Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 CONGRATULATIONS MICHIGAN CREW !!!! what an amazing inspiration to never give up you are !! Thank you for helping our sisters and brothers ! >From: gardiner20@... >Reply-To: MiniGastricBypass (AT) egroups (DOT) com >To: MiniGastricBypass (AT) egroups (DOT) com >Subject: MICHIGAN APPROVAL >Date: Wed, 19 Jul 2000 03:38:40 -0000 > >Every once in a while. . . there is a person that renews your faith >in the human race. An angel from up above. For us Michiganders, >that special someone is . > >For the past three weeks, has worked day and night, educating >our Michigan Blue Cross Blue Shield attornys about the mistruths of >the MGB. They had denied 9 of us at last count. There excuse. . ... >not that we were not medically necessary.... not that we were >excluded. . . .but that the procedure was experimental..... > >How does an individual fight that? > >If it was not for with the help of Dr. Rutledge, we >would never have accomplished the agonizing appeal process many of us >we had to go through to gain approval. bypassed all that and >went to the top. > > wasted no time getting to the top eschelon of BCBS. She had >kept us abreast of each and every problem that BCBS had come up with, >along with the concerns they had to disapprove this procedure. When >BCBS had a question, had the answer right off the top of her >head. She knows this procedure so well, she did not even have to >think twice about the issue at hand. > >Three weeks and two days. . . . it seemed like a lifetime. Now the >hard part is over. We were approved today. We are on our way to >North Carolina. > >Dr. R is even giving us a Michigan Day. . . > >, I just want to thank you for all you have done, this comes >from all of us. We could have never done this without you. Flo >thank for the advice. It was the best advice I have ever taken. >It was also the cheapest. would not take a dime for all the >hours she spent getting us approve. We really appeciate this . > >Dr. Rutledge, you should really consider hiring this angel. She >would be wonderful to work with your insurance approvals and denials. >And she is so experienced!!!!! > >Well North Carolina here we come. And . . . . were not going >without you!!!!!! > > >From the bottom of our hearts. . . . > >The Michigan Crew > > > > > > > > > > > > > > > > > > > > > >From the bottom of our hearts > > >------------------------------------------------------------------------ >Best friends, most artistic, class clown Find 'em here: >http://click.egroups.com/1/7078/3/_/453517/_/963977931/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > >To Unsubscribe Send and Email to: >MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 Thanks, Bernadine! You're day's just about here, isn't it??!! Excited yet? Bernardine wrote: > > and Michigan Crew > C O N G R A T U L A T I O N S !!! > That is fantastic news! > Sincerely, > Bernardine > MGB 7/24/00 > > > > Every once in a while. . . there is a person that renews your faith > > in the human race. An angel from up above. For us Michiganders, > > that special someone is . > > > > For the past three weeks, has worked day and night, educating > > our Michigan Blue Cross Blue Shield attornys about the mistruths of > > the MGB. They had denied 9 of us at last count. There excuse. . > ... > > not that we were not medically necessary.... not that we were > > excluded. . . .but that the procedure was experimental..... > > > > How does an individual fight that? > > > > If it was not for with the help of Dr. Rutledge, we > > would never have accomplished the agonizing appeal process many of > us > > we had to go through to gain approval. bypassed all that and > > went to the top. > > > > wasted no time getting to the top eschelon of BCBS. She had > > kept us abreast of each and every problem that BCBS had come up > with, > > along with the concerns they had to disapprove this procedure. > When > > BCBS had a question, had the answer right off the top of her > > head. She knows this procedure so well, she did not even have to > > think twice about the issue at hand. > > > > Three weeks and two days. . . . it seemed like a lifetime. Now the > > hard part is over. We were approved today. We are on our way to > > North Carolina. > > > > Dr. R is even giving us a Michigan Day. . . > > > > , I just want to thank you for all you have done, this comes > > from all of us. We could have never done this without you. Flo > > thank for the advice. It was the best advice I have ever taken. > > It was also the cheapest. would not take a dime for all the > > hours she spent getting us approve. We really appeciate this . > > > > Dr. Rutledge, you should really consider hiring this angel. She > > would be wonderful to work with your insurance approvals and > denials. > > And she is so experienced!!!!! > > > > Well North Carolina here we come. And . . . . were not going > > without you!!!!!! > > > > > > From the bottom of our hearts. . . . > > > > The Michigan Crew Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 In a message dated 7/18/2000 11:40:27 PM Eastern Daylight Time, gardiner20@... writes: << Well North Carolina here we come. And . . . . were not going without you!!!!!! From the bottom of our hearts. . . . The Michigan Crew >> That is so wonderful!!! what a glorious and great thing you have done for all of these people. I applaud you and all your effort and work. You will always be and should be an angel to these people!!!!!!!!! ( Now how about attacking United Healthcare of NC) LOL LOL LOL Cathy in Lenoir, NC Pre-op BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 Tricia Bardell wrote: > > That is absolutely wonderful!!! Congratulations to the 9 of you who > have finally been approved!! , I hope you are on cloud nine > knowing you helped so many see a dream come to realization!! You > deserve a gold star, and then some!!! > > Tricia in IL Thank you, Tricia. Really, it was a team effort. I'm glad it worked out. It also turns out there are ELEVEN people Blue Cross says were turned down. We're trying to locate the additional two. Kind regards, > > gardiner20@... wrote: > > > > Every once in a while. . . there is a person that renews your faith > > in the human race. An angel from up above. For us Michiganders, > > that special someone is . > > > > For the past three weeks, has worked day and night, educating > > our Michigan Blue Cross Blue Shield attornys about the mistruths of > > the MGB. They had denied 9 of us at last count. There excuse. . > ... > > not that we were not medically necessary.... not that we