Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 In a message dated 5/12/2000 7:47:50 PM Eastern Daylight Time, RLSJRMWOKS@... writes: << and I am used to discrimination. I am not some welfare trash that expects " something for nothing " as someone said earlier, but I do expect that I be judged by my morals & values, not my purse. Thank you for your time everyone. O'Kelley >> O'Kelley, I would never judge you or anyone buy the wealth be it a quarter or a billion, I have been at both ends of that rope. I really do feel for you! I just don't know what to say or do to make it better. sorry Trish Lanman Praying to be on the other side in June Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Thank you so much for your letter. You have no idea what it means to me. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Thank you so much for your letter. You have no idea what it means to me. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Thank you so much for your letter. You have no idea what it means to me. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Thank you Trish. Thank you very much. Your understandingmakes a great difference. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 O': I feel so bad for you, and for Tara. You two and who knows who else out there were totally treated unfairly. I can only imagine how much of a disappointment it was for you to actually have a date and then have the carpet pulled out from under your feet. I think that because Dr. R has helped so many people and been a Godsend to so many it is hard for us to imagine that this could happen. I know that Tara is going to have lap RNY through someone else. What are you going to do? Do you have any other options? Please know that there are some of out here that do support you and certainly do not look down on you at all. Take care, Jackie in DE 12 days and counting... want everyone to understand, please, I am not Tara. I am O'Kelley. I do support Tara though. I support her because I am the other person that has Medicaid and has an approval and was told to call for surgery date on Monday and instead was told no. I am the hypothetical situation that I put forth in the email with Tara's note attached. I am upset because I got my approval, I delivered my packet, I called for a date and was told that I wasn't a profitable enough patient. I was directly told by Barbara that " Dr. Rutledge has patients with 'real' insurance and that are self pay that are more important than a Medicaid patient. " When Medicaid called Dr. R's office they were told pretty much the same thing. Well, the worst part was being told that I would have to reapply for approval, but Medicaid would not approve again because my first one went unused. Therefore, it disproved medical need for the surgery. So, I was stuck with an approval that wasn't going to be used within proper time constraints and then I wouldn't get another one and all simply because I do not have real insurance and am therefore unimportant. If doctors don't want Medicaid fees they do not have to accept Medicaid at all, But why accept it, get the approval, then turn me down? And Tara too? That doesn't make sense to me. When he said he would take the Medicaid and filed the papers he knew what the amount was. If it didn't please him, he should have stopped process then, not at the point of getting the surgery date. And I asked about what if my parents or grandparents paid part of the money upfront. He said it isn't an option. Either self pay all the way or Medicaid all the way. One last thing, I have no doubts as to whether or not he is an absolute angel to everyone that praises him so, but since he choose to accept the Medicaid until the very last minute, what makes me so much less than all of you? Well, honestly, nothing. I work hard, I am a good mother and I am used to discrimination. I am not some welfare trash that expects " something for nothing " as someone said earlier, but I do expect that I be judged by my morals & values, not my purse. Thank you for your time everyone. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Thank you Jackie. I have been given the chance to start the entire process over with a new doctor. Thank you so much for your letter of support. Please everyone remember I am not discrediting your relationships with Dr. R. I am quite sure he deserves the praises he gets from you. I am just in a different position. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Does anyone know if he is just not accepting Medicaid or is it Medicare to? Thanks, Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Debbie told me Medicaid, Medicare, and Vocational Rehab are on hold for 6 to 9 months. That you must reapply for approval then. But, from what I have been told by Medicaid this week, the chances are slim to none if you wait that long. It disproves medical necessity. My chances are coming from the fact that Medicaid has agreed to let me start the process over with a new doctor because of this situation. O'K Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Debbie told me Medicaid, Medicare, and Vocational Rehab are on hold for 6 to 9 months. That you must reapply for approval then. But, from what I have been told by Medicaid this