tenncare-medicaid clinical guidelines?
Hi True, when you get your card, on the back is a customer service number, call that and ask for a case manager. That person will work with you, and can tell you what the guidelines are. Each person is different when it comes to the insurance. Some can't get approved, others get approved the first time. Here's their number 1-800-468-9698. Ask them but be sure to get a case manager. They will contact you every month to see how they can help you. When you know longer need them, they will close your file. They will also work with your surgeon. Best of luck you to through out your journey. Always, Kathy
Thanks for the reply Kathy. I got my denial letter from SS today. They judged my status by one emergency room visit for my gallbladder,a bariatric surgical consult and the psych eval.They didn't use any report from my former PCP even though I contacted my examiner to confirm she had gotten his report.I guess for the appeal I will have to gather and send all the Doc reports myself.I really do not understand how it took so long (7 months) to rule on three very small reports,They told me it would take 90 days. How long did it take for you to hear back about your first appeal? I am really in need of some healthcare and I was wondering if i could get on medicaid in the interim...can you advise onany of this?
Thanks for any info.......True
p.s. I'm getting an attorney for the appeal.
It took me fighting Disability for 3 years before they even agreed to a closed settlement. By the time I saw a judge, I was doing 110% better and no longer needed disability except for about 5 years. I received a settlement, and it took about 4 years total. I ended up using an attorney who helped a great deal.
Take care,
Ashleigh
251/217.5/140