cuda
Banned
Christian, and thanks for the prayers.
I have a plaque on my desk that reads:
MIRACLES HAPPEN
The most amazing thing about miracles is that they happen
Headlines
Need a little help
- Thread starter cuda
- Start date
Christian, and thanks for the prayers.
I have a plaque on my desk that reads:
MIRACLES HAPPEN
The most amazing thing about miracles is that they happen
C_Spray
Charter Member
Cuda - My brother-in-law is a radiologist in Indy, where they have a Gamma knife at the IUPUI hospital. This is his take:
"It doesn't state if he has private insurance or not. No one can refuse a patient treatment. His insurance company, however, can refuse payment if they deem it's 'out of Network'. Some insurance companies will pay 50% if a patient goes 'out of network'.
If he is eligible for Medicaid, it doesn't matter where he is treated. If he does not have a Medicaid card, he should apply ASAP. Like I said earlier, Medicaid will pay for services up to 90 days past the date of treatment.
He needs to contact Patient Accounts and they will help him apply for Medicaid, if he fits the financial constraints. If he has private insurance, they will also do their best to get as much of his proceedure covered, since they have a vested interestd in getting paid. Patient accounts are very well versed with all the private insurance payors as well as Medicare/Medicaid.
He needs to contact his insurance company directly and explain the situation. Next, his neurologist must send a letter of need to prove this treatment is superior to other forms of external beam radiation therapy. Acoustic Neuroma's are slow growing tumors but they have a relatively high rate of local recurrance.
I hope this helps."
"It doesn't state if he has private insurance or not. No one can refuse a patient treatment. His insurance company, however, can refuse payment if they deem it's 'out of Network'. Some insurance companies will pay 50% if a patient goes 'out of network'.
If he is eligible for Medicaid, it doesn't matter where he is treated. If he does not have a Medicaid card, he should apply ASAP. Like I said earlier, Medicaid will pay for services up to 90 days past the date of treatment.
He needs to contact Patient Accounts and they will help him apply for Medicaid, if he fits the financial constraints. If he has private insurance, they will also do their best to get as much of his proceedure covered, since they have a vested interestd in getting paid. Patient accounts are very well versed with all the private insurance payors as well as Medicare/Medicaid.
He needs to contact his insurance company directly and explain the situation. Next, his neurologist must send a letter of need to prove this treatment is superior to other forms of external beam radiation therapy. Acoustic Neuroma's are slow growing tumors but they have a relatively high rate of local recurrance.
I hope this helps."
cuda
Banned
Thanks Chuck, I have applied for Medicaid. It was just last week, but I have a case number I can check online.
C_Spray
Charter Member
More from my B-I-L's friend:
"I think this is a matter of the facility not being in the network at all for his insurance. A similar situation would be “a patient is assigned to St. Vincent under the Medicaid system and attempts to be treated at JMH”, we would offer only Emergency care, would not be able to bill or collect at all. We cannot refuse emergencies for facilities who accept Medicare and Medicaid, but could refuse any other care. I would send this man to his insurance administrator and most likely since gamma knife is not available to him in network, his treatment would be approved. Let me know if I can help further."
Keep pushing....
"I think this is a matter of the facility not being in the network at all for his insurance. A similar situation would be “a patient is assigned to St. Vincent under the Medicaid system and attempts to be treated at JMH”, we would offer only Emergency care, would not be able to bill or collect at all. We cannot refuse emergencies for facilities who accept Medicare and Medicaid, but could refuse any other care. I would send this man to his insurance administrator and most likely since gamma knife is not available to him in network, his treatment would be approved. Let me know if I can help further."
Keep pushing....
Expensive Date
New member
Joe hope it works out.Keep pushing you have probably paid a ton in taxes over the years its time to get something back.
cuda
Banned
Any progress with Jackson Joe? Your orange and green outfit is waiting
It was quite encouraging. Shirt L, pants 32x32, size L hat.
cuda
Banned
Any progress with Jackson Joe? Your orange and green outfit is waiting
Jackson and Joe reminds me of a song. :sifone:
http://www.youtube.com/watch?v=--fOruzPN-o
Sean Stinson
Founding Member/Contributor
Damn Cuda my prayers go out to you bro.....Keep us updated!!!!
Yes. But not often enough...my folks are always complaining I don't visit enough. Christmas was the last time...I may be over in Deltona sometime next month, but it's hit or miss. My sis is back in school today and she's going to talk to her medical director who is well known and has connections all over in the area.
I remember this doc ... he was in his residency training in Neurosurgery at Hopkins back when I was there in '88-'91. It is the best place in the world for serious problems like this! Check out their website for information on getting a referral in there.
cuda
Banned
Yes, I was going to call last night, but it was 10 pm by the time I got back from Orlando, then Winter Garden, to back here. I figured it was too late to call by then. I have to make the same circuit today, but I should be home earlier.
cuda
Banned
I hear the same complaint from my parents, but in the opposite direction.
We start a Lowes in Deltona next month, right where a Publix used to be. You probably know where it is. It has a McDonald's in the out parcel, that we just did a major remodel inside. I think I spent more on material at that McDonald's than any of the other 159 or so we remodeled. I'm willing to be that's the reason the project was put on hold for so long. I'm sure the owner wanted more than Lowes was willing to pay him for that parcel. I don't blame him, it was a LOT of money.
Similar threads
- Sticky
