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	<title>Comments on: Insurance Debacles</title>
	<atom:link href="http://themigrainechronicles.wordpress.com/2008/07/05/insurancedebacles/feed/" rel="self" type="application/rss+xml" />
	<link>http://themigrainechronicles.wordpress.com/2008/07/05/insurancedebacles/</link>
	<description>An attempt to take life back one day at a time . . .</description>
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		<title>By: katecollier</title>
		<link>http://themigrainechronicles.wordpress.com/2008/07/05/insurancedebacles/#comment-27</link>
		<dc:creator>katecollier</dc:creator>
		<pubDate>Wed, 09 Jul 2008 23:04:02 +0000</pubDate>
		<guid isPermaLink="false">http://themigrainechronicles.wordpress.com/?p=20#comment-27</guid>
		<description>Ellen, I am so sorry to hear of your troubles. I sincerely hope your doctors find a way to help you get the medically necessary treatments your insurance company feels disinclined to pay. It amazes me how an insurance company can believe it knows more about what&#039;s medically necessary than a doctor or a hospital!

Eileen, I too find it frustrating how difficult it has become to get a copy of one&#039;s own health insurance policy. I had a company once where I requested it four times in two months. It eventually showed up - after I dropped the company and went with someone else!</description>
		<content:encoded><![CDATA[<p>Ellen, I am so sorry to hear of your troubles. I sincerely hope your doctors find a way to help you get the medically necessary treatments your insurance company feels disinclined to pay. It amazes me how an insurance company can believe it knows more about what&#8217;s medically necessary than a doctor or a hospital!</p>
<p>Eileen, I too find it frustrating how difficult it has become to get a copy of one&#8217;s own health insurance policy. I had a company once where I requested it four times in two months. It eventually showed up &#8211; after I dropped the company and went with someone else!</p>
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		<title>By: Eileen</title>
		<link>http://themigrainechronicles.wordpress.com/2008/07/05/insurancedebacles/#comment-25</link>
		<dc:creator>Eileen</dc:creator>
		<pubDate>Mon, 07 Jul 2008 00:36:39 +0000</pubDate>
		<guid isPermaLink="false">http://themigrainechronicles.wordpress.com/?p=20#comment-25</guid>
		<description>Oh man would I be appealing that baby! First of all - you were in your doctors office - NOT a sugical setting, which by you working in healthcare, you are aware of. 

Second - I would put it back on the doctors office for not preauthorizing the exam. They should know what needs to be done in their office to get things covered and not come to an &quot;out of pocket&quot; for the patient.  

I work with insurance too - so yeah, they try every trick in the book not to pay. I would keep appealing until the cows come home to get them to pay it. It&#039;s not fair that you should have to pay out of pocket for something like this. Also - as I&#039;m sure you&#039;ve already done - reread your policy....then again, if it&#039;s anything like MY insurance, we don&#039;t even get copies of our policy anymore without requesting it...duh! Of course I&#039;d like that, thank you!!!

Good luck!</description>
		<content:encoded><![CDATA[<p>Oh man would I be appealing that baby! First of all &#8211; you were in your doctors office &#8211; NOT a sugical setting, which by you working in healthcare, you are aware of. </p>
<p>Second &#8211; I would put it back on the doctors office for not preauthorizing the exam. They should know what needs to be done in their office to get things covered and not come to an &#8220;out of pocket&#8221; for the patient.  </p>
<p>I work with insurance too &#8211; so yeah, they try every trick in the book not to pay. I would keep appealing until the cows come home to get them to pay it. It&#8217;s not fair that you should have to pay out of pocket for something like this. Also &#8211; as I&#8217;m sure you&#8217;ve already done &#8211; reread your policy&#8230;.then again, if it&#8217;s anything like MY insurance, we don&#8217;t even get copies of our policy anymore without requesting it&#8230;duh! Of course I&#8217;d like that, thank you!!!</p>
<p>Good luck!</p>
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		<title>By: Ellen Schnakenberg</title>
		<link>http://themigrainechronicles.wordpress.com/2008/07/05/insurancedebacles/#comment-24</link>
		<dc:creator>Ellen Schnakenberg</dc:creator>
		<pubDate>Sun, 06 Jul 2008 12:03:14 +0000</pubDate>
		<guid isPermaLink="false">http://themigrainechronicles.wordpress.com/?p=20#comment-24</guid>
		<description>I&#039;m so sorry you&#039;re going thru this.  I think they count on these tactics to delay payment as long as possible, even indefinitely.  They know sick people (and their families) don&#039;t have the energy to deal with this kind of stuff and count on us giving up.

I&#039;m going thru a similar situation myself.  We&#039;ve been fighting and fighting it for months because altho chiropractic care is covered, they&#039;ve decided it&#039;s not &#039;necessary&#039; for me (despite doctor&#039;s letters) and are taking the money from &quot;wellness dollars&quot;.  I was just informed that my wellness dollars are now gone and the claims have been denied.   Now I have no way to fight the cervicogenic pain that triggers Migraine attacks and now have no way to get some of the other medical testing I need done because of their underhanded policy of putting some of the testing as &quot;wellness testing&quot; despite the reason for the tests.  

ugh.  

Hang in there.  You&#039;re surely not alone!</description>
		<content:encoded><![CDATA[<p>I&#8217;m so sorry you&#8217;re going thru this.  I think they count on these tactics to delay payment as long as possible, even indefinitely.  They know sick people (and their families) don&#8217;t have the energy to deal with this kind of stuff and count on us giving up.</p>
<p>I&#8217;m going thru a similar situation myself.  We&#8217;ve been fighting and fighting it for months because altho chiropractic care is covered, they&#8217;ve decided it&#8217;s not &#8216;necessary&#8217; for me (despite doctor&#8217;s letters) and are taking the money from &#8220;wellness dollars&#8221;.  I was just informed that my wellness dollars are now gone and the claims have been denied.   Now I have no way to fight the cervicogenic pain that triggers Migraine attacks and now have no way to get some of the other medical testing I need done because of their underhanded policy of putting some of the testing as &#8220;wellness testing&#8221; despite the reason for the tests.  </p>
<p>ugh.  </p>
<p>Hang in there.  You&#8217;re surely not alone!</p>
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		<title>By: leafless</title>
		<link>http://themigrainechronicles.wordpress.com/2008/07/05/insurancedebacles/#comment-23</link>
		<dc:creator>leafless</dc:creator>
		<pubDate>Sat, 05 Jul 2008 17:33:07 +0000</pubDate>
		<guid isPermaLink="false">http://themigrainechronicles.wordpress.com/?p=20#comment-23</guid>
		<description>&quot;Makes me wonder though - what’s the point of having insurance?&quot;

Exactly! :)</description>
		<content:encoded><![CDATA[<p>&#8220;Makes me wonder though &#8211; what’s the point of having insurance?&#8221;</p>
<p>Exactly! <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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