tag:blogger.com,1999:blog-7202470452060558289.post4493894493097652035..comments2023-09-28T03:40:17.440-05:00Comments on Goodnight Nobody: United Healthcare's new FAI RulingSusiehttp://www.blogger.com/profile/09347230625534251497noreply@blogger.comBlogger34125tag:blogger.com,1999:blog-7202470452060558289.post-85449608707542489062019-05-27T07:07:16.953-05:002019-05-27T07:07:16.953-05:00Simply want to say your article scr888 casino apk ...<br />Simply want to say your article <a href="https://onegold88.com/scr888/" rel="nofollow">scr888 casino apk download</a> is as surprising. The clearness in your post is just cool and i could assume you are an expert on this subject. Fine with your permission allow me to grab your RSS feed to keep up to date with forthcoming post. Thanks a million and please keep up the enjoyable work. The Gaming Club bears a license from the dealing out of Gibraltar, and claims to be one of a prefer few casinos that have a license from the Gibraltar government. 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The software it uses is broadminded and has a range of features expected to insert your online gambling experience and make you desire to arrive back after all circular of gambling you do here.<br /><br />Another hallmark of a fine casino is the mood of its customer hold team, and The Gaming Club does not disappoint on this front.<br /><a href="https://onegold88.com/scr888/" rel="nofollow">https://onegold88.com/scr888/</a><br />scr888 casino apk downloadhttps://onegold88.com/scr888/noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-47587141456709806712012-06-13T18:16:40.978-05:002012-06-13T18:16:40.978-05:00They cover it nowThey cover it nowSusiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-91977288527116311452012-06-13T17:45:30.401-05:002012-06-13T17:45:30.401-05:00I just found out I will need this surgery and have...I just found out I will need this surgery and have UHC. Does anyone know if they pay for it now, I see this post was a few years ago...?Liahttps://www.blogger.com/profile/14994520623520291962noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-65069797585817281342011-01-05T22:36:16.520-05:002011-01-05T22:36:16.520-05:00Has UHC changed their tune since this blog? I see ...Has UHC changed their tune since this blog? I see a different story in this Medical Policy dated 1/1/11: https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Tools%20and%20Resources/Policies%20and%20Protocols/Medical%20Policies/Medical%20Policies/Femoroacetabular_Impingement_Syndrome.pdf <br /><br />We are now battling Aetna for payment, and I found much of this blog helpful, but wanted to see if they changed their tune. The more industry leaders that cover it, the better our case against those that don't.<br /><br />Mydollmydollhttps://www.blogger.com/profile/03467580985638649041noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-59106718402444864882010-02-22T19:15:19.694-05:002010-02-22T19:15:19.694-05:00Tim- that is awesome! I am postin your comment ton...Tim- that is awesome! I am postin your comment tonight as its own post!!!Susiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-20202279874972186612010-02-22T16:32:20.121-05:002010-02-22T16:32:20.121-05:00I just had my 2nd level appeal hearing with UHC to...I just had my 2nd level appeal hearing with UHC today. Great News! They called back within 15 minutes and have agreed to pay for the surgery I had last September.Timnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-64940565749477270662010-02-06T13:04:47.030-05:002010-02-06T13:04:47.030-05:00Unfortunately, for all of us dealing with the smal...Unfortunately, for all of us dealing with the small minded world of the medical insurance companies, UHC is definitely not the only one not covering FAI. I have been in a 1.5 year battle with Aetna about this very thing. I am gathering a "novel" of info to submit with my appeal letter so that whoever it is that is making the decisions about my life can atleast make the decisions based on fact and not how much this is going to cost them...guess what Aetna, it is my life and I want it back!!! Thank you Susie for all your info...this will be really helpful for me. My fingers are crossed for all of us dealing with this condition that the insurance companies think can be fixed by simply becoming stationary...kind of goes again the Obama Administration's mentality that America is overweight mainly due to leading a seditary lifestyle and the only way to fix that is by becoming more active...now they are telling us we need to be less active...someone needs to wake these insurance big wigs up and explain to them that middle aged people don't take being told to stop being active lightly!!! Battle on everyone..Battle one!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-60904070758313964342010-02-01T16:35:52.029-05:002010-02-01T16:35:52.029-05:00I'm very glad I saw this. I have a hip arthros...I'm very glad I saw this. I have a hip arthroscopy scheduled in two weeks, and we just got a call from my surgeons office saying that UHC has refused to pay for my surgery. They said there are other options such as physical therapy that would fix my problem. I did physical therapy for 3 months, and it made my pain worse. It seems quite stupid that theyre the only ones refusing to pay for it.Staceynoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-34255021682997823902009-11-08T23:45:24.498-05:002009-11-08T23:45:24.498-05:00Good news for me!!!! The company I work for revie...Good news for me!!!! The company I work for reviewed my claim with uhc and the employee handbook and they approved my surgery!!! Im so thankful for my employer helping me get this surgery. Dec 8 is my surgery date! I sure hope it helps!Anna from omahanoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-13238158896492106462009-11-05T17:42:10.047-05:002009-11-05T17:42:10.047-05:00Okay, I'm now in the