View Single Post
  #1  
Old 06-21-2005, 07:59 PM
chuxk79 chuxk79 is offline
Member
 
Join Date: Dec 2004
Posts: 70
Default

I just got back from a drive up to Santa Cruz to
visit friends and the drive didnt bother me at all
In my legs or lower back ,yahoo
Now on to my Subject. Kaiser says because I elected to have surgery in Germany that they dont consider it a Emergency.
Kaiser says an Emergency medical condition is a medical or mental condition which has accute symptoms of sufficient severity(including severe pain) such that a prudent layperson who has an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in:

Placing the health of the person in serious danger,or
Serious Damage to body functions, or
Serious disfunction of any body organ or part
(whew) and Im a 2 finger typer

Well when you have been in Severe pain for years
to where you almost feel suicidal and years of laxitives and stool softners may damage your bowl function and you are succeptible to liver or kidney problems from all the different kinds of meds you take over years, I think that I fall into these catagories above.

I sent Kaiser a 32 page letter explaining alot of these views including how much money I will save them in narcotics by being off them but now I guess I will have to APPEAL!!!! Any Ideas on how I should approach this will be appreciated.
Should I get an Attorney?? Anyone who has dealt
with the appeal process and won, Let me know.
Chuck D
Reply With Quote