Click this link to read a post I like on the clusterheadaches.com message board...

jimmers

Ex Member

Damn Insurance Companies
Sep 25^th, 2008 at 10:41pm

Barb was supposed to have surgery tomorrow (Hysterectomy) because she has been having a lot of problems for the last 9 years.

We were all set and readied ourselves for this, only to be denied coverage TODAY because they want to see her records for the last ten years because THEY think that there may be other things that the Doctor can do to help her. Believe me, she and her Doctor have tried everything, including going back on the pill to straighten things out, but to no avail. NOTHING IS WORKING!!!!!!!!!! And I feel Barb and her Doctor have been very patient, but ENOUGH IS ENOUGH!!!!!!!!!!!!!!

When the F&^% did insurance companies hire 18 year old doctors to sit in cubicles and have their only job be to deny claims? (Sarcasm)

These Bastards are nothing more than crooks with a license!

Now they want to see her records for the last 10 years so they can make a judgment to see if the surgery is really warranted.

Sorry for the vent but NOBODY messes with my Family.

They haven't talked to me yet, and I'm sure they won't like me when they do Angry

Jimmers

Back to top

IP Logged

Click Here to visit the CH.com Facebook page!

Ray CH.com Alumnus Offline Ray Posts: 1996 Columbus, Ohio Gender:	Re: Damn Insurance Companies Reply #1 - Sep 25^th, 2008 at 11:37pm Jimmers: I can't stand it when they think that they can practice medicine without a licence! Have at em! Ray
Back to top	You have my prayers and compassion-I'm right there with you. Dum tempus habemus, operemur bonum While we have the time, let us do good Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to or IP Logged

Charlie CH.com Alumnus Offline Happy to be here Posts: 18971 Jamestown, NY Gender:	Re: Damn Insurance Companies Reply #2 - Sep 26^th, 2008 at 1:04am She made the mistake of thinking that you're allowed to be sick after you get your insurance. They are almost as evil as the drug companies. CharlieMultimedia File Viewing and Clickable Links are available for Registered Members only!! You need to or
Back to top	There is nothing more satisfying than being shot at without result---Winston Churchill IP Logged

BarbaraD CH.com Alumnus Offline Hugs to ya Posts: 8333 Douglasville, TX Gender:	Re: Damn Insurance Companies Reply #3 - Sep 26^th, 2008 at 6:38am It was so much easier back before insurance companies started practicing medicine and doctors had to quit... Keep fighting Jimmers.... Hugs BD
Back to top	What don't kill ya, Makes ya stronger! IP Logged

tuck CH.com Veteran Offline Damn this cross is heavy ! Posts: 232 Gillespie , Illinois Gender:	Re: Damn Insurance Companies Reply #4 - Sep 26^th, 2008 at 7:01am Give em hell dude!!!!!!!!! The Greedy scum-bags!!!!!! Tuck
Back to top	cancer shmancer,, i get cluster headaches! IP Logged

deltadarlin CH.com Alumnus Offline I love YaBB 1G - SP1! Posts: 3823 Downsville LA Gender:	Re: Damn Insurance Companies Reply #5 - Sep 26^th, 2008 at 8:21am How long have they had to review the claim? Do you have a HMO or a PPO (or other variety)? I might let the doctor take care of this one if he would.
Back to top	Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to or IP Logged

flipperlips

CH.com Alumnus

Offline

Live, Laugh, Love

Posts: 935
Mcallen, TX
Gender: female

Re: Damn Insurance Companies
Reply #6 - Sep 26^th, 2008 at 8:32am

Go on and give them HELL!!! Insurance companies can be such a joke. I was only 28 when I had my hysterectomy and the insurance company didn't give us a hard time at all. So good luck to you and your wife. I hope that she can have her surgery soon and if she needs to chat after she can pm me. I've been there and done that.

Hugs and Kisses,

Jen

Back to top

Only one life.....only one chance to make the moment count for something - Racer1_NC

IP Logged

jimmers Ex Member	Re: Damn Insurance Companies Reply #7 - Sep 26^th, 2008 at 8:32am Her doctor has been working with them for over a month, but NOW they want to see the records? right before it was supposed to happen? WTF? Why the hell didn't they ask right from the start?
Back to top	IP Logged

Brew Ex Member	Re: Damn Insurance Companies Reply #8 - Sep 26^th, 2008 at 8:46am Quote: Why the hell didn't they ask right from the start? Because they can. It's all about power and intimidation with these fucksticks. And you get the privilege of being one of their clients, all for the low, low price of $xxx.xx per month.
Back to top	IP Logged

Click Here to visit the CH.com Facebook page!

deltadarlin

CH.com Alumnus

Offline

I love YaBB 1G - SP1!

