RE: So darn confused--thanks
- Thanks for the pep talk Claudine--u r exactly right-it is the
secretaries job to deal with these insurance companies. I would think
that would come under her job description! And if the insurance
approves that drug and agrees to pay for some or all of it and I need
to change the prescription--again it is her job to deal with them -
again-if she hs too!! I've been waiting now for almost 3 weeks for an
answer from her from the insurance company and when I call (each
week) I get the answer (I'm working on it) Apparently, she can't seem
to get the insurance company to send her some type of form so I guess
tht one isn't her fault. I just feel so powerless in the "not knowing
thing" if they r going to approve and pay 4 this or not as I
certainly can't afford to pay for it at all. What do people do who hs
this disease that hs absolutley no insurance--which could very well
hv been my case--just lucked out on it this one time--otherwise there
is no way I would hv been able to get a biospy or all the lab work
they want to do all the time to keep an eye on your numbers. That is
the main reason I put off being tested for this for so long because
b4 i didn't hv any insurance and figured if i did hv it (which I
strongly suspected I did) I cdn't afford to do anythig about it
anyway. But really, what do the people do that don't hv insurance to
cover these biopsies, labs, and the very expensive medicine. Perhaps
that is y the percentage is so high in hep deaths is because people
can't get treated because they can't afford it and hs no insurance.
If that is the case then I would imagine the statitics would be very
inaccurate because a high percentage of the deaths from this disease
would not be from the disease itself but from non-treatment beacuse
people cdn't afford it or hd no insurance.I know that a small
percentage can get on trials or studies to cover some expenses but
most wouldn't/coudn't get on that 4 some reason or another. So
really, what do people do??
- --- cher_002@... wrote:
I've been waiting now for
> almost 3 weeks for anMaybe, maybe not. If I were you, I'd call the
> answer from her from the insurance company and when
> I call (each
> week) I get the answer (I'm working on it)
> Apparently, she can't seem
> to get the insurance company to send her some type
> of form so I guess
> tht one isn't her fault.
insurance company myself to find out what is going on.
There could be stalling on either or both ends.
However, after dealing with more than one insurance
company over the years I'd say USUALLY when something
just insn't happening it's because the doctor's office
has NOT asked for or filled out the proper paper work.
Not always - I did have an ins. co. rep tell me they
wouldn't cover a certain doctor (after I had already
been to him of course) after they had already said
they did.... Two phone calls and I had it straightened
out. Also, they know your insurance won't last forever
so stalling may be to their benefit. I would call
them, and write down dates, time, and person you
talked to. Often the phone calls are recorded too.
Once it's documented that you are aware of a delay and
want it resolved, it somehow seems to get resolved!
They can probably FAX whatever form your doctor needs
that same day - if that is the real problem. Amazing!
It sounds like you need to work BOTH ends. I could be
wrong, but I would bet the delay is coming from the
nurse. A call to the insurance company should get
things rolling though. A missing form is a pretty lame
I don't know what people with no insurance do
either! I was told that the San Antonio Metro. Health
Dist. does free HCV screening, but they don't
'promote' it, because they don't really know what to
do with those who test positive. They are aware there
is probably a huge HCV positive population, and those
who are coming in and being tested and are + are being
referred to county health services, Medicaid if they
qualify, or to some private doctors who they have
worked out agreements with, but they have stated there
is simply not enough money to treat all the people who
would probably turn up positive. They don't know what
to do either. It is definitely a real problem,
especially the lab tests required.
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