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re: Help needed from the OT
Posted on 1/28/20 at 9:08 pm to East Coast Band
Posted on 1/28/20 at 9:08 pm to East Coast Band
what really gets me, if he was an illegal or didn't have a job and was a welfare critter, he'd be getting his chemo today
Posted on 1/28/20 at 9:08 pm to Teauxler
speak to the drs clinic/office that will be billing your insurance ask to speak for the case mgr if they have one or someone in billing reimbursement explain the insurance situation they deal with this daily. The drug companies will cover the drugs most onc drugs the cut off for the paitent income is pretty high for paitent assistance.
Posted on 1/28/20 at 9:09 pm to LSUJML
quote:I had looked into one of those Christian health medi-share type programs once before and it had no coverage for cancer diagnoses within the first year. Not sure if OP’s brother has something similar, but I came across it and ended up just going with BCBS for a little more a month
Appeal the insurance denial
Posted on 1/28/20 at 9:13 pm to Teauxler
First thing to do is get his policy and start with what they do and don’t pay. Force whoever said it’s not covered to explain specifically why. Make sure they are correct. It could be that the facility is not on the plan but another is.
frick cancer.
My father in law was diagnosed in ‘18 and chose not to fight. It got real ugly real fast. Fighting it is the way to go. If he at some point regrets fighting he can stop. But it doesn’t work the other way around. He was on a shitty Medicare ppo but chemo was fully covered.
Most hospitals and doctors have an insurance benefits coordinator. Go see that person, bring the policy. They will help. Some of the people we dealt with were so awesome and nice and you could tell they actually cared. Find those people and ask them for help.
Where is he located?
frick cancer.
My father in law was diagnosed in ‘18 and chose not to fight. It got real ugly real fast. Fighting it is the way to go. If he at some point regrets fighting he can stop. But it doesn’t work the other way around. He was on a shitty Medicare ppo but chemo was fully covered.
Most hospitals and doctors have an insurance benefits coordinator. Go see that person, bring the policy. They will help. Some of the people we dealt with were so awesome and nice and you could tell they actually cared. Find those people and ask them for help.
Where is he located?
Posted on 1/28/20 at 9:16 pm to BrotherEsau
he's in Baton Rouge. And let me say, he understands he made a huge mistake signing up for the cheapest lowest plan option that his company offered. So there is some personal responsibility. But it is what it is at this point and it's time to move forward and get him help.
Posted on 1/28/20 at 9:18 pm to Teauxler
If you need help understanding the policy I can read it and try to help. Brotheresautd@yahoo.com - tell me here if you send it bc I don’t check that often.
Posted on 1/28/20 at 9:19 pm to Cracker
quote:
speak to the drs clinic/office that will be billing your insurance ask to speak for the case mgr if they have one or someone in billing reimbursement explain the insurance situation they deal with this daily. The drug companies will cover the drugs most onc drugs the cut off for the paitent income is pretty high for paitent assistance.
this, everything is negotiable, my old lady had about a million dollars worth of treatment/care/medivac waived for her family because she speaks the lingo
Posted on 1/28/20 at 9:22 pm to Teauxler
The Patient Advocate Foundation (PAF) provides education, legal counseling, and referrals to cancer patients and survivors concerning managed care, insurance, financial issues, job discrimination, and debt management.
Visit www.copays.org or call 866-512-3861 for more information.
The Internet also has sites from the various drug companies but there are also some general sites that may be helpful such as:
www.needymeds.com,
www.cancersupportivecare.com/drug_assistance.html
www.themedicineprogram.com
Also try cancer.org (American Cancer Society)
But I think speaking with a social worker at the treatment center is the best place to start
Visit www.copays.org or call 866-512-3861 for more information.
The Internet also has sites from the various drug companies but there are also some general sites that may be helpful such as:
www.needymeds.com,
www.cancersupportivecare.com/drug_assistance.html
www.themedicineprogram.com
Also try cancer.org (American Cancer Society)
But I think speaking with a social worker at the treatment center is the best place to start
Posted on 1/28/20 at 9:23 pm to BrotherEsau
thank you so much. I have a copy of his insurance card. i'm trying to get his benefits package. His plan is a BRONZE MEC plan.
Posted on 1/28/20 at 9:24 pm to Teauxler
quote:
what really gets me, if he was an illegal or didn't have a job and was a welfare critter, he'd be getting his chemo today
I'm doubting this
Posted on 1/28/20 at 9:27 pm to Teauxler
Posted on 1/28/20 at 9:28 pm to East Coast Band
i apologize for that statement. just mad and frustrated right now
Posted on 1/28/20 at 9:32 pm to Teauxler
What do you wanna know? I had the same cancer.
Posted on 1/28/20 at 9:33 pm to AUCE05
what was the treatment ? How are you doing ?
Posted on 1/28/20 at 9:35 pm to Teauxler
They hooked me up to that robotic machine. Cut the cancer out. He flipped over every organ looking for cancer. Felt like a train hit me. I am 7 years out. I had to have an annual CT scan to check in the event it spread. I stopped at the 5 year mark with a clean bill of health.
Posted on 1/28/20 at 9:39 pm to AUCE05
what stage ws it when they discovered it ?
Posted on 1/28/20 at 9:39 pm to Teauxler
3.9 CM. I caught it very early.
ETA
Has he seen a urologist?
ETA
Has he seen a urologist?
This post was edited on 1/28/20 at 9:41 pm
Posted on 1/28/20 at 9:40 pm to AUCE05
man good for you. God is good !
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