same boat. I want to poin...Okay, I'm now in the same boat. I want to point out though that all UHC didn't pay for me was the surgery to solve the FAI/CAM impingement. So they did pay the entire hospital bill, and I expect them to pay all or most of the anesthesia bill (the facility is in network, the practice that provides all the anesthesia at the facility is out of network). Also they paid the rest of the bill. My doctor's practice made me sign a waiver knowing full well that Aetna, United Healthcare, Cigna, and other companies consider surgery to remove FAI/CAM impingement as "unproven". All is not lost though, the practice will reduce the fee by 50% if the insurance doesn't pay. Given the choice between living in pain and paying $2,500, I would still have made the same decision.Unknownhttps://www.blogger.com/profile/07320796858314906080noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-33619832452842503492009-10-31T18:29:04.980-05:002009-10-31T18:29:04.980-05:00Tim- has it been denied or just not paid yet? Plea...Tim- has it been denied or just not paid yet? Please everyone, appeal, write, call, contact your state board of isnurance, hire a patient advocate if neccessary....don't get stuck with a huge bill when I'm sure, if you are like me, you already pay a fortune to be insured by UHC. The insurance companies want you to just accept their ruling and move on...DON'TSusiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-51985517659957376572009-10-31T17:40:43.579-05:002009-10-31T17:40:43.579-05:00Thank you all for sharing your experiences. My fir...Thank you all for sharing your experiences. My first scope (rt hip) was 9/1, the day UHC changed their med policy. To date, I'm on the hook for about $13K. and they've rejected my second surgery (lft hip), scheduled for 11/13. UHC rejected 5 of my doc's surgeries in one week. He and the clinic are hopping mad. Peer to peer review is their next step, appeal is mine. Not sure i can get it in time for 11/13, but with the success of the first hip, (yes, even at 8 weeks I'm nearly pain free) I might just go for it and deal with the expense later. Crazy?<br />BuckeyemomAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-54012921228595141772009-10-30T10:37:10.875-05:002009-10-30T10:37:10.875-05:00I am not out of the clear yet even though they pai...I am not out of the clear yet even though they paid the hospital bill and anesthesiologist in full, I am on the hook for $3600 for surgery assit and $11,500 for the surgeon. I will request a medical review. To make matters worse my left hip started hurting 10/06/09 and it appears it will need a FAI on it as well.Timnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-47841838485844132432009-10-18T15:21:59.055-05:002009-10-18T15:21:59.055-05:00ic- if you email me (suzq613@aol.com) I can give y...ic- if you email me (suzq613@aol.com) I can give you specific ppl @ UHC to email/ call, that your doctor can get in touch with as well. You can use articles I have posted to help your fight, but don't back down. There are patient advocates out there that can help you as well.Susiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-5675631638192021182009-10-18T15:11:48.508-05:002009-10-18T15:11:48.508-05:00I'm in Nevada and have UHC. My doctor just in...I'm in Nevada and have UHC. My doctor just informed me that UHC is not covering the surgery for FAI. I am so frustrated. After 2 yrs of going to doctors to find out the source of my pain, I find out and it's not covered. There has to be a way to fight this. I will call or write them and my Congressmen, but I feel it will fall on deaf ears.-icAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-4136612631055465412009-10-08T23:03:22.523-05:002009-10-08T23:03:22.523-05:00Tim, next time you speak with UHC can you please a...Tim, next time you speak with UHC can you please ask them to tel you which CPT codes were billed? I think this makes a difference sometimes.Susiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-66682244763967428932009-10-08T14:48:05.283-05:002009-10-08T14:48:05.283-05:00Tim how were you able to uhc to cover it?? Ive bee...Tim how were you able to uhc to cover it?? Ive been denied the surgery because they dont cover scope of the hip?? please tell me your secret? Im in 2nd appeal which goes to my employer and they hash it out with uhc.<br />Any info from you would be great!!<br />thanksAnna from omahanoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-43766356550356376412009-10-07T15:08:38.383-05:002009-10-07T15:08:38.383-05:00I had arthoscopic hip surgery for a labral tear an...I had arthoscopic hip surgery for a labral tear and fai on 9/15. I also have UHC, so far they have paid the largest bill (surgery center)and anesthesiologist in full, however have not paid a large porton $3600 of the surgeon's bill. I called the UHC claim department and was informed not to worry about the unpaid balance and I would not be responsible for it. (which is hard to beleive!!)Timnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-35923486033835439162009-10-05T22:24:06.032-05:002009-10-05T22:24:06.032-05:00What jerks! Was he able to re-schedule? Anna, woul...What jerks! Was he able to re-schedule? Anna, would you consider writing up your story and I can post it as a guest post, so ppl can see what the repercussions of this are? I think a great way to approach this is possibly contacting a station that has had a story on successful FAI surgery and having them show that a company like UHC is not covering your surgery. If you want you can email me suzqa613@aol.comSusiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-31291734126587164802009-10-05T21:56:23.328-05:002009-10-05T21:56:23.328-05:00JUST SO EVERYONE KNOWS. MY DOCTORS OFFICE CALLED M...JUST SO EVERYONE KNOWS. MY DOCTORS OFFICE CALLED ME AND ADVISED ME THAT UNITED HEALTHCARE CANCELLED THE MEETING WITH MY DOCTOR 5MIN BEFORE THE MEETING!!!! