I can pay out of pocket or I can appeal their decision.
Here's the rub: 1 ketamine treatment (and the assumption is that it only takes 1) costs about the same as 1 ER visit (which is happening twice a week).
Math isn't that hard.
We have to see the chimp playing hockey! That's hilarious! The ice is so slippery, and, and monkeys are all irrational. We have to see this!
Anya ,'Bring On The Night'
Natter 62: The 62nd Natter
Off-topic discussion. Wanna talk about corsets, duct tape, or physics? This is the place. Detailed discussion of any current-season TV must be whitefonted.
§ ita § - Dec 17, 2008 10:40:02 am PST #6651 of 10002
Well not canonically, no, but this is transformative fiction.
Theodosia - Dec 17, 2008 10:45:18 am PST #6652 of 10002
'we all walk this earth feeling we are frauds. The trick is to be grateful and hope the caper doesn't end any time soon"
Don't get me started on insurance companies and the way they price some treatments. Some only pay for one sugar testing strip a day for diabetics -- doctors want at least three tests per day or more, as it helps keep sugar levels from fluctuating, causing long term organ damage, leading to Bad and EXPENSIVE things like blindness, kidney failure, gangrene.
Trudy Booth - Dec 17, 2008 10:46:57 am PST #6653 of 10002
Greece's financial crisis threatens to take down all of Western civilization - a civilization they themselves founded. A rather tragic irony - which is something they also invented. - Jon Stewart
That should be your appeal letter:
Dear Appeals Department,
Here's the rub: 1 ketamine treatment (and the assumption is that it only takes 1) costs about the same as 1 ER visit (which is happening twice a week).
Math isn't that hard.
No love,
ita
SuziQ - Dec 17, 2008 10:47:44 am PST #6654 of 10002
Back tattoos of the mother is that you are absolutely right - Ame
Is this their first denial? If so, that is just standard procedure. Appeal and lay the math out for them...
meara - Dec 17, 2008 10:49:17 am PST #6655 of 10002
Heh. I just read an article about how insurance companies are trying to get their employees to go to Obama's grassroots "let's get national healthcare" things, and presumably lobby against it.
And I'm thinking "...dude. I just went through open enrollment on MY employer's healthcare plan. WHICH IS A HEALTH INSURANCE COMPANY. And if they sent me or any of the people who were in the web-cast? I think we'd all be advocating for nationalized health insurance"
Barb - Dec 17, 2008 11:01:03 am PST #6656 of 10002
“Not dead yet!”
lisah - Dec 17, 2008 11:02:01 am PST #6657 of 10002
Punishingly Intricate
Is this their first denial? If so, that is just standard procedure.
god, that pisses me off so much more than if it was just a denial based on wonky math. Way to take advantage of sick people who don't have the energy to argue with anonymous fucknuts.
§ ita § - Dec 17, 2008 11:02:51 am PST #6658 of 10002
Well not canonically, no, but this is transformative fiction.
Definitely no love, Trudy. Tossers.
If so, that is just standard procedure. Appeal and lay the math out for them...
SOP is a SOB. IJS.
Trudy Booth - Dec 17, 2008 11:03:32 am PST #6659 of 10002
Greece's financial crisis threatens to take down all of Western civilization - a civilization they themselves founded. A rather tragic irony - which is something they also invented. - Jon Stewart
If there is no actual meat used in the making of it we could have a big hit among kinky vegetarians.
Frankenbuddha - Dec 17, 2008 11:08:31 am PST #6660 of 10002
"We are the Goon Squad and we're coming to town...Beep! Beep!" - David Bowie, "Fashion"
ita, that totally sucks. I think at this point, what do they have left that ISN'T experimental to try on you.