Beth

[Guest guest]

Beth,

Hi, ok, where to start? I will be able to tell you more soon as Blue

Cross decided they were not primary ins for me and they requested all

funds paid back to them going back to Nov,2003! So all of my doctors

have to rebill everything, with Medicare as primary. I should see

what they paid soon, and maybe that will help?

Have you persued Aetna to pay for the surgery. It seems to me if you

have ins you may have a battle but they should pay for both the MRI

and the explant? Have you tried to do this? How long will you have

Aetna? If you are on COBRA like me, I don't know how long you will

be able to pay for it (like me)?

Blue Cross would not give me a $ figure or not pre-approve the

surgery. Hense, the CC check was used. I finally got the PS to send

the claim to Blue Cross (after the doctors are already paid it can be

difficult to inspire them to send it in) She did get a check from

Blue Cross and kept it, so I did not get reimbursed at all. :-(

BUT, I was not angry about this because she ran into a horrer story

taking them out, and I ended up having to have 2 surgeries.

Let me know about the Aetna question and then we can start planning

your attack!

xxx in Ca

>

> Thanks for the support. LTD is Long Term Disability which was how

I was able to keep a roof over my head. They were responsible for

paying me up to age 65 as long as I was ill. However, after only

paying me for 7 months after a year long fight to win it, they

decided that my illness was related to depression. Crazy since most

of my symptoms have absolutely nothing to do with depression. But

I'm told that what they are doing is absolutely legal. Social

security has been much easier to obtain. My case was just re-

evaluated and approved again although it isn't enough money to keep a

roof over your head.

>

> I have medicare option A. I also have Aetna from my last job but

that as the LTD could end at any time. I do not have a son. Thank

god, because that would really make my situation worse than it

already is. When hearing Shari's story, my heart goes out to her and

makes me even angrier than I already am. How do people get away with

what all of us are going through??? All for money. The bottom line

is always money. I feel like my entire life has been a battle. I

know that it could be worse but right now I don't feel as though it

could get any worse. I'm not sure if you know what I mean or not.

>

> I've never been married because my life revolved around my career.

Engaged twice but broke up before the wedding. Thank goodness. Talk

about problems!!! My career has been my life and it along with my

health has been taken away. So, that is my story. Similar I'm sure

to many others on this support group. The bottom line is that I'm

sick, very sick. I haven't been able to leave the house for more

than a few hours in the last three years. When I do, I become even

more ill. My body starts to bloat with fluid, I become weak and

extremely fatigued. There are days that I'm too weak to bathe.

Today was one of those days. I know it sounds disgusting but true.

>

> What is CML? I have no idea what that is but have seen it posted

from other members before.

>

> If you know how to fight an insurance company please give me some

pointers because I need to get these things out. I need to have them

taken out by a doctor in the Philadelphia area as I'm just way too

sick to travel.

>

> Thank you

> Beth.

>

>