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How Are You Feeling Right Now?

MisterBGone

~\_✅`,')
SF Supporter
Pissed

The day before a heart procedure, I got a letter from my insurance company that they would not pay for it. They denied coverage, based on reasons that I disagree with. I was notified that I can appeal the decision, but even best case, that could take up to 60 days.

They notified the doctor, and barring approval on appeal, the procedure will be cancelled. I don't know what this bodes, as this was supposed to be preliminary to an extensive repair.


peace
I'm so sorry to learn of this sudden & terrible news @1Lefty , boy? Talk about disastrous timing? And this - was the best, that they, could do! . . .

Is there any-way to get an expedited appeal, or (to) find any kind of advocacy for more pressing/time-sensitive procedures such as yours?
-as I'm guessing this was not one of the elective-variety & type. . .

Hoping you can get all of the information that you can, as fast as you can, in order to find the steps that you need to take, in order to get this
resolved, and with as great a likelihood of chances at success, for your order/or favor~

It's just hard to believe that such a thing can happen in instances such as this. But then again, looking at it from their (the insurance's) side of things:
it begins to become, just a bit less of a mystery.

Again, I'm sorry for this unfortunate luck. And I can only hope that a swing of misfortunes will be coming your way in fairly short-order.
Sending my best!

-mrb.
 

1964dodge

Has a monkey as a friend
Safety & Support
SF Supporter
Another night at work. i put my foot down and refused to come in last night telling my GM i need more than a couple hours notice. So, she ended up working last night. I don't know how long i'll be on nights.... that is scary to me.

i also have a virtual appointment... FINALLY an appointment... on Wednesday am. Being virtual brings up a couple concerns yet also eases a few at the same time. What if i can't be truthful? What if i am and tell everything?? How will things progress after this? i'm happy this will be in the medical records, so i don't have to explain everything to every doc i have. All my Drs are under the same place for that very reason. i feel it will be a good idea to compose a draft, so to speak, of what i want to cover n then figure out what is most important of all or it to start with. All i know is i'm really messed up... n this is going to take a long time to fix. i duno if i'll be around that long, however, at the moment, i'm possibly willing to try. And... so the work begins.
since your appointment time is limited you should make the best you can out of it. it's always a good idea to write things down before any medical appoinment physcal or mental health. of course put the most important things you need help with first. just a brief line or 2 for each item. and be sure to mention any physical issues that come from mental health example ( whenever my anxiety gets high i get a migraine) this will help you be more calm if you have everything written down. i hope everything goes well for you

mike....*hug*shake
 

1964dodge

Has a monkey as a friend
Safety & Support
SF Supporter
I've been taking Prozac for roughly 2 weeks and I'm sooo tired. Sleep has always been an escape for me - the only time of the day where I'm at piece, but recently there have been days when I'm asleep for 12 hours, or start nodding off immediately after breakfast. I have no desire to leave the house and I've been procrastinating on getting important stuff done because I'm so exhausted.
prozac, zoloft and similar meds do come with side effects. try to give it another 4 to 6 weeks and some of the side effects may diminish or disapper. it it gets to be too troublesome call your doctor to see if he can do something. i hope it all turns out well for you

mike....*hug*shake
 

1964dodge

Has a monkey as a friend
Safety & Support
SF Supporter
Pissed

The day before a heart procedure, I got a letter from my insurance company that they would not pay for it. They denied coverage, based on reasons that I disagree with. I was notified that I can appeal the decision, but even best case, that could take up to 60 days.

They notified the doctor, and barring approval on appeal, the procedure will be cancelled. I don't know what this bodes, as this was supposed to be preliminary to an extensive repair.


peace
i'm so sorry this happened to you. it's not fair to be denied by a greedy insurance company a procedure that your doctor deems necessary. i hope they sort it out soon

mike....*hug*console*shake
 

Witty_Sarcasm

🦄🦜🧁Rainbow Unicorn (Deluxe Edition) ®🌈🌝💖
SF Supporter
There had been talk of all my wisdom teeth getting removed, but all they did was fill a cavity in one and I suspect they will do that to the other ones as long as they are not causing any issues. The main problem now is to get out the impacted tooth and the one that it is stuck on. It's already infected and I don't want that getting worse, so that's a bit of a worry.
 