week, the chances are slim to none if you wait that long. It disproves medical necessity. My chances are coming from the fact that Medicaid has agreed to let me start the process over with a new doctor because of this situation. O'K Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Debbie told me Medicaid, Medicare, and Vocational Rehab are on hold for 6 to 9 months. That you must reapply for approval then. But, from what I have been told by Medicaid this week, the chances are slim to none if you wait that long. It disproves medical necessity. My chances are coming from the fact that Medicaid has agreed to let me start the process over with a new doctor because of this situation. O'K Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 You guys are all so good! I was so afraid to tell what had happened, but couldn't hide it either. I was terrified you all would hate me because my experience was opposite from yours. I was afraid of being labled a 'Dr. R' basher, and that isn't my intention. I really only needed to say what I felt in a place where others could understand my pain. Thank you so muich for your support and prayers. O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 This is awful my mother has already made her clinic appointment and made her hotel reservations. She has Medicare and Blue Cross. I won't have the heart to tell her if this is the case she will be heartbroken. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 This is awful my mother has already made her clinic appointment and made her hotel reservations. She has Medicare and Blue Cross. I won't have the heart to tell her if this is the case she will be heartbroken. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 This is awful my mother has already made her clinic appointment and made her hotel reservations. She has Medicare and Blue Cross. I won't have the heart to tell her if this is the case she will be heartbroken. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Okelly, please stay on the list, We are all here for support in our weight loss and a chance for a better life, a healthier life! Everyone's input is needed for all of our success. God Bless You Trisha Lanman praying Dr. R. will help me to the other side soon!!! Las Vegas NV Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 I would hope that since she has two coverage's, one being primary, the other secondary, in whatever order, she still has more than just Medicaid/Medicare/Voc Rehab. Please find out from Debbie. I just know that she said Medicaid/Medicare/Voc Rehab are being put on hold for six to nine months because of low profitability. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 I truly appreciate your support. Ya'll are gonna make me cry. Thank you. THANK YOU! THANK YOU! O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 I truly appreciate your support. Ya'll are gonna make me cry. Thank you. THANK YOU! THANK YOU! O'Kelley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 In a message dated 5/12/2000 10:44:38 PM Eastern Daylight Time, RLSJRMWOKS@... writes: << You guys are all so good! I was so afraid to tell what had happened, but couldn't hide it either. I was terrified you all would hate me because my experience was opposite from yours. I was afraid of being labled a 'Dr. R' basher, and that isn't my intention. I really only needed to say what I felt in a place where others could understand my pain. Thank you so muich for your support and prayers. O'Kelley >> O', So sorry for you're disappointment and emotional pain I know this caused. What is the use in having medicaid and medicare if physicians can refuse it. what do people do if all of a sudden all doctors refused it, My daughter has medicaid for her children and she works a full time job. I sure know how I would react if they needed medical attention and were refused because the doctors are not willing to take a few less dollars. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 In a message dated 5/12/2000 10:44:38 PM Eastern Daylight Time, RLSJRMWOKS@... writes: << You guys are all so good! I was so afraid to tell what had happened, but couldn't hide it either. I was terrified you all would hate me because my experience was opposite from yours. I was afraid of being labled a 'Dr. R' basher, and that isn't my intention. I really only needed to say what I felt in a place where others could understand my pain. Thank you so muich for your support and prayers. O'Kelley >> O', So sorry for you're disappointment and emotional pain I know this caused. What is the use in having medicaid and medicare if physicians can refuse it. what do people do if all of a sudden all doctors refused it, My daughter has medicaid for her children and she works a full time job. I sure know how I would react if they needed medical attention and were refused because the doctors are not willing to take a few less dollars. