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Topic: RE: Does anyone have nj family care
Hi and thank u. I sent him a email on the website
Did u have surgery there? Do u know anyone who did? How is his bed side manner? What can u tell me about him?
Did u have surgery there? Do u know anyone who did? How is his bed side manner? What can u tell me about him?
Topic: RE: Denied by Cigna
I hope im approved on resubmittal if not I will have my pcp write a letter stating I have completed 6 months but im definitly at the frustrated point im running out of days left this year and my insurance has major changes in jan with a new plan year.
Topic: Anyone know of a Complications Insurance Co.?
I have a tenative date for my surgery only hickup is I need to find a complications insurance provider. Family is concerned even though my surgery has a super low risk of complications.
If anyone knows of a Insurance company which provides this service in North Carolina please pass that information along.
If anyone knows of a Insurance company which provides this service in North Carolina please pass that information along.
Topic: RE: DENIED BY AETNA ON APPEAL
We did the 3 month multidisciplinary. which was me following what the surgeon told me to do - lifting weights and eating only lean meats and veggies... This diet was so strict that as soon as the 3 months were up, I am doing poorly now. I am a stress eater and all of this has STRESSED me out............so I am at a loss as to what to do. It sounds like they wanted me to have a fitness trainer and nutritionist as well? What is annoying is that my surgeons office should have known this right? They are all shocked that I wasn't approved because so many have been approved that did what I did. I would really appreciate any help you can provide. Please send email to [email protected]... Thanks!
Topic: Applied for Medicaid - now what?
I went through the process for Medicaid. I am not sure what to expect now, other than "I will be contacted within the next 15-45 days".
I'm also scared on whether or not they will cover me. I am jobless but a full-time student *****ceives Stipend checks. I am worried they may decline me because of this, but the real issue is that these checks won't help me with my problems medically. Will they interview me before accepting or declining? They don't even know why I am applying for Medicaid, which is not insurance at least to my knowledge it's only to help through a certain situation, right?
I'm so confused and lost and scared. I don't know where to go for any real simply put detailed information about this and this process.
I have a lot on my plate, with uncontrolled hypertension and high risk (if i don't have already) for diabetes as my mother was just diagnosed and everyone in her side of the family had it, and my grandfather had congenital heart failure and I now suffer from edema.
What are my real chances of getting help?
I'm also scared on whether or not they will cover me. I am jobless but a full-time student *****ceives Stipend checks. I am worried they may decline me because of this, but the real issue is that these checks won't help me with my problems medically. Will they interview me before accepting or declining? They don't even know why I am applying for Medicaid, which is not insurance at least to my knowledge it's only to help through a certain situation, right?
I'm so confused and lost and scared. I don't know where to go for any real simply put detailed information about this and this process.
I have a lot on my plate, with uncontrolled hypertension and high risk (if i don't have already) for diabetes as my mother was just diagnosed and everyone in her side of the family had it, and my grandfather had congenital heart failure and I now suffer from edema.
What are my real chances of getting help?
R. c
on 11/3/10 1:15 pm - nashville, TN
on 11/3/10 1:15 pm - nashville, TN
Topic: RE: DENIED BY AETNA ON APPEAL
Hi, Jenn. I know this process can be super frustrating. Which route did you choose to do, the 6 mth physician or the 3 mth multidiciplinary? I have a detailed list of what i did for the 3 mth program as well as letters that I drafted and had my PCP sign. Several people on here have found success using them and I would be glad to share them with you if you send me your email addy. :)
~* Rosie *~ 2-16-10
JillinWarren
on 11/3/10 1:11 pm - Warren, NJ
on 11/3/10 1:11 pm - Warren, NJ
Topic: Insurance Denied by Dr Bertha with 2 weeks to surgery date
With 2 weeks until my surgery date by Dr. Bertha, and with nutritionist, psychologist, gynocologist, etc. prereqs completed, and insurance company approval for the procedure, Dr.Bertha suddenly refused to accept my United Healthcare insurance on 11/1, and told me that face to face today.
I cannot believe that his staff had no way to set my expectations to be ready for the sudden rejection. Feels like malpractice to me to lead me on and then change your mind. My life felt as if it was falling apart. He told me his hands were tied by NJ insurance law so that he couldn't warn me that he might drop that insurance. I find that impossible to believe--on Monday members of his staff were calling me for my blood work at noon, and at 4:30 told me he wouldn't take my insurance any more.
WARNING!!!!! JUST BECAUSE YOU HAVE A DATE AND YOUR PRE-REQS DONE AS HE ORDERED, IT DOESN'T MEAN THE SURGEON CAN'T PULL THE PLUG ON YOU.
Jill
I cannot believe that his staff had no way to set my expectations to be ready for the sudden rejection. Feels like malpractice to me to lead me on and then change your mind. My life felt as if it was falling apart. He told me his hands were tied by NJ insurance law so that he couldn't warn me that he might drop that insurance. I find that impossible to believe--on Monday members of his staff were calling me for my blood work at noon, and at 4:30 told me he wouldn't take my insurance any more.
WARNING!!!!! JUST BECAUSE YOU HAVE A DATE AND YOUR PRE-REQS DONE AS HE ORDERED, IT DOESN'T MEAN THE SURGEON CAN'T PULL THE PLUG ON YOU.
Jill
Topic: RE: Denied by Cigna
Oh wow congrats! So you didn't have to file a letter of appeal or complete the 6 month you were anticpating on finishing in Jan?
Topic: RE: Florida Medicaid process - help please?
Any idea on what I'm to expect now that I have put my application in?
Topic: RE: Denied by Cigna
I was finally approved on resubmital of the package. Nothing changed except for the signature on the weight management program letter (doctor signed in stead of nurse)
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