1964dodge

Has a monkey as a friend
Safety & Support
SF Supporter
There had been talk of all my wisdom teeth getting removed, but all they did was fill a cavity in one and I suspect they will do that to the other ones as long as they are not causing any issues. The main problem now is to get out the impacted tooth and the one that it is stuck on. It's already infected and I don't want that getting worse, so that's a bit of a worry.
*hug*shake
 

TragicReality

I wish I could turn back time
SF Supporter
I'm really angry right now. I asked my landlord if my son could come in and eat pizza, he said yes. He suddenly got outraged at my son and treated him worse than a dog like a piece of dirt ordering him out of the house. I'm just flabbergasted right now like how can someone treat a downtrodden already person like that? Worse than he would treat a dog. I'm so upset. Land lord said he didn't say yes but he did. This is nuts.
 

1964dodge

Has a monkey as a friend
Safety & Support
SF Supporter
I'm really angry right now. I asked my landlord if my son could come in and eat pizza, he said yes. He suddenly got outraged at my son and treated him worse than a dog like a piece of dirt ordering him out of the house. I'm just flabbergasted right now like how can someone treat a downtrodden already person like that? Worse than he would treat a dog. I'm so upset. Land lord said he didn't say yes but he did. This is nuts.
that was awful of your landlord

mike.....*hug*console*shake
 

TragicReality

I wish I could turn back time
SF Supporter
There had been talk of all my wisdom teeth getting removed, but all they did was fill a cavity in one and I suspect they will do that to the other ones as long as they are not causing any issues. The main problem now is to get out the impacted tooth and the one that it is stuck on. It's already infected and I don't want that getting worse, so that's a bit of a worry.
Sometimes i wonder why teeth had to be made to be such a pain, literally painful. I hope it doesn't hurt too much and you get this fixed and feel better. I decided after not being able to afford a dentist most of my life, and dry mouth from illnesses and pills, to get the top ones removed. it hurt like a bitch for a few days, but no more pain. best wishes @Witty_Sarcasm
 

Witty_Sarcasm

🦄🦜🧁Rainbow Unicorn (Deluxe Edition) ®🌈🌝💖
SF Supporter
Sometimes i wonder why teeth had to be made to be such a pain, literally painful. I hope it doesn't hurt too much and you get this fixed and feel better. I decided after not being able to afford a dentist most of my life, and dry mouth from illnesses and pills, to get the top ones removed. it hurt like a bitch for a few days, but no more pain. best wishes @Witty_Sarcasm
I'm sorry to hear you had to deal with all of that. I wish it wasn't so expensive to get dental care. It should be more affordable since it is important. I'm glad that you don't have to deal with that pain any longer.
 

TragicReality

I wish I could turn back time
SF Supporter
I'm hav
it's funny a lot of people in winter say i can't wait for summer and when it's hot and humid in the summer we wish winter would come lol

mike....*hug*shake
That's what I always think of us Canadians, we complain when it's too cold but we do get some heat waves in the summer. I like winter because there's no bugs, otherwise one month of snow instead of much more would be nice :)
 

Windhover

meandering home
SF Supporter
Pissed

The day before a heart procedure, I got a letter from my insurance company that they would not pay for it. They denied coverage, based on reasons that I disagree with. I was notified that I can appeal the decision, but even best case, that could take up to 60 days.

They notified the doctor, and barring approval on appeal, the procedure will be cancelled. I don't know what this bodes, as this was supposed to be preliminary to an extensive repair.


peace
So sorry this happened, and especially at the last moment like that.

What a mess and minefield of frustration the medical insurance is, it's hardly any help to anyone it seems. Except the corporations and executives.

I hope your doctors can help you find a way around this.

We wish you all the best and health @1Lefty .

keep us posted, if and when you feel like it.
 

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