Posts: 3823
Downsville LA
Gender: female

Re: Damn Insurance Companies
Reply #9 - Sep 26^th, 2008 at 8:49am

Well, it's too late for right now, but I think I'd start at the bottom and work my way to the top (by that I mean, ask the adjustor *who* denied this claim~because that's basically what they are doing~and then start working my way up. That's sh!tty on the companys' part and if it were me, I might think of filing a complaint with the insurance commisioner.

Carolyn (who thanks the stars above for an insurance company that is relatively easy to deal with)

Back to top

Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

IP Logged

jimmers Ex Member	Re: Damn Insurance Companies (UPDATE) Reply #10 - Sep 26^th, 2008 at 1:54pm Barb just called me, now I guess its approved. Talk about a roller coaster, Geeze. Jimmers
Back to top	IP Logged

Melissa CH.com Moderator CH.com Alumnus Offline Don't give up! Posts: 7238 Central WI, USA Gender:	Re: Damn Insurance Companies Reply #11 - Sep 26^th, 2008 at 1:56pm Glad it's approved! When is the reschedule for? Hopefully not too long of a wait now!
Back to top	Diseases can be our spiritual flat tires - disruptions in our lives that seem to be disasters at the time but end by redirecting our lives in a meaningful way. ~Bernie S. Siegel IP Logged

jimmers Ex Member	Re: Damn Insurance Companies Reply #12 - Sep 26^th, 2008 at 2:06pm We are hoping for right away for next Friday. She better heal up quick, it's huntin season! Just kiddin Jimmers
Back to top	IP Logged

Melissa CH.com Moderator CH.com Alumnus Offline Don't give up! Posts: 7238 Central WI, USA Gender:	Re: Damn Insurance Companies Reply #13 - Sep 26^th, 2008 at 3:14pm Ohforpetesake! Ya know, the fever has already hit here as of a week ago. Things won't calm down until the beginning of Dec. now!
Back to top	Diseases can be our spiritual flat tires - disruptions in our lives that seem to be disasters at the time but end by redirecting our lives in a meaningful way. ~Bernie S. Siegel IP Logged

Jeannie

CH.com Sponsor

Offline

Live, Laugh, Love....

Posts: 2333
St Louis, Missouri
Gender: female

Re: Damn Insurance Companies
Reply #14 - Sep 26^th, 2008 at 3:43pm

Well I am late coming in on this but I'm glad that it was approved!

I also had a hysterectomy.... at 32...... I think that the insurance co. was tired of paying for all the other surgeries that the doc was doing to correct the problem. The hysterectomy cured me! Boy, I wish I could have a Hypothingoectomy to cure my CH!

Tell Barb she can PM me if she wants/needs to talk!

Hugs,

Jeannie

Back to top

"It's all a grand illusion when you think you're in control." ~ Kenny Chesney

IP Logged

Mosaicwench

CH.com Sponsor

Offline

www.mosaicwench.com

Posts: 3507
Near Milwaukee WI, USA
Gender: female

Re: Damn Insurance Companies
Reply #15 - Sep 26^th, 2008 at 4:57pm

Quote:

We are hoping for right away for next Friday.
She better heal up quick, it's huntin season! Just kiddin Cheesy

I had mine done 13 years ago Monday. Best thing I've ever had done. I hope they do Barb's the least invasive way - if they do she'll have very little pain and quick recovery. Which hospital is she going to?

Best of luck to her.

Back to top

“Be regular and orderly in your life, so that you may be violent and original in your work.”
~Flaubert

http://www.facebook.com/home.php?id=1240423960&ref

IP Logged

superhawk2300

CH.com Hall of Famer

Offline

Posts: 901
New Berlin, WI
Gender: male

Re: Damn Insurance Companies
Reply #16 - Sep 26^th, 2008 at 7:05pm

Quote:

And you get the privilege of being one of their clients, all for the low, low price of $xxx.xx per month.

You guys must have the single person coverage plan, cuz if that is a family coverage plan you're missing an "x", at least our monthly deal is $xxxx.xx

Go at 'em Jim. Unfortunatly Bill is correct. They did it because they can. and you have to take it. You don't have to take it lying down, but you'll have to take it.

I hope you're not going to lose vacation / sick days because of rescheduling.

Hey, where's my jerky?

Back to top

IP Logged

Click Here to visit the CH.com Facebook page!