were > > excluded. . . .but that the procedure was experimental..... > > > > How does an individual fight that? > > > > If it was not for with the help of Dr. Rutledge, we > > would never have accomplished the agonizing appeal process many of > us > > we had to go through to gain approval. bypassed all that and > > went to the top. > > > > wasted no time getting to the top eschelon of BCBS. She had > > kept us abreast of each and every problem that BCBS had come up > with, > > along with the concerns they had to disapprove this procedure. When > > BCBS had a question, had the answer right off the top of her > > head. She knows this procedure so well, she did not even have to > > think twice about the issue at hand. > > > > Three weeks and two days. . . . it seemed like a lifetime. Now the > > hard part is over. We were approved today. We are on our way to > > North Carolina. > > > > Dr. R is even giving us a Michigan Day. . . > > > > , I just want to thank you for all you have done, this comes > > from all of us. We could have never done this without you. Flo > > thank for the advice. It was the best advice I have ever taken. > > It was also the cheapest. would not take a dime for all the > > hours she spent getting us approve. We really appeciate this . > > > > Dr. Rutledge, you should really consider hiring this angel. She > > would be wonderful to work with your insurance approvals and > denials. > > And she is so experienced!!!!! > > > > Well North Carolina here we come. And . . . . were not going > > without you!!!!!! > > > > >From the bottom of our hearts. . . . > > > > The Michigan Crew > > > > >From the bottom of our hearts > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 , What a sweet thing for you to do that is helping so many. I'm proud of you. Love, Genz McQuarter wrote: > I am just one of the many Michiganders that has helped with all her > efforts on our behalf. I just want to thank you from the bottom of my > heart ! Looking at the other side thanks to you. And many thanks to > for talking to me and keeping me updated on the progress with BC/BS > of Mich. > > from Michigan > > ------------------------------------------------------------------------ > To email plain text is conventional, to add graphics is divine. > We'll show you how at www.supersig.com. > http://click.egroups.com/1/6811/3/_/453517/_/964015582/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 smootgen@... wrote: > > , > > What a sweet thing for you to do that is helping so many. I'm > proud of > you. > > Love, > Genz Aw, thanks, Genz! I'm really glad I could help. The great news is that the insurance company says there are *11* denials (we only knew of nine) so we've got two more people to find for Michigan day! Kind regards, > > McQuarter wrote: > > > I am just one of the many Michiganders that has helped with > all her > > efforts on our behalf. I just want to thank you from the bottom of > my > > heart ! Looking at the other side thanks to you. And many > thanks to > > for talking to me and keeping me updated on the progress > with BC/BS > > of Mich. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 Send me an email designating me as your representative and all your insurance info and contact numbers and I'll work on it this week. Reimburse me for long-distance phone calls, though, okay, because these instate l/d phone calls are high and the phone calls are eating me up (not for you, yet, but everybody else, which is why I figure I better get some contributions to the phone bill). Kind regards, Stormy S. wrote: > > I am sincerley thrilled for all of you Michigan Folks!!!! I know > first hand how very difficult Blue Cross can be. Today is my one > year anniversary of fighting for my gastric by-pass. I'm still > waiting, but I will NOT give up! Hey , when you get rested up > from the Michigan fight, how about helping out us poor Alabama Folks? > I've even tried the State Insurance Commission, and they sent me a > letter after two months stating that they were under the impression > that my denial was based on a policy exclusion(There is no exclusion > in my policy except that they can deny anything that they deem " not > medically necessary " ). If they deny me this time, I don't know what > else I can give them to prove medical necessity. Letters from six > doctors all stating that I need the surgery, ten years of documented > diet history, five co-morbids and a BMI of 40 and they still deny > me saying that I have not been twice my body weight for the last two > years. That is not even the Standard of Care! I'm going to send out > my sleep study info as well as the results of a medical exam stating > an additional co-morbid of extremely high cholesterol. Wish me luck. > It must be luck that decides whether or not you get an approval from > these > people. > > Congratulations Michigan! > > Stormy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 , if you have any luck with Stormy, there are a few other Alabamians out here in insuance limbo, me (Dinah), Vicki, Betsy and . Maybe more. But I think we are all still waiting. Dinah in Andalusia > > > > I am sincerley thrilled for all of you Michigan Folks!!!! I know > > first hand how very difficult Blue Cross can be. Today is my one > > year anniversary of fighting for my gastric by-pass. I'm still > > waiting, but I will NOT give up! Hey , when you get rested up > > from the Michigan fight, how about helping out us poor Alabama Folks? > > I've even tried the State Insurance Commission, and they sent me a > > letter after two months stating that they were under the impression > > that my denial was based on a policy exclusion(There is no exclusion > > in my policy except that they can deny anything that they deem " not > > medically necessary " ). If they deny me this time, I don't know what > > else I can give them to prove medical necessity. Letters from six > > doctors all stating that I need the surgery, ten years of documented > > diet history, five co-morbids and a BMI of 40 and they still deny > > me saying that I have not been twice my body weight for the last two > > years. That is not even the Standard of Care! I'm going to send out > > my sleep study info as well as the results of a medical exam stating > > an additional co-morbid of extremely high cholesterol. Wish me luck. > > It must be luck that decides whether or not you get an approval from > > these > > people. > > > > Congratulations Michigan! > > > > Stormy Quote Link to comment Share on other sites More sharing options...
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