Re: [owcp] Re. Subcommittee Letter (was Re: New to the Group)
- Jan Williams
> Lauralee,This sounds good to me , too. Jan Williams
> Thanks for your comments.
> I've been grappling with the issue of examples since I wrote the
> first draft of the letter. I purposely left them out of that draft
> because I didn't want all of them to come from my personal
> experience. I plan to include some examples in the next draft,
> primarily drawing them from critiques that I've received from group
> members. However, I don't feel that I can include all of the
> examples that I've received, so I'll try to include ones that seem
> most universal.
> If you and others feel strongly that more of your experiences,
> issues, complaints, etc. need to be included, what do you think of
> allowing an addendum for each signatory to briefly address his or
> her story? Preparing an addendum would be optional, of course, and
> each signatory could decide whether to opt in or opt out.
> I apologize for not getting the second draft written in a timely
> fashion. I had anticipated it being done by know, but my schedule
> has not been cooperating. My new goal for completion is early in
> September. (I'll be out of town for about 10 days starting later
> this week.)
> P.S. Lauralee, and everyone: Your comments and suggestions about
> examples (and anything else) are welcome, as always. Although I've
> taken the lead with the letter, it is a group effort. Thanks!
> --- In email@example.com, "lajarvis78" <RPCVLAJarvis@a...> wrote:
>> As I stated earlier I am new to this group, so I don't what has
>> discussed regarding the letter...my main suggestion is to use
>> concrete examples of issues we have had. Here are some of mine:
>> - PC gave me wrong forms when filing, so some claims were rejected
>> and needed to be resent. Work comp told me that they have this
>> problem all the time and they said that there is no communication
>> between the two offices.
>> - Time lap between PC medically separating volunteers and the 3
>> months when work comp kicks in (if it does at all). That we are
>> sick, PC kicks us out and we are forced to pay all medical bills
>> of our own pocket. I'm still trying to get reimbursed for all
>> medical bills during that time.
>> - The fact that case workers are not allowed to talk to the
>> department, but yet the billing department constantly sends you
>> to your case worker to change things. Again, no communication
>> between departments and they put us in the middle to try and
>> out what each of them need so we can get our money!
>> - The fact that they say that there are scheduling fees for every
>> procedure and medicine, but yet they do not pay the same amount if
>> you find a service or meds for cheaper (i.e. I was put on a very
>> expensive antibiotic, CVS charged $120 for 10 days, work comp gave
>> me $111 in reimbursement. Had to get a refill and this time went
>> Target who charged $80 for the pills, yet work comp only paid
>> $73 for the med).
>> - There is no set procedure for filing an appeal. Yes, you can
>> resubmit with a letter, but they never clearly state why it has
>> rejected and what you can do so that you can be paid.
>> Those are the examples I could think of off the top of my head
>> I have dealt with. I'm sure I could come with many more, given
>> time. I will gladly have my name attached to this letter. It is
>> nice to know that I am not alone in my frustrations, though I'm
>> sorry that all you are going through this too...it's just no fun!
>> My info for the letter: I am from Sherman Oaks, CA 91403
>> Take care all!
>> RPCV EC70: Dominica
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