Re: Has anyone appealed or sued post-op?

[Guest guest]

Lawyers, cars, hats, rabbits -- I've darn near forgotten the subject. Thanks

for the good advice, Dave from Michigan. I am curious, though. Is this coming

from the Southern Baptist half or the Orthodox Jewish half? It's a lovely

combination, Dave, with so many food issues its making my eyes twitch just

thinking about it. I've had vast experience with both cultures, so I say that

with kindness. Back to the subject of paying for the surgery myself, great food

for thought (which also causes me to gain). Thanks so much. I may contact an

attorney this week to seek counsel.

Vicki

Oklahoma

Kaleva@... wrote:

> From: Kaleva@...

>

> My advice would be to consult the lawyer before you pay for the surgery

> yourself. Depending on the language of your policy/plan and the caselaw of

> your state, paying for the surgery yourself without first getting a final

> denial might-might- preclude you from suing. Getting the right legal advise

> now could prove a whole lot less expensive than hiring a lawyer later to try

> and put the rabbit back in the hat.

>

> Good Luck.

>

> Dave from Michigan

>

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[Guest guest]

Nan,

The advice you gave to Vicki (see below) is excellent. If someone didn't

say it, I was going to. As much as we all wish that we could 'by-pass "

the insurance companies, I'm afraid that to do so is extremely risky

financially. I would strongly caution against it. Don't take no for an

answer from your insurance and if you have to get help, hire Walter

Lindstrom to represent you, but don't go into surgery without proper

insurance in place. There are just too many unknowns for that, I'm afraid.

My .02 cents worthl.

Merritt

down 80 pounds in 4 months.

[Guest guest]

Dear Vicki,

I too thought that if my insurance would not pay for the surgery I would

just pay for it myself, but when I found out about the complications I have

gotten cold feet about it. My insurance policy states that if I do anything

on my own that they will not cover any complications now or anytime in the

future. After a lot of thought, I realized that they could call ANY future

health problems complications, so I just can't decide what to do!!!! I am

so angry that they will not do the one thing that will help all my problems

but will pay for future back surgeries, foot surgeries, diabetes

complications, sleep apnea treatments, etc. It is infuriating!!!! It is

also short-sighted on their part. Just thought I would let you know that

there are others of us facing the same thing. Best wishes. Pat in Texas

> Has anyone appealed or sued post-op?

> > >Date: Tue, 04 May 1999 10:20:20 -0500

> > >

> > >

> > >

> > >I have approached this surgery from the standpoint that I will get it

> > >whether or not my insurance pays (no, I'm not rich. Just willing to

> > >borrow the money from the bank.).

> > >

> > >I am submitting everything to the insurance company, but will not allow

> > >it to hold up my progress at all. Have any of you gone ahead and had

> > >the surgery (and paid for the surgery) after a denial or while waiting

> > >for appeal and then gone after the insurance company to seek

> > >reimbursement? I'm ready to give it my best shot up front, but if they

> > >don't readily approve, go forward with the surgery (if allowed by Dr.

> > >R), pay the expenses with a loan, and then get a lawyer and go after

> > >it. The upside (hopefully) would be that your health would be steadily

> > >improving. What do you think?

> > >

> > >

> >

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