Question:
Post Ops (and Pre) We need your help, Stay Active insurance

We cannot win alone. Many States have good laws regarding appeals, many do not. ERISA cases are touher still. That is why... We all need to stay active post op, and pre, and ensure these laws do not change in the good states, and fight for change in the tougher states and even at the Federal Level. BC/BS and probably most insurance companies will exclude coverage but most states require it if it is medically necessary. Therefore they will deny it and make you fight them. Most people do walk away. Trust me. In my own support group in New York I have met with many people who rather then fight they feel it's a sign or not meant to be and walk away. And we never lose in New York. Actually, not in any State as of yet, but these people really do walk away. And that's what they want. In June the US Supreme Court is going to issue a ruling in a case to determine whether ERISA really supercedes state law and whether insurance carriers are really determining medical necessity rather then just making sure you meet the criteria of having a doctor find it's medically necessary. In Con    — gary viscio (posted on May 25, 2004)

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