Hi Everyone!
Just thought I would drop in since I’ve been gone for five months. Life just got a little out of control with school and my grandmother was diagnosed with terminal cancer in late May. I made the trip to Germany with my mom to see her one last time. My grandfather answered our prayers and took her home to be with him in early September.
I was suppose to have the Charite ADR surgery on July 12th but canceled it due to my trip to Germany. I also found out three days before I left that Empire BC/BS of NY still considers this surgery to be experimental and they won’t pay for it. Glad I found that out BEFORE the surgery!
I have been fighting with my OS’s secretary to get off her duff and send a letter of medical necessity to BC/BS so that I can get my denial letter and begin the appeals process. I have been trying to light a fire under her tush since April. Still, she hasn’t done it. Her words were “well it takes me hours to create this letter and it’s just a waste of money because they will just deny it anyway”.
Well this past Thursday at 3am when I could barely walk, I typed up a nice yet demanding letter to my OS & e-mailed it to him. I also faxed a copy of the letter to his office Thursday afternoon and within 30 minutes, his secretary called me & apologized up & down for being negligent & putting me thru all of this stress. Hopefully she got this letter done today.
I spoke to my employer about my situation a few weeks ago. Her mother has had 2 fusions done so she has an idea what I am going thru. This woman turned around and said to me, “you let me know what I can do to help you”. I was absolutely speechless! Seems she has the gift of gab and the company has a very large contract with BC/BS. Hopefully we can get a positive result out of this.
Well, the hydrocodone & tizanidine are kicking in. Think I’ll call it an early night! Thanks for listening!