Re: Need more advice, please.......

[Guest guest]

In a message dated 4/10/01 2:04:35 PM Central Daylight Time, pamjams2@...

writes:

<< What I would like to know is how long did you wait after your letter was

submitted to your insurance companies before you began calling? I mean,

it's

only been 24 hours, and I don't want to push my luck. >>

For myself, I waited about 4 wks because I knew they had 4-6 wks to make a

decision. Imagine my surprise when I learned that they had only put it into

their system 4 days prior to my calling! They had had it for almost a month

before they even entered it into their system! I thought that was outrageous

and told them so, but of course, they didn't care; they just passed the buck.

It is of course, nobody's fault according to them. I think they have 1

person to bring the mail in, 1 person to put the mail in the mail room, 1

person to sort the mail, 1 person to open the mail and 1 person to distribute

the mail, etc. It's about the stupidest system I've encountered! You'd

think they were the government! Anyway, after that I called every couple of

days and got an answer within a week, then it took another week to get a copy

of the letter in my hand. Unfortunately it was a denial, but we couldn't

appeal until we had a copy of the letter. Now we are going to appeal. I had

hoped to have surgery in early Summer. Now I doubt that will happen. I don't

even know if I'll get to have surgery this Summer at all. They will most

likely approve another procedure, but denied the DS, saying it was

" investigational " . What a rip-off!

If I were you, I'd give them 1 week, then I'd start calling often, to

pressure them. I heard that each time someone handles your call it moves

your file to the top, so the more often you call, the more likely you are to

get them moving on it.

CindyW in MS

[Guest guest]

Thanks Angel,

It is excellent advice. And a FAR better way to spend my time while I wait for the insurance company!!

Pam

[Guest guest]

Thanks Angel,

It is excellent advice. And a FAR better way to spend my time while I wait for the insurance company!!

Pam

[Guest guest]

To Caroline,

Thank you so much. I'll consider myself hugged. I feel better already.

Pam

[Guest guest]

Dear Pam: Rather than a slap, kick, punch or even an

admonishment...... I think you need a cyber HUG. Here

is two....O....O From the grandma of the bunch

Lovingly,

Caroline

--- pamjams2@... wrote:

> Hi everybody,

>

> first of all, I would like to say thank you very

> much to those of you who

> responded to my post yesterday. Yesterday was a bad

> day, and when I really,

> really needed support and understanding, you guys

> came through for me. Now I

> need you all again, PLEASE.........

>

> As I stated yesterday, my doctor's office submitted

> the letter to the

> insurance company by fax. Now yesterday I was in a

> depressed, sort of

> " I-could-care-less " sort of mood. Today, I find

> myself in a sort of PANIC

> type of mood. Already, I am wondering, and fearing

> that I will be denied. I

> meet all the critieria, and there is no exclusion in

> my policy with UHC that

> I am aware of. Yet I still am sitting here MAKING

> MYSELF CRAZY about this.

> What I would like to know is how long did you wait

> after your letter was

> submitted to your insurance companies before you

> began calling? I mean, it's

> only been 24 hours, and I don't want to push my

> luck.

>

> To make matters worse, I've been eating everything

> that is not nailed down.

> I KNOW THAT THIS IS JUST ANOTHER EXCUSE; however, it

> doesn't seem to be

> making me stop. So, I guess what I need from you

> all is a " cyber-slap " , or a

> " cyber-kick-in-the-butt " so I can get a grip here,

> and stop sabotaging myself.

>

> I anxiously await your responses. (I think!! LOL!!)

>

> Pam

> Pre-op and anxious......

>

__________________________________________________

[Guest guest]

Dear Pam: Rather than a slap, kick, punch or even an

admonishment...... I think you need a cyber HUG. Here

is two....O....O From the grandma of the bunch

Lovingly,

Caroline

--- pamjams2@... wrote:

> Hi everybody,

>

> first of all, I would like to say thank you very

> much to those of you who

> responded to my post yesterday. Yesterday was a bad

> day, and when I really,

> really needed support and understanding, you guys

> came through for me. Now I

> need you all again, PLEASE.........

>

> As I stated yesterday, my doctor's office submitted

> the letter to the

> insurance company by fax. Now yesterday I was in a

> depressed, sort of

> " I-could-care-less " sort of mood. Today, I find

> myself in a sort of PANIC

> type of mood. Already, I am wondering, and fearing

> that I will be denied. I

> meet all the critieria, and there is no exclusion in

> my policy with UHC that

> I am aware of. Yet I still am sitting here MAKING

> MYSELF CRAZY about this.

> What I would like to know is how long did you wait

> after your letter was

> submitted to your insurance companies before you

> began calling? I mean, it's

> only been 24 hours, and I don't want to push my

> luck.

>

> To make matters worse, I've been eating everything

> that is not nailed down.

> I KNOW THAT THIS IS JUST ANOTHER EXCUSE; however, it

> doesn't seem to be

> making me stop. So, I guess what I need from you

> all is a " cyber-slap " , or a

> " cyber-kick-in-the-butt " so I can get a grip here,

> and stop sabotaging myself.

>

> I anxiously await your responses. (I think!! LOL!!)

>

> Pam

> Pre-op and anxious......

>

__________________________________________________

[Guest guest]

Dear Pam: Rather than a slap, kick, punch or even an

admonishment...... I think you need a cyber HUG. Here

is two....O....O From the grandma of the bunch

Lovingly,

Caroline

--- pamjams2@... wrote:

> Hi everybody,

>

> first of all, I would like to say thank you very

> much to those of you who

> responded to my post yesterday. Yesterday was a bad

> day, and when I really,

> really needed support and understanding, you guys

> came through for me. Now I

> need you all again, PLEASE.........

