insurance and such

themis01 · June 2005

Well here is an update for those of you that have been following the insurance saga concerning my mom. They denied the 2nd appeal today for her surgery and chemical wash. Since it is not "standard practice" they can deny the procedure as stated in their insurance policy. Of course we will move on to the next step which is the patient advocate group and then do whatever else we need to do. The doctor told me today he knew "exactly how I felt" going through this with my mom! I nearly blew a gasket and told him unless he went through thhis with his mom he had no idea! I let him know that we will proceed on with this and not take a dr. opnion who is on the pocket of an insurance company over our own trusted physicians. I also let him know that I would let everyone know that SOUTHERN HEALTH INSURANCE has denied a lifesaving/prolonging procedure for my mom. I will get more info like fax and phone numbers on here if anyone feels compelled to give this guy a little more of a headache. It would be great to let him know we are NOT going away. Meanwhile mom fights the emotional battle of being all consumed by this disease. It is the subject of every conversation and on her mind 24/7. Anyone with any ideas how I can help her to overcome this? Thanks
Erika

tkd3g · June 2005

Hi Erika.

So sorry these stupid insurance companies are giving you such a hard time.

I'd be more than happy to send an e-mail or letter to whom ever you want. Just let me know.

Barb

spongebob · June 2005

Erika -

You certainly sound like you are ready to take on the insurance company and give them the fight of their life. I know u will find a lot of support here and in a number of other venues as well. Maybe the best thing for your mom to do is to put her trust in you for now and just enjoy all of the wonderful things that life has to offer. You know a big fight can really put a serious emotional strain on someone who isn't in very good physical condition to begin with. You don't reallywant to wear her down. I would urge her to get out of the house if she can - soak up some good sunshine and enjoy herself and her famil as much as possible and put the nasty fight out of her mind.

I will be keeping you both in my prayers.

- SpongeBob

themis01 · June 2005

spongebob said:
Erika -

You certainly sound like you are ready to take on the insurance company and give them the fight of their life. I know u will find a lot of support here and in a number of other venues as well. Maybe the best thing for your mom to do is to put her trust in you for now and just enjoy all of the wonderful things that life has to offer. You know a big fight can really put a serious emotional strain on someone who isn't in very good physical condition to begin with. You don't reallywant to wear her down. I would urge her to get out of the house if she can - soak up some good sunshine and enjoy herself and her famil as much as possible and put the nasty fight out of her mind.

I will be keeping you both in my prayers.

- SpongeBob

You are right spongebob. I am trying to keep the insurance issue under my control as much as possible. She has signed papers to let me work with the evil insurance! I am really encouraging her to try to enjoy life especially right before a major surgery. She seems to really be having a hard time doing it. She is so worried about dying. This is soooo hard.

nanuk · June 2005

themis01 said:
You are right spongebob. I am trying to keep the insurance issue under my control as much as possible. She has signed papers to let me work with the evil insurance! I am really encouraging her to try to enjoy life especially right before a major surgery. She seems to really be having a hard time doing it. She is so worried about dying. This is soooo hard.

You might try duplicating your post on the Insurance Forum (this site) on the cahance that
someone has had a similar experience.. bud

CAMaura · June 2005

Hi there Erika,

I feel for both you and your mom. She sees you working yourself into a frenzy on her behalf and I am sure finds it hard to relax with the degree of uncertainty that is currently surrounding her. Well, I don't have any new ideas.....but it might help to save a few afternoons when you are not caught up in the administrative/insurance hell and just drive somewhere with your mom. Have lunch and be able to have a change of scenery.....it could bring about a change in conversation on her part.

Just a thought, but it could be good for both of you.....I am sure that you are both stressed and thinking about this 24/7. Take care and know that our thoughts are with you. Keep your strength and center, and bestof luck.

Cheers,
Maura

bsrules · June 2005

Erika,

You are doing a GREAT job!!!! I need to vent so if you need any help with the insuance company send them my way I most definity give them an earful!!!

I know it is hard to listen to you Mom's thoughts. Bob was the same way and I had to prepare myself somedays to listen to everything that he wasnted done even though I didn't want to hear it. Your Mom needs to talk about it to help her deal with what it going on. Have you asked your mom if there is anything special she would like to do or see. I asked Bob and just listened when he had ideas and set everything else aside for a day and we did some of the things that he had talked about for years. like seeing he old house and going to an old resurant that he hadn't been to in years.

You BOTH need to shut off the paperwork and medical talk from time to time so that you BOTH can recharge. I don't know if I am making any sense or not. Hang in there!!! Email me anytime!!! You were there for me and if you want I will be there for you!!!!

Best Wishes and Prayers and Lots of Rainbows heading your way!!!!!

Love

Sue

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