ADRSupport Community  

Go Back   ADRSupport Community > General Discussion > Insurance Hell

Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File.


Reply
 
Thread Tools
  #1  
Old 02-04-2007, 10:13 PM
Kim_Dean\'sWife Kim_Dean\'sWife is offline
Senior Member
 
Join Date: Oct 2006
Posts: 108
Default

Just had to give myself a little pat on the back... I just finished a 150 page file to submit to our insurance company for my husband's 2/22/07 two-level surgery. I'm mailing it out Priority/Certified/Insured with a Return Receipt tomorrow. Does that come with fries? And you can be sure I'll be tracking it's every move on the computer! I can exhale (and sleep) now. Even if it's fruitless after going through all available appeals, I'll find satisfaction in knowing that I challenged the insurance company in every way possible. The longer I researched this procedure, the more upsetting it became that people have to fight for what they see is in their best interest. We didn't decide to pursue ProDiscs because we thought they were cute! Well, they ARE nice and shiney...

I just wanted to tell others that I found it very simple to put this file together, so do not be intimidated. My insurance fight is probably just beginning but I'm armed and ready for battle, thanks to the knowledge I've gained right HERE. Thanks, friends!

(Slightly off-topic... Harrison, look away!)
I also just wanted to note that it looks like a little group of us are all scheduled for surgery the same week... so send lots of healing thoughts!
If I'm not mistaken:
Bailey- 2/19/07
SeanTheFireman- 2/21/07
My hubby Dean- 2/22/07
__________________
Wife of Dean, age 32.
Injured 12/05- snow shoveling.
Herniated Discs & DDD at
L4/5 & L5/S1.
-Chiropractic treatment
-3 Failed injections
-Orthopedic Massage
Prodisc Surgery on 2/22/07 Dr. Yue
Yale New Haven Hospital, CT
L4/L5 & L5/S1
Back
Reply With Quote
  #2  
Old 02-05-2007, 06:38 AM
David David is offline
Senior Member
 
Join Date: Mar 2005
Posts: 453
Default

Looks like about 16 days, 20 hours to go

Looking forward to riding with Dean sometime this summer....

David
__________________
47 years old
Surgery: 14-NOV-2006; Straubing, Germany (Dr. B.)
L4-S1: Prodisc
Reply With Quote
  #3  
Old 02-05-2007, 07:01 AM
Harrison's Avatar
Harrison Harrison is offline
Administrator
 
Join Date: Oct 2004
Posts: 6,881
Default

Way to go, Kim. Congrats on your "insurance thesis." Jeez, 150 pages...or pounds?! Ironic, perhaps, that it weighs as much as a human being.
__________________
"Harrison" - info (at) adrsupport.org
Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006
Creator & producer, Why Am I Still Sick? - 2012
Donate www.arthropatient.org/about/donate
Reply With Quote
  #4  
Old 02-05-2007, 11:00 AM
SeanTheFireman SeanTheFireman is offline
Member
 
Join Date: Oct 2006
Posts: 61
Default

Congrats on getting all you paper work done!! Must be a huge relief knowing its done. Its not right all that needs to be done just to feel better.
Now its just countdown time and I know I'm sure getting nervous..and this cold weather is killing me, I'm sure you guys are in the same boat.
Good luck with the insurance and with the surgery.

Sean
__________________
Oct 2005- Repurtured L4/L5 & L5/S1
Oct 2006 -Discogram
Hybrid Surgery Feb. 21, 2007 at New England Baptist Hospital in Boston
Charite ADR at L4/L5 and Fusion at L5/S1
Workers Comp paid 100%
Feeling Great!!
Contact me with any questions either o
Reply With Quote
  #5  
Old 02-05-2007, 11:31 AM
Kim_Dean\'sWife Kim_Dean\'sWife is offline
Senior Member
 
Join Date: Oct 2006
Posts: 108
Default

Good luck to you, too, Sean!! And yes, this weather is killing Dean, too. He's in bad pain right now, he's scared about having the surgery and down about having to pay so much for it.

And David, Dean would enjoy nothing more than to ride with you after all of this! No one would understand the freedom of that ride like another spiney!

Well, I mailed my "Insurance Thesis" out and felt like I was handing over one of my children to the post office. It's unreal how the quality of our lives for the next several years will be directly effected by the decision that Health Net makes.

BUT, since that beast has been mailed, we can now strictly focus on Dean and his surgery/recovery. That's all that really matters!
__________________
Wife of Dean, age 32.
Injured 12/05- snow shoveling.
Herniated Discs & DDD at
L4/5 & L5/S1.
-Chiropractic treatment
-3 Failed injections
-Orthopedic Massage
Prodisc Surgery on 2/22/07 Dr. Yue
Yale New Haven Hospital, CT
L4/L5 & L5/S1
Back
Reply With Quote
Reply

Bookmarks

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -4. The time now is 11:52 PM.


© Copyright 2006-2017 ADRSupport.org All rights reserved.