-13-2008, 05:34 PM
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Replies: 2
Views: 4,784
Time for choosing insurance company
Hello all- Hope things are okay for you. Could you please give me any names of ins cos that are covering ADR. It's time to pick my carrier and BCBS is not amenable to ADR. Appreciate any info you...
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Forum: New Member Introductions
06-22-2008, 05:46 PM
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Replies: 12
Views: 17,259
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Forum: Insurance Hell
06-02-2008, 09:15 PM
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Replies: 19
Views: 16,323
LBP
Sad that things have changed so little...
LBP
Sad that things have changed so little over the years isn't it? It's too bad these docs don't keep up with the latest technology after they leave practice and then decide that something is...
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Forum: Insurance Hell
06-02-2008, 04:14 PM
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Replies: 19
Views: 16,323
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Forum: Insurance Hell
06-02-2008, 04:12 PM
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Replies: 19
Views: 16,323
Rich
It was the independent hearing. It was...
Rich
It was the independent hearing. It was to the CA state dept of ins, they call it an independent medical review. I have not seen the denials yet, they are in the mail, but apparently the 3...
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Forum: Insurance Hell
06-02-2008, 10:31 AM
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Replies: 19
Views: 16,323
Well got a call from the state dept of ins and...
Well got a call from the state dept of ins and they agree with the ins co that ADR is experimental! I guess all you recipients and your docs are bucking the powers that be! You're all so lucky that...
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Forum: Insurance Hell
05-31-2008, 12:06 PM
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Replies: 7
Views: 7,215
April
Contact the manufacturer of the disc...
April
Contact the manufacturer of the disc your surgeon wants to use and ask them which companies are covering the use of their disc. They have some basic info that you can use. Find any and all...
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Forum: Insurance Hell
05-22-2008, 12:31 PM
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Replies: 3
Views: 5,928
April
My best advice is to buy Laurie Todd's...
April
My best advice is to buy Laurie Todd's book. The insurance warrior is what she calls herself. You can only find it on-line. There's a thread about her here somewhere. She has wonderful...
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Forum: Insurance Hell
05-20-2008, 11:47 AM
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Replies: 11
Views: 11,888
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Forum: Insurance Hell
05-19-2008, 07:04 PM
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Replies: 11
Views: 11,888
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Forum: Insurance Hell
05-12-2008, 10:32 AM
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Replies: 19
Views: 20,331
Terry
Thanks for the good words! Is there...
Terry
Thanks for the good words! Is there anyone with a brain working at these ins offices? My surgeon wants to do ADR which will cost $22K and they want me to get another fusion which costs...
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Forum: Insurance Hell
05-08-2008, 10:30 AM
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Replies: 19
Views: 20,331
Phylly
Do you have an HMO or PPO? Did you...
Phylly
Do you have an HMO or PPO? Did you file with the DMHC like Kimmers? Apparently, the DOI (Dept of Ins) is for PPO's and the DMHC is for HMO's. My attorney told me that the DMHC is...
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Forum: Insurance Hell
05-06-2008, 04:32 PM
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Replies: 6
Views: 7,470
Jayne
If you get anything I'd surely like...
Jayne
If you get anything I'd surely like copies for myself. They are very difficult to find, as you've discovered. Wish I had something for you, but am on the same quest. Good luck to us both!...
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Forum: Insurance Hell
05-06-2008, 04:30 PM
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Replies: 11
Views: 11,888
If anyone has had success in getting a state...
If anyone has had success in getting a state agency to overturn their ins co, I'd surely like to see what you have. BS of CA has denied me again and so now I'm off to the Dept of Ins, state of CA. ...
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Forum: Insurance Hell
05-04-2008, 01:07 PM
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Replies: 2
Views: 4,844
Sherry
Call the ProDisc hotline, you can...
Sherry
Call the ProDisc hotline, you can find the number on the Synthes website. They can tell you who is authorizing ADR. There are some BCBS companies that are okaying them. Good luck.
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Forum: Insurance Hell
04-28-2008, 04:27 PM
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Replies: 60
Views: 57,528
Janey
I checked my notes and Cigna is...
Janey
I checked my notes and Cigna is authorizing Prodisc. Look at the Synthes web site and you will find a number for patient support. Call them and get info regarding Cigna's authorization. ...
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Forum: Insurance Hell
04-14-2008, 03:22 PM
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Replies: 19
Views: 20,331
To all: spoke to a representative at my...
To all: spoke to a representative at my insurance broker's office and she said if I go ahead with an "unauthorized" procedure, the ins co is NOT liable to cover any expenses. I've decided that this...
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Forum: Insurance Hell
04-13-2008, 03:54 PM
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Replies: 19
Views: 20,331
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Forum: Insurance Hell
04-13-2008, 12:06 PM
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Replies: 19
Views: 20,331
Liz
Thanks for the info. I was thinking...
Liz
Thanks for the info. I was thinking that cosmetic surgery was the perfect example. Did you speak to anyone specific at the state level? Who at your ins co did you speak with?
M-
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Forum: Insurance Hell
04-11-2008, 09:42 PM
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Replies: 19
Views: 20,331
I have a question and I'm not sure if anyone...
I have a question and I'm not sure if anyone knows the answer. Help out if you can, please. If I pay for my ADR out of pocket, what responsibility does the ins co have after the surgery? Let's say...
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Forum: Insurance Hell
04-01-2008, 12:13 PM
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Replies: 15
Views: 8,371
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Forum: Insurance Hell
04-01-2008, 11:56 AM
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Replies: 6
Views: 8,289
Mr D
Sure hope your surgery went well. When...
Mr D
Sure hope your surgery went well. When you're feeling up to it could you share your info? I could use it for my appeal. Need surgery date, location and ins co. YOur name is helpful but...
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Forum: Insurance Hell
04-01-2008, 11:53 AM
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Replies: 4
Views: 7,454
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Forum: Insurance Hell
04-01-2008, 11:49 AM
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Replies: 9
Views: 15,634
MGS
Hope all went well and by now you're...
MGS
Hope all went well and by now you're feeling good. If you could give me some info for my appeal I'd appreciate it. Your surgery date, location and ins co name. Your name or initials would...
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Forum: Insurance Hell
03-27-2008, 11:10 AM
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Replies: 8
Views: 6,646
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