health net troubles

[Guest guest]

They say when the doctor writes it up, that is the first request. When it

goes to the medical group, that is the first appeal. When you appeal the

medical group's decision to Health Net... that is your Last appeal before

the DHMC. Unfortunately, I was stupid or ignorant or both, because I just

called them and didn't do a written appeal because I thought I still had an

appeal. That was before I found this group (or any other group)... I was

just going it on my own. Thus, my appeals are all wasted. I am still

sending them a written appeal, and the person today said she would at least

read it because I was rotten enough to say that she was putting a gun to my

head because that was the only option she was leaving me. It was stronger

than I feel, but I guess somewhat spoken out of the depths of my upset.

..... And please no one think I am suicidal... I am frustrated almost beyond

reason, but I am not suicidal. Besides... I only have to wait out life, and

it will take care of itself.

..... Elle

Re: health net troubles

> Ohhhhh! Oh Elle. Remember that they tell us these things to wear us

> down. Since they do it to everyone it must be pretty effective. I've

> been bingeing like crazy! Is your current IPA the only one in your

> area that contracts w/DRMC? Where do you live? Can you change

> insurers? Or surgeons? Could you afford Spain ($11K+travel)? Or

> Walter ($700)? Did you send that letter you wrote? I'm sure you've

> been over this in the insurance group so forgive me for asking again!

> I get people's stories mixed up. :-/ One thing that bothered me was

> that your insurance gave you only one appeal. Someone mentioned that

> that didn't sound right, and it seems to me I remember reading

> somewhere that you get more than one. Of course Hull would know

> about that.

>

> It just seems like if we all put our heads together we could find a

> solution!

>

> Chris