WHAT YA GOT SWAP Chat Thread

[ChickyChickyBaby]

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Why, thank you love, i've had an awful day, and this made me smile. Long and short my hmo has given up on me. they've stopped approving all treatment and have sent me a letter.... "... records do not show an expectation that you will improve in a short and predictable amount of time. Therefore your requests for ... is being denied." Spoke to my lawyer, his take is that they're expecting me to appily for SSD so medicare will take over and get me off thier books, and they're just dening all treatment untill i do.

Long and short the treatment that 3 orthopedic offices have fought to get me to let me walk again will not happen, and without this I can not walk again period. Maybe I need a flask after all?

Sorry, that sucks. But that last sentence did make me giggle. Best reason for a flask if you ask me. I have been waiting on DH's insurance to drop me due to RA - but they haven't - we have had this company about 5-7 years ... I have had RA for 12-13 years. I got a call from them once that asked if I had any other coverage such as medicare medicaid or other insurance. Said no. THen they wanted to let me know I was eligible for disability. I said I know. And that was that. I fill out a form and send in once a year stating I have no other coverage.
Thing is, if I ever lose my coverage due to RA, I don't know of another company in my state that will touch me. I think the ONLY reason I have not been dropped is because I refuse all DMARDs (like Humira, Enbrel, Remicade, etc)

 

[saddina]

They'll keep giving me pain meds and adult diapers, but that's it, electric wheelchair? denied. Physical therapy? Denied. Surgery to repair my ruiened knees? nope. Fix the arm so i can use a maniual chair? no. Home health aide so I don't have to lie in my own filth because I can't get out of bed without these things? never, they'll send cathaders. Apparently working limbs and leaving the house, and not rotting in poop is a luxury.

 

[ChickyChickyBaby]

Quote:
I always understood it to be that no matter length and cost of treatment, everything was covered to your max amount (usually lifetime amount but sometimes yearly amount) - which was explained to me as the most the insurance company would ever pay.... I would have to dig out our forms to actually know what I mean.

I guess the reason they pay for cancer treatments is because of not expecting to pay for anything very long. Either the person goes into remission or dies.

 

[ChickyChickyBaby]

Now I did have limits on treatments like PT. Only so many visits once a year.

But they did cover over 50% of the cost of weekly massages.

It was $45 a week and I only paid $15.

 

[UncleTommy]

I just got home from Jury duty so it took me a while to get through all those posts, but i just wanted to say i didn't mean to offend anyone, I was out at my sisters all day yesterday and there was only a small window i had to get some swaps done since i'll probably be coop building tomorrow and i have no clue when i'll get back saturday. This thread has been fun, but also as my rl friends tell me, i don't have a filter(which is not true, its just really crummy), but i will try to pull back on, well, that was my humor, so i think we're in trouble.

anyways, from the other posts that i can remember, naked necks give me the heebee jeebeeies too and i didn't realize anyone else had put hotwheels up, i must have missed that.

Oh and Lana, i copied you and make a swap page, all those pictures of hotwheels were just too much to copy and paste.

oh and Saiddina, there has to be some way to appeal their decision, usually insurance companies have independant review boards.

 

[meepitqueenie]

I have severe migraines -don't remember 6-9 months of one year. i have a severe migraine everyday. for 6-9 months. multiple brain mris (at least i have a brain.... they said they found one in there) multiple eye mris-- surprised im not glowing. neurologist kept trying to drug me up- so much i still had pain, my words were slurring, and couldn't function at home. i went to chiropractor didn't help. she never took me out of work, but told me that i should quit my job.... i don't even know how i functioned at work.... its a wonder that i didn't get fired.

but i found another option and of course not covered by insurance. I paid $1500 out of my own pocket.... while I am not cured.... i dont take any migrane medications and i can function.... wish my vision was better..... but i will take no pain any day compared to the partial vision i have.

i don't like drs much.

 

[saddina]

I'm appealing the appeals now. and having some much too young white wine, only liquor in the house.

 

[ChickyChickyBaby]

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OMG how did you fix them? I have 1-4 a WEEK.

My doc has gone old school on me and prescribed Midrin now. I have tried several other meds. First of the year it was Relpax - it worked for 6 months. Then those 2 a day stopped helping. Can't take more than 2.
Can't take more than 2 midrin, but if it gets where it doesn't help I am to go straight to ER.

Never had brain tests done either.

 

[krstms]

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I agree. I really would take the flasks and a DVD but I only have one swap and there are still 3 days left this week

So I am holdin out. I also think it has to do with the swap pages, some people just dont want to make the extra click to look at another page....

Here are some cuteness pics I took this morning to make everyone feel happy

these are all swap babies from the nifty approved egg train
https://www.backyardchickens.com/forum/uploads/56502_brood2.jpg

the lone turkey poult from some eggs from soggybottom
https://www.backyardchickens.com/forum/uploads/56502_jack2.jpg

tee hee, fuzzy-sizzle butt
https://www.backyardchickens.com/forum/uploads/56502_sizzle_butt.jpg

what-chu lookin at?!
https://www.backyardchickens.com/forum/uploads/56502_silkie2.jpg

THat last pic is adorable. you ought to submit that for pic of the week.

 

[ChickyChickyBaby]

Quote:
yepp you could use a flask

Not sure how wine would be in one though