a little bit of everything

abuddingrose
on 9/28/09 2:27 am - Essex, MD
Happy Monday all hope every one had a great weekend.  Well I have my last appeal put together and will be mailing it tomorrow. ( have to get an envelope large enough).  Decided on a different approach this time.  I decided instead of "fighting" with the insurance company I would try working with them.  What this means is I told them I understood why they denied the claim. Then I went to show them the amount of money that was spent on me since October of o8 ( $34,563.87) and that they had already paid out more the cost of the wls.  That did not include the medications that I have been taking.  Also included cost anaylsis for the next 10 yrs, included new information and told them that if there was anyway they could get this approved I am gratful for all they can do.  Also told the I was in need of a total knee replacement and the cost of 2 were included in my cost anaylsis.
Also included the cost of covering the comorbidities, complications, and the fact that since there is a life time limit of 5 million dollars of coverage I asked how long it would take to use that up at the rate that I am accumulating medical cost.


So we will see what happens.

I had a decent week end. 


take care all

never settle for less than you deserve and you deserve only the best.                            
Sugar Free Candy
on 9/28/09 3:18 am - VA
That should work in your favor!  I wish you the best!
abuddingrose
on 9/28/09 3:20 am - Essex, MD
Candy:

Thanks for the support.  Time will tell and I am keeping my fingers crossed that it does.


Have a great day

Zells_lori is'abuddignrose'
never settle for less than you deserve and you deserve only the best.                            
Cira S.
on 9/28/09 3:55 am - Charles Town , WV
Wow Lori I am very impressed!  Wishing you all the best sweetie. 
Keep us posted.  I am glad you had a good weekend.

Hugs & take care

Cira

I am who I am and accept my feelings wholeheartedly.
Those that mind don't matter, and those that matter don't mind.

Cira 249/144.0 current/goal 154/ 5'3" 10 lbs below my Dr's goal
100Cira-1.jpg picture by negra266

julie16
on 9/28/09 8:12 pm - crofton, MD
Wow Lori you are really trying to make them wake up!!! I hope this approach will work. If not they are stupid...Good luck I am praying for you..

                                                                                                               Julie
April B.
on 9/29/09 4:18 am - Laurel, MD
RNY on 10/06/08 with
great approach! I wish you the best in getting your approval!
~*April*~
abuddingrose
on 9/29/09 10:25 am - Essex, MD
up date for every one

i will not be online as much they have taken internet away at work.  UHC is regulated by federal laws and they are self funded. If I could afford self pay I would do it.  I have filed a coplaint with the federal  depertment of labor.  I spoke to the california department of managed care today and this is what I was told. 

will keep you  updated
never settle for less than you deserve and you deserve only the best.                            
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