Guest guest Posted June 29, 2004 Report Share Posted June 29, 2004 Ok, in a nutshell hippies...(so much for the nutshell - it's a novel!) Last week I was all set to make a decision - Belgium/DeSmet it was. Then I get an email from someone privately, causing me to totally question my decision and do more research. Not only has it delayed my surgery date/timing/desire to SCHEDULE it already, but I'm extremely frustrated that ONE PERSON could put me in such a tail- spin, causing me to re-evaluate. I am not re-evaluating getting the surgery ulitmately - this will still happen w/out a doubt - but by who remains a question. I'm sure a lot of this has to do with " pre-hippy syndrome " (pre surgery apprehension, normal re-evaluation), but its caused me to want to dig more to be sure Belgium is the right choice. Bottom line, BCCA turned me down here in the States - the whole investigational B.S. JRI's people tried, and I was denied a few weeks ago (as many of you know). Would another surgeon's office be capable of getting an approval, especially since I've already been denied? I would think not...but I'm not familiar with the whole insurance deal - it's just a question out there for anyone. Interestingly enough, my insurance is changing effective July 1st. It will still be BC (unfortunately), but our company recently merged, so we're going from small group coverage to the next level up (large group? medium group? whatever it's called). I asked the BC rep when she was in our office a month or so again, and my understanding is that it's the same coverage - just a different dept. Hmmmmm...not sure if this could help??? You'd think it'd be in the system - my rejection - but with other folks bein' paid after the fact...who the heck knows! As for appealing - I just don't think it's worth my time and energy since BCCA seems to be rejecting left and right, and with the class action suit against them, etc. Not to mention, I want to schedule in the next week, not a month/several months from now when they decide to say no again. Next (yup, there's more...), if I go with DeSmet (which I am still leaning toward btw)...from Jim's recent postings, it sounds as if it's possible to get $ back from insurance - even though they said no intially. I know others who have privately told me the same - that they depended on insurance companies " left hand not knowing what the right hand is doing. " I guess it'd be nice to know it was still a possibility, however slight, to get the $ reimbursed if I go to Belgium. And heck, once it's done, I'll put up my dukes and fight - but now? I just want it DONE already! Lastly, as much as I've heard amazing things about DeSmet and the whole Belgium experience...it's still a bit daunting - the thought of going overseas for major surgery. I used to travel a ton - so it's not that, it's ... what if something does go wrong? In my head, I've decided if I go to Belgium, nothing will go wrong. And on the off chance it does, there are competent docs in the US that could step in. I'm sorry all - I'm just losing my mind tonight on this (and have been increasingly so for the past several days). I want so badly to make a decision and schedule, but I also just wanna be sure about everything (is one ever sure??). Anyone who can put any two cents in - it's appreciated mucho! Thanks for listening/reading hippies...I'm gonna try and catch some ZZZzzz's now. G'nite, P.S. I've been lead to believe that it's not too smart to post such details on this site - as " big brother's " watching so-to-speak...but ya know? Whatever...if I can't open up here about this, where the hell can I? Quote Link to comment Share on other sites More sharing options...
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