>

> As I stated yesterday, my doctor's office submitted

> the letter to the

> insurance company by fax. Now yesterday I was in a

> depressed, sort of

> " I-could-care-less " sort of mood. Today, I find

> myself in a sort of PANIC

> type of mood. Already, I am wondering, and fearing

> that I will be denied. I

> meet all the critieria, and there is no exclusion in

> my policy with UHC that

> I am aware of. Yet I still am sitting here MAKING

> MYSELF CRAZY about this.

> What I would like to know is how long did you wait

> after your letter was

> submitted to your insurance companies before you

> began calling? I mean, it's

> only been 24 hours, and I don't want to push my

> luck.

>

> To make matters worse, I've been eating everything

> that is not nailed down.

> I KNOW THAT THIS IS JUST ANOTHER EXCUSE; however, it

> doesn't seem to be

> making me stop. So, I guess what I need from you

> all is a " cyber-slap " , or a

> " cyber-kick-in-the-butt " so I can get a grip here,

> and stop sabotaging myself.

>

> I anxiously await your responses. (I think!! LOL!!)

>

> Pam

> Pre-op and anxious......

>

__________________________________________________

[Guest guest]

Pam,

I'm pre-op and am still waiting on my insurance, so I

can't help you with an answer to your question.

However if it will make you feel any better, I'll bite

my nails along with you while we both wait! Really

though, I understand your panicked sort of mood. What

I've been trying to do is just concentrate on making

myself as healthy as possible before surgery(eating

healthy and walking)so when it gets here, I know I've

made the Doc's job just a little easier. It makes me

feel like I'm doing something productive that I can

think about instead of the insurance. At the worst,

I'm feeling better even if there is a delay and at

best, I'm in good shape for the surgery. Hope this

helps, I know you'll find what works for you. Good

luck and lots of patience. Angel

--- pamjams2@... wrote:

> Hi everybody,

>

> first of all, I would like to say thank you very

> much to those of you who

> responded to my post yesterday. Yesterday was a bad

> day, and when I really,

> really needed support and understanding, you guys

> came through for me. Now I

> need you all again, PLEASE.........

>

> As I stated yesterday, my doctor's office submitted

> the letter to the

> insurance company by fax. Now yesterday I was in a

> depressed, sort of

> " I-could-care-less " sort of mood. Today, I find

> myself in a sort of PANIC

> type of mood. Already, I am wondering, and fearing

> that I will be denied. I

> meet all the critieria, and there is no exclusion in

> my policy with UHC that

> I am aware of. Yet I still am sitting here MAKING

> MYSELF CRAZY about this.

> What I would like to know is how long did you wait

> after your letter was

> submitted to your insurance companies before you

> began calling? I mean, it's

> only been 24 hours, and I don't want to push my

> luck.

>

> To make matters worse, I've been eating everything

> that is not nailed down.

> I KNOW THAT THIS IS JUST ANOTHER EXCUSE; however, it

> doesn't seem to be

> making me stop. So, I guess what I need from you

> all is a " cyber-slap " , or a

> " cyber-kick-in-the-butt " so I can get a grip here,

> and stop sabotaging myself.

>

> I anxiously await your responses. (I think!! LOL!!)

>

> Pam

> Pre-op and anxious......

>

__________________________________________________

[Guest guest]

Pam,

I'm pre-op and am still waiting on my insurance, so I

can't help you with an answer to your question.

However if it will make you feel any better, I'll bite

my nails along with you while we both wait! Really

though, I understand your panicked sort of mood. What

I've been trying to do is just concentrate on making

myself as healthy as possible before surgery(eating

healthy and walking)so when it gets here, I know I've

made the Doc's job just a little easier. It makes me

feel like I'm doing something productive that I can

think about instead of the insurance. At the worst,

I'm feeling better even if there is a delay and at

best, I'm in good shape for the surgery. Hope this

helps, I know you'll find what works for you. Good

luck and lots of patience. Angel

--- pamjams2@... wrote:

> Hi everybody,

>

> first of all, I would like to say thank you very

> much to those of you who

> responded to my post yesterday. Yesterday was a bad

> day, and when I really,

> really needed support and understanding, you guys

> came through for me. Now I

> need you all again, PLEASE.........

>

> As I stated yesterday, my doctor's office submitted

> the letter to the

> insurance company by fax. Now yesterday I was in a

> depressed, sort of

> " I-could-care-less " sort of mood. Today, I find

> myself in a sort of PANIC

> type of mood. Already, I am wondering, and fearing

> that I will be denied. I

> meet all the critieria, and there is no exclusion in

> my policy with UHC that

> I am aware of. Yet I still am sitting here MAKING

> MYSELF CRAZY about this.

> What I would like to know is how long did you wait

> after your letter was

> submitted to your insurance companies before you

> began calling? I mean, it's

> only been 24 hours, and I don't want to push my

> luck.

>

> To make matters worse, I've been eating everything

> that is not nailed down.

> I KNOW THAT THIS IS JUST ANOTHER EXCUSE; however, it

> doesn't seem to be

> making me stop. So, I guess what I need from you

> all is a " cyber-slap " , or a

> " cyber-kick-in-the-butt " so I can get a grip here,

> and stop sabotaging myself.

>

> I anxiously await your responses. (I think!! LOL!!)

>

> Pam

> Pre-op and anxious......

>

__________________________________________________