Brew Ex Member	Re: Damn Insurance Companies Reply #17 - Sep 26^th, 2008 at 7:56pm superhawk2300 wrote on Sep 26^th, 2008 at 7:05pm: You guys must have the single person coverage plan, cuz if that is a family coverage plan you're missing an "x", at least our monthly deal is $xxxx.xx Okay, please accept my apologies. My company pays the lion's share of my health insurance premiums.
Back to top	IP Logged

flipperlips CH.com Alumnus Offline Live, Laugh, Love Posts: 935 Mcallen, TX Gender:	Re: Damn Insurance Companies Reply #18 - Sep 26^th, 2008 at 8:03pm Glad to hear that everything went through. What a roller coaster ride. Good luck next Friday. Keep us posted. Jen
Back to top	Only one life.....only one chance to make the moment count for something - Racer1_NC IP Logged

jimmers

Ex Member

Re: Damn Insurance Companies
Reply #19 - Sep 27^th, 2008 at 9:33am

Pat, she will be having it done at Columbia St. Mary's. It sounds crazy, but she is looking forward to this after having dealt with this problem for 8 years now and having thoughts of a normal life are starting to make her giddy

Jamey, I didn't have any jerky made. Only cold smoked garlic summer sausage from Stone Ridge market in Wautoma. IT"S THE BOMB!!!!!!!!!!!

My Son will be picking it up tomorrow on his way back from hunting and bring it to his anticipating and drooling Father Cheesy

Seeya

Jimmers

Back to top

IP Logged

superhawk2300 CH.com Hall of Famer Offline Posts: 901 New Berlin, WI Gender:	Re: Damn Insurance Companies Reply #20 - Sep 27^th, 2008 at 9:35am Good luck to you guys during this process. If you guys need anything let me know, seriously.
Back to top	IP Logged

Redd CH.com Sponsor Offline Posts: 8457 Stevens Point USA Wisconsin Gender:	Re: Damn Insurance Companies Reply #21 - Sep 27^th, 2008 at 10:58am October 3rd will be 13 years since my hysterectomy as well. Hmm there seems to be a pattern developing round here.
Back to top	"The goal of life living in agreement with Nature." ~Zeno IP Logged

vig

CH.com Alumnus

Offline

CHit Happens

Posts: 4442
x1|Raleigh|USA|usa|475|180|NC,North_Carolina
Gender: male

Re: Damn Insurance Companies
Reply #22 - Sep 27^th, 2008 at 12:29pm

I went to the doctor yesterday and got a prescription for Augmenton for an ear/sinus infection.

then I went to Kerr Drug to pick it up:

$97 base price
with a $75 copay?

what?

So I asked if there was a generic:

got a call hours later and said the generic was ready to pick up:

cost?

$85

What have we done to ourselves?

Back to top

Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

&&never, Never, NEVER quit. -Winston Churchill

IP Logged

deltadarlin

CH.com Alumnus

Offline

I love YaBB 1G - SP1!

Posts: 3823
Downsville LA
Gender: female

Re: Damn Insurance Companies
Reply #23 - Sep 27^th, 2008 at 1:01pm

vig wrote on Sep 27^th, 2008 at 12:29pm:

I went to the doctor yesterday and got a prescription for Augmenton for an ear/sinus infection.

then I went to Kerr Drug to pick it up:

$97 base price
with a $75 copay?

what?

So I asked if there was a generic:

got a call hours later and said the generic was ready to pick up:

cost?

$85

What have we done to ourselves?

Damn Vig, I think I'd find me another pharmacy. I just paid for my daughter's generic augmentin (and I had to pay full price because she has a humongous deductible to reach first) and it wasn't quite $40.00.

Back to top

Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

IP Logged

flipperlips

CH.com Alumnus

Offline

Live, Laugh, Love

Posts: 935
Mcallen, TX
Gender: female

Re: Damn Insurance Companies
Reply #24 - Sep 27^th, 2008 at 3:07pm

Hi jimmers. I don't blame Barb for being giddy. I had problems for 12 years so when they finally decided to do my hysterectomy I was damn near dancing in the street. Best of luck and if she needs any support after she can email me or there's a wonderful website called Hystersisters.com that she can visit with any questions or if she needs to vent.

Love, Hugs and Kisses Kiss

Jen

Back to top

« Last Edit: Sep 30^th, 2008 at 8:02pm by flipperlips »

Only one life.....only one chance to make the moment count for something - Racer1_NC

IP Logged

	Welcome, Guest. Please Login or Register
	Search box updated Dec 3, 2011... Search ch.com with Google!