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 When I first went to the clinic I was clueless about how everything worked. I went on the advice of my dr. and when Dr. R asked if I had any questions, my response was how soon could I have this done? He didn't like that. I needed to research this more he said. My feathers were " miffed " , but I came home started paperwork etc.. determined I was doing this, then I found out my policy didn't cover it. I e-mailed Dr.R. who in return emailed me back with a quick " you can fight, appeal, or give up " . Here I was stuck with a bill for $255 and I was not going to have the surgery...I was " miffed " again. The one thing he did do was tell me about this group. I have learned so much from all of you who share and now I hope this helps....I didn't give up I took a different insurance policy that will cover it. You have to be patient and find a game plan to fit you. I was using my husband's insurance because i thought it was better, my employer's covered this if it was necessary so I've picked it up. If you're at a job or self employed check out other policies yes there may be a waiting period but it's worth it. I don't know if this helps anyone and I hope everyone gets to do this if it is really what they want. I just finally get it " fight, appeal, or give up " it's your choice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 When I first went to the clinic I was clueless about how everything worked. I went on the advice of my dr. and when Dr. R asked if I had any questions, my response was how soon could I have this done? He didn't like that. I needed to research this more he said. My feathers were " miffed " , but I came home started paperwork etc.. determined I was doing this, then I found out my policy didn't cover it. I e-mailed Dr.R. who in return emailed me back with a quick " you can fight, appeal, or give up " . Here I was stuck with a bill for $255 and I was not going to have the surgery...I was " miffed " again. The one thing he did do was tell me about this group. I have learned so much from all of you who share and now I hope this helps....I didn't give up I took a different insurance policy that will cover it. You have to be patient and find a game plan to fit you. I was using my husband's insurance because i thought it was better, my employer's covered this if it was necessary so I've picked it up. If you're at a job or self employed check out other policies yes there may be a waiting period but it's worth it. I don't know if this helps anyone and I hope everyone gets to do this if it is really what they want. I just finally get it " fight, appeal, or give up " it's your choice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Dear O'Kelley, I can understand the reason you are so upset. I would feel the same way now that you have come across with more details. There is no reason I would ever look down on someone just because they are on Medicaid or Medicare. Both my parents were on Medicare and thank God they had it. The thing that I was so hung up on was the $500 difference mentioned in Tara's letter. I don't feel that anyone on this list is any better than anyone else. I just think that we need to understand that certain business decisions have to be made by Dr. R, unfortunately his timing stinks. If he made a committment to you and to Tara then he should honor that committment. Even if it means biting the bullet financially. He apparantly made his mind up without regard to the two of you and it is quite possible he is not aware of the ramifications of his decision in regards to the Medicaid approval. I also doubt that he is aware of the poor choice of words that Barbara used in her conversation with you. Even though he is a doctor he is still a businessman. Certain things cannot be controlled by him 100% of the time...such as employees actions. He can however control his own choices in regards to Medicaid. I'm sorry he made that decision and I certainly hope he reconsiders it. I want to emphasize that you are not less a person because of your circumstances, you deserve the same treatment as everyone else. Fairness is never handed out equally, we have all had our crosses to bear they just come in different shapes and sizes. I never intended to insinuate that you are not worthy. If I did imply this I do apologize. I hope you find a way to obtain your goal. Best Wishes, Genz RLSJRMWOKS@... wrote: > want everyone to understand, please, I am not Tara. I am O'Kelley. I do > support Tara though. I support her because I am the other person that has > Medicaid and has an approval and was told to call for surgery date on Monday > and instead was told no. I am the hypothetical situation that I put forth in > the email with Tara's note attached. I am upset because I got my approval, I > delivered my packet, I called for a date and was told that I wasn't a > profitable enough patient. I was directly told by Barbara that " Dr. Rutledge > has patients with 'real' insurance and that are self pay that are more > important than a Medicaid patient. " When Medicaid called Dr. R's office they > were told pretty much the same thing. Well, the worst part was being told > that I would have to reapply for approval, but Medicaid would not approve > again because my first one went unused. Therefore, it disproved medical need > for the surgery. So, I was stuck with an approval that wasn't going to be > used within proper time constraints and then I wouldn't get another one and > all simply because I do not have real insurance and am therefore unimportant. > If