Guest guest Posted August 7, 2000 Report Share Posted August 7, 2000 In a message dated 8/7/2000 9:59:50 AM Eastern Daylight Time, steague99@... writes: << Please pray hard that they will allow me to do this. If not I am going to have to start counting pennies to pay for it my self unless I can enlist the help of T....Thanks for your support. >> I'll be praying for you !!!!!!!!!!!! Cathy Morrow in Lenoir, NC 5' 0 " 216.5 Lbs. 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 August 7, 2000 Report Share Posted August 7, 2000 Hey guys & gals, Just a short note to ask you to pray really hard for me. I called the insurance company this morning. First I asked to speak to a nurse or a physician. the young girl on the other end said " I am not a nurse but I can help you if you like. " I very nicely thanked her for her assistance and again asked to speak to a nurse or a physician for pre-authorization..She this time complied with my request....after being left on hold for what seemed to be an eternity I got to speak with a Utilization Review nurse....(I don't know if that is good ro not) I told her about my dealings with the lady last week and I asked if that lady was a nurse and I was tole that she was not. I then told here what my benefits book said about exclusions of surgery except inthe case of medical necessity and then asked if the lady last week was qualified to make such decisions without being a nurse or a physician...The reply was " She is not qualified to make such decisions. " So now the nurse is going to pull my benefits contract and the letter and maybe I will get some kind of answer to my request by nightfall....LOL. I am definately going to ask for an appeal..This way I know that it will at least be looked at by a surgeon that is as qualified to do this surgery as Dr.R (but not nearly as skilled I am sure) Please pray hard that they will allow me to do this. If not I am going to have to start counting pennies to pay for it my self unless I can enlist the help of T....Thanks for your support. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2000 Report Share Posted August 7, 2000 My thoughts and prayers are with you W. mgb 7/27/00 > Hey guys & gals, > > Just a short note to ask you to pray really hard for me. I called > the > insurance company this morning. First I asked to speak to a nurse or > a physician. the young girl on the other end said " I am not a nurse > but I can help you if you like. " I very nicely thanked her for her > assistance and again asked to speak to a nurse or a physician for > pre-authorization..She this time complied with my request....after > being left on hold for what seemed to be an eternity I got to speak > with a Utilization Review nurse....(I don't know if that is good ro > not) I told her about my dealings with the lady last week and I > asked > if that lady was a nurse and I was tole that she was not. I then > told > here what my benefits book said about exclusions of surgery except > inthe case of medical necessity and then asked if the lady last week > was qualified to make such decisions without being a nurse or a > physician...The reply was " She is not qualified to make such > decisions. " So now the nurse is going to pull my benefits contract > and the letter and maybe I will get some kind of answer to my request > by nightfall....LOL. I am definately going to ask for an > appeal..This > way I know that it will at least be looked at by a surgeon that is as > qualified to do this surgery as Dr.R (but not nearly as skilled I am > sure) Please pray hard that they will allow me to do this. If not I > am going to have to start counting pennies to pay for it my self > unless I can enlist the help of T....Thanks for your support. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2000 Report Share Posted August 7, 2000 Congratulations on taking that step! You are definitely in my prayers and I am sure everyone else's! I bet you get approval this time! Don't quit bugging them! I called almost every day! The girl who answered the phone and I got on first name basis. She was as thrilled as I was when I got approved. (probably glad I'd quit calling ) ) Rosemary MGB 7/24/00 Pray really really hard!!!!! > Hey guys & gals, > > Just a short note to ask you to pray really hard for me. I called > the > insurance company this morning. First I asked to speak to a nurse or > a physician. the young girl on the other end said " I am not a nurse > but I can help you if you like. " I very nicely thanked her for her > assistance and again asked to speak to a nurse or a physician for > pre-authorization..She this time complied with my request....after > being left on hold for what seemed to be an eternity I got to speak > with a Utilization Review nurse....(I don't know if that is good ro > not) I told her about my dealings with the lady last week and I > asked > if that lady was a nurse and I was tole that she was not. I then > told > here what my benefits book said about exclusions of surgery except > inthe case of medical necessity and then asked if the lady last week > was qualified to make such decisions without being a nurse or a > physician...The reply was " She is not qualified to make such > decisions. " So now the nurse is going to pull my benefits contract > and the letter and maybe I will get some kind of answer to my request > by nightfall....LOL. I am definately going to ask for an > appeal..This > way I know that it will at least be looked at by a surgeon that is as > qualified to do this surgery as Dr.R (but not nearly as skilled I am > sure) Please pray hard that they will allow me to do this. If not I > am going to have to start counting pennies to pay for it my self > unless I can enlist the help of T....Thanks for your support. > > > > > > > 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...
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