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Subject:
From:
Linda Walker <[log in to unmask]>
Reply To:
Cerebral Palsy List <[log in to unmask]>
Date:
Sat, 20 Oct 2007 16:40:45 -1000
Content-Type:
text/plain
Parts/Attachments:
text/plain (209 lines)
Ken you could always pay to get faster treatment but at least people 
would  have health insurance.


At 05:32 AM 10/20/2007, you wrote:
>well, i can go elsewhere right now.
>
>one can't help but wonder if this kind of practice is
>allowed to proliferate, then persons with chroni c
>conditions that require a heavier dose of a med than a
>"standard person" would be without service if they
>left one area and tried to get a new doctor in a new
>area.
>defacto discrimination.
>
>i admit deri is right that socialized medicine would
>take care of this, but then i read of the long waiting
>list, people pulling their own teeth, and canadians
>coming here for quick treatment and that scares me a
>bit.
>
>--- kat <[log in to unmask]> wrote:
>
> > See if your ins company will intercede on your
> > behalf.  Now it sounds to
> > me like the practice is wary of "risky" patients -
> > one wonders if they
> > have had a lot of malpractice suits, which would be
> > an indication of the
> > bad rep of this practice, I'd think.
> >
> > Kat
> >
> > ken barber wrote:
> > > the isurance company has a page that you can fill
> > out
> > > and they as a convienvence to the member will call
> > the
> > > requested doctor to set up an appointment. this
> > dr.
> > > was listed as taking new patients. the insurance
> > > company called to set up judy and i with an
> > initial
> > > appointment. here is where the doctors office had
> > a
> > > chance to say "we have too many to take more."
> > they
> > > did not. they said "we prefer that the patients
> > call
> > > us themselves." we call and are ask for infomation
> > on
> > > our meds with the statement that they will look at
> > > that infomation and call us back. they call us
> > back
> > > and refused us appointments. the only thing it
> > could
> > > have been based on was the meds that we take, most
> > > likely my meds as judy only takes blood pressure
> > meds
> > > and migraine meds.
> > >
> > > --- kat <[log in to unmask]> wrote:
> > >
> > >
> > >> OK - here's my next question - was this on the
> > >> insurance company's
> > >> website or did you call the insurance company to
> > >> confirm?  If they told
> > >> the insurance company they are accepting new
> > >> patients covered under the
> > >> plan and they aren't, really, then they are not
> > >> supposed to accept
> > >> anyone covered under that plan.  In other words
> > if
> > >> they have a contract
> > >> with that plan for billings, etc., and they don't
> > >> cover a participant,
> > >> they may be in breach of contract.  You need to
> > talk
> > >> to a customer rep
> > >> at the insurance company.
> > >>
> > >> If this was on the website, then the website
> > might
> > >> be out of date - you
> > >> need to call the insurance company to speak to a
> > rep
> > >> and see if they
> > >> will act on your behalf.
> > >>
> > >> Kat
> > >>
> > >> ken barber wrote:
> > >>
> > >>> EVEN WHEN THE INSURANCE PLAN CALLED THEY DID NOT
> > >>>
> > >> TELL
> > >>
> > >>> THEM THEY HAD REACHED THE POINT OF NOT TAKING
> > NEW
> > >>> PATIENTS. THE HAVE TOLD THE PLAN THAT THEY ARE
> > >>>
> > >> TAKING
> > >>
> > >>> NEW PATIENTS.
> > >>>
> > >>>
> > >>> --- kat <[log in to unmask]> wrote:
> > >>>
> > >>>
> > >>>
> > >>>> The only legitimate reason I can think of is if
> > >>>>
> > >> they
> > >>
> > >>>> aren't accepting
> > >>>> new patients into the practice but they should
> > >>>>
> > >> have
> > >>
> > >>>> told you that up
> > >>>> front.  It sounds to me like you need to file a
> > >>>> complaint with the state
> > >>>> medical review board.
> > >>>>
> > >>>> Kat
> > >>>>
> > >>>> ken barber wrote:
> > >>>>
> > >>>>
> > >>>>> well, i guess i have seen something new. today
> > >>>>>
> > >> we
> > >>
> > >>>>> picked a doctor off our PPO list for this
> > area.
> > >>>>>
> > >>>>>
> > >>>> his
> > >>>>
> > >>>>
> > >>>>> practice was marked as accepting new patients.
> > >>>>>
> > >>>>>
> > >>>> upon
> > >>>>
> > >>>>
> > >>>>> calling we were instructed to give them a list
> > >>>>>
> > >> of
> > >>
> > >>>>>
> > >>>>>
> > >>>> meds
> > >>>>
> > >>>>
> > >>>>> that we took. we gave them a list and were
> > told
> > >>>>>
> > >>>>>
> > >>>> they'd
> > >>>>
> > >>>>
> > >>>>> get back in touch. a little while later we
> > were
> > >>>>>
> > >>>>>
> > >>>> told
> > >>>>
> > >>>>
> > >>>>> that we would not be accepted.
> > >>>>>
> > >>>>> has any of you one been refused medical
> > service
> > >>>>>
> > >>>>>
> > >>>> based
> > >>>>
> > >>>>
> > >>>>> on medicine that you were taking?
> > >>>>>
> >
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> >
>
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