doctors don't want Medicaid fees they do not have to accept Medicaid at > all, But why accept it, get the approval, then turn me down? And Tara too? > That doesn't make sense to me. When he said he would take the Medicaid and > filed the papers he knew what the amount was. If it didn't please him, he > should have stopped process then, not at the point of getting the surgery > date. And I asked about what if my parents or grandparents paid part of the > money upfront. He said it isn't an option. Either self pay all the way or > Medicaid all the way. One last thing, I have no doubts as to whether or not > he is an absolute angel to everyone that praises him so, but since he choose > to accept the Medicaid until the very last minute, what makes me so much less > than all of you? Well, honestly, nothing. I work hard, I am a good mother > and I am used to discrimination. I am not some welfare trash that expects > " something for nothing " as someone said earlier, but I do expect that I be > judged by my morals & values, not my purse. > Thank you for your time everyone. > O'Kelley > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2000 Report Share Posted May 12, 2000 Dear O'Kelley, I can understand the reason you are so upset. I would feel the same way now that you have come across with more details. There is no reason I would ever look down on someone just because they are on Medicaid or Medicare. Both my parents were on Medicare and thank God they had it. The thing that I was so hung up on was the $500 difference mentioned in Tara's letter. I don't feel that anyone on this list is any better than anyone else. I just think that we need to understand that certain business decisions have to be made by Dr. R, unfortunately his timing stinks. If he made a committment to you and to Tara then he should honor that committment. Even if it means biting the bullet financially. He apparantly made his mind up without regard to the two of you and it is quite possible he is not aware of the ramifications of his decision in regards to the Medicaid approval. I also doubt that he is aware of the poor choice of words that Barbara used in her conversation with you. Even though he is a doctor he is still a businessman. Certain things cannot be controlled by him 100% of the time...such as employees actions. He can however control his own choices in regards to Medicaid. I'm sorry he made that decision and I certainly hope he reconsiders it. I want to emphasize that you are not less a person because of your circumstances, you deserve the same treatment as everyone else. Fairness is never handed out equally, we have all had our crosses to bear they just come in different shapes and sizes. I never intended to insinuate that you are not worthy. If I did imply this I do apologize. I hope you find a way to obtain your goal. Best Wishes, Genz RLSJRMWOKS@... wrote: > want everyone to understand, please, I am not Tara. I am O'Kelley. I do > support Tara though. I support her because I am the other person that has > Medicaid and has an approval and was told to call for surgery date on Monday > and instead was told no. I am the hypothetical situation that I put forth in > the email with Tara's note attached. I am upset because I got my approval, I > delivered my packet, I called for a date and was told that I wasn't a > profitable enough patient. I was directly told by Barbara that " Dr. Rutledge > has patients with 'real' insurance and that are self pay that are more > important than a Medicaid patient. " When Medicaid called Dr. R's office they > were told pretty much the same thing. Well, the worst part was being told > that I would have to reapply for approval, but Medicaid would not approve > again because my first one went unused. Therefore, it disproved medical need > for the surgery. So, I was stuck with an approval that wasn't going to be > used within proper time constraints and then I wouldn't get another one and > all simply because I do not have real insurance and am therefore unimportant. > If doctors don't want Medicaid fees they do not have to accept Medicaid at > all, But why accept it, get the approval, then turn me down? And Tara too? > That doesn't make sense to me. When he said he would take the Medicaid and > filed the papers he knew what the amount was. If it didn't please him, he > should have stopped process then, not at the point of getting the surgery > date. And I asked about what if my parents or grandparents paid part of the > money upfront. He said it isn't an option. Either self pay all the way or > Medicaid all the way. One last thing, I have no doubts as to whether or not > he is an absolute angel to everyone that praises him so, but since he choose > to accept the Medicaid until the very last minute, what makes me so much less > than all of you? Well, honestly, nothing. I work hard, I am a good mother > and I am used to discrimination. I am not some welfare trash that expects > " something for nothing " as someone said earlier, but I do expect that I be > judged by my morals & values, not my purse. > Thank you for your time everyone. > O'Kelley > > Quote Link to comment Share on other sites More sharing options...
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