Re: grievance committee

[Guest guest]

Rhonda,

I don't have any advice for you, but to put it in God's hands. I will

keep you on my prayer list.

Take care,

Kristi in AL

[Guest guest]

Kristi,

Are you finding a delay in your messages being posted?

Kristi Lent wrote:

> Rhonda,

> I don't have any advice for you, but to put it in God's hands. I will

> keep you on my prayer list.

> Take care,

> Kristi in AL

>

>

[Guest guest]

Rhonda,

I know this must be very difficult for you. My

biggest fear as I begin this process is that I will

have a problem with my insurance. I cannot give you

any words of advice as far as what to take but I can

give you some support and words of encouragement.

First and foremost you must remember that these people

are just that, people. You must not allow them to

take from you your strenght and dignity as a human.

Intimidation is a tactic used by the weak. That

includes insurance companies, big corporations and the

like. It is so true that one person can make a

difference so lift your chin and walk in that door

knowing that what you do now will not only help you

but many others in your shoes.

You are a woman which means that you have incomparable

strength and resolve. Love yourself and believe in

yourself and know that I am sending you all of my love

and support and will be there with you all the way in

spirit!!!

Love and light,

Price

--- Rhonda C wrote:

> Hi all. I posted about this one other time and only

> got a couple

> responses. I am definately going before the

> grievance committee

> (Cigna) to present my case for the MGB. I will

> either do it on

> October 3 or October 19. It will be October 3 if

> they get the

> recomendation back from the same and similar

> specialists reviewer by

> tomorrow, if not it will be October 19. HELP!!!! I

> am really

> starting to freak out here. This is not any where

> close to what I am

> good at. I am a very emotional and I either cry or

> talk but I can

> not do both. I know I will go to Indy and won't be

> able to say a

> thing on my behalf because of all the crying. If

> anyone has had to

> do this would you post some of what you did and said

> and took with

> you. I am scared to death to do this, but I know I

> have too. I have

> a lot of resentment I am dealing with over this too

> because it really

> pisses me off that I have to beg for their help. My

> husband is a

> recovering alcoholic and he did not have to do

> anything to get in

> treatment and get the help he needed. I am trying

> to use the things

> I have learned in ALANON to get through this, but I

> have to admit I

> have thrown ALANON out the window just about every

> time I have to

> talk to someone from Cigna. It has been absolutely

> soooooo

> frustrating! Please send me some words of

> encouragement, I really am

> getting freaked out here. I could have to do this

> in 5 days. I

> don't know what else I can give them to convince

> them that I NEED

> this surgery. Thanks in advance for you help.

>

> Bonded by our experience, strength and hope,

>

> Rhonda

>

>

>

[Guest guest]

Hi Rhonda

My name is Joyce and I have Duke Manage Care and they turned me down flat

and sent me a denial letter telling me NO and that they would not cover

it or any complications of the surgery should I pay for it myself. I

also have Cigna of N.C. because my husband carries me under his policy.

They first denied me because my primary physician did not send the

records they requested and I really got frustrated. I had to call my

doctor and asked her why she had nto sent the records and she said she

did not know she had a deadline. Finally, I called Cigna and they said

that they could not tell me anything and that they could only talk with

Dr. R's office. I was at the beach on vacation at the time and I called

Barbara and told her and she knew I was upset. She called the insurance

company and called me back and told me that I had been approved, thus, I

have a relaxing vacation. I was really scared that they I was not going

to get approved, but Cigna approved my initial consultation with Dr. R

and so I felt that may be they would approve the surgery. My surgery

dated is October 16th.

Just hang in their. Someone at Cigna is bound to have a heart!

Rhonda C wrote:

> Hi all. I posted about this one other time and only got a couple

> responses. I am definately going before the grievance committee

> (Cigna) to present my case for the MGB. I will either do it on

> October 3 or October 19. It will be October 3 if they get the

> recomendation back from the same and similar specialists reviewer by

> tomorrow, if not it will be October 19. HELP!!!! I am really

> starting to freak out here. This is not any where close to what I am

> good at. I am a very emotional and I either cry or talk but I can

> not do both. I know I will go to Indy and won't be able to say a

> thing on my behalf because of all the crying. If anyone has had to

> do this would you post some of what you did and said and took with

> you. I am scared to death to do this, but I know I have too. I have

> a lot of resentment I am dealing with over this too because it really

> pisses me off that I have to beg for their help. My husband is a

> recovering alcoholic and he did not have to do anything to get in

> treatment and get the help he needed. I am trying to use the things

> I have learned in ALANON to get through this, but I have to admit I

> have thrown ALANON out the window just about every time I have to

> talk to someone from Cigna. It has been absolutely soooooo

> frustrating! Please send me some words of encouragement, I really am

> getting freaked out here. I could have to do this in 5 days. I

> don't know what else I can give them to convince them that I NEED

> this surgery. Thanks in advance for you help.

>

> Bonded by our experience, strength and hope,

>

> Rhonda

>

>

[Guest guest]

Hi Rhonda,

I have no experience with grievance committees, though I may have to do that

soon if my DC insurance doesn't come through. However, I do have experience

in 12 recovery and I am struggling with " applying the principles in all my

affairs " with this insurance company. The same thing occurred to me about

how they will pay for addiction treatment-just as costly- but not this; when

I know the food thing for me is exactly the same as the other addictions. So

I do the Serenity Prayer quite often and I know that is what has gotten me

through the two denials from United Healthcare.

Peace, Ruqayya

[Guest guest]

> Hi Rhonda,

>

> I have no experience with grievance committees, though I may have

to do that soon if my DC insurance doesn't come through. However, I

do have experience in 12 recovery and I am struggling with " applying

the principles in all my affairs " with this insurance company. The

same thing occurred to me about how they will pay for addiction

treatment-just as costly- but not this; when I know the food thing

for me is exactly the same as the other addictions. So I do the

Serenity Prayer quite often and I know that is what has gotten me

> through the two denials from United Healthcare.

>

> Peace, Ruqayya

Hi Ruqayya,

I understand completely where you are coming from. I also have

experience in 12 step programs and have the same problems applying

the principles of the program in the quest to get insurance

approval. I even mentioned in my appeal letter to Cigna that I know

for a fact that they cover treatment for alcoholism and drug abuse.

I told them how they had covered a very close loved one of mine and

that he did not have to prove to them how sick he was and he did not

have to tell them just how much his disease had done to him and all

the humiliating things that he had done or had happened to him

because of his disease. It really infuriates me that I have to beg

them for help with this. I told them his disease is no different

than mine except we chose to use a different substance but they would

both kill us just the same. Thanks for sharing that with me. This

has been a thorn in my side. It is good to hear of someone that

understands and has some of these types of struggles too. Like I

have said in previous post, thank God for the 12-step program. I

hate to think how I would be handling all of this without the help of

the program.

Bonded by our experience, strength and hope

Rhonda