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Insurance has Until FOREVER???

fatnurse

By fatnurse, in Insurance & Financing

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fatnurse    0

fatnurse
Posted

That's right. Until Forever.

That's what my insurance told me. They have "forever" to decide on an appeal that I sent in on 10/08/07. Is that right? She said they have sent to the company I work for to see if they will pay for an outside agency to review and that they have for FREAKIN' FOREVER!!!! I"m SOOOO ;).

If anyone has ANY advise, please :help:.

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Ellisa    6

Ellisa
Posted

I feel your pain. If we were substance abusers I doubt they would make us wait forever. It's discrimination and it isn't fair.

I'm waiting for pre determination. It's been sitting in their office for 4 weeks and they are too busy to even look at it or enter it into their database so that their own customer service department can see that it's there. ARRRRRRRRR

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fatnurse    0

fatnurse
Posted

doesn't it make you sick? but what else can we do but wait. I have seriously thought about going to Mexico to get it done. Everything I have read seems very legite. We'll see.

Keep me updated on your progress and I"m gonna keep raising heck with insurance folks.

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Alexandra    55

Alexandra
Posted

That's right. Until Forever.

That's what my insurance told me. They have "forever" to decide on an appeal that I sent in on 10/08/07. Is that right? She said they have sent to the company I work for to see if they will pay for an outside agency to review and that they have for FREAKIN' FOREVER!!!! I"m SOOOO :).

If anyone has ANY advise, please :help:.

Depending on the state you are in, the carrier may have a statutory limit on how much time they can take to decide on a precert request. If any carrier said that to me, I'd call the state insurance department and find out what the law says.

Forever. feh. :)

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fatnurse    0

fatnurse
Posted

Depending on the state you are in, the carrier may have a statutory limit on how much time they can take to decide on a precert request. If any carrier said that to me, I'd call the state insurance department and find out what the law says.

Thanks for the info, but how would I contact the state insurance dept? I'm in Texas. Just google it or something?

Anyone have Medical Claims Services?

What's this?

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Sdaviscs    0

Sdaviscs
Posted

You can also call the Insurance Commissioner for the state. I know that insurance companies don't like having that call made as it is a bad mark against them. Ask about the turnaround time to give yeh or neh and your recourse.

Insurance companies win...if we as individuals don't stand up for our rights. If we did pay them, they wouldn't be in business......We are the Client.

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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