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  #44 (permalink)  
Old 06-07-2007, 05:51 AM
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Belinda Belinda is offline
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Join Date: Apr 2003
Location: Tennessee
Posts: 2,371
Way to go Tony...push them and stay on them.

Their medical director probably is one of those that think diabetes can be treated with insulin only. I had the same problem with my insurance when the misfortunate removal of my toe came into play....they stated I no longer needed hospital stay for the infection....which I needed the whirlpool therapy. After arriving home and I called BCBS the nurse read to me the denial of hospital stay.....also read that I could possibly lose my foot or leg below the knee.....this is when all **** broke loose. Needless to say it was their "physicial" that read the report....I told her he didn't know me NOR has he ever examined me. My doctor stated that I NEEDED the treatment and who was he to second guess him a physician that knew me and was working with me. I pushed and pushed and finally got the rehab needed. On my next surgery on the same foot I stayed a week in the hospital....they only approved 24 hours but the doc said that NO I was staying until I was ready and he was ready to send me home to heal.
Once again they didn't want to pay the bill but were backed up against the wall.

You keep pushing and pushing and finally they will see that you are only trying to save them money by taking the best possible care of yourself and your diabetes.
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Belinda


"- work as if you don't need money, - love as if you've never been hurt, -
dance, as if nobody can see you, - sing, as if no one can hear, - live, as
if the Earth was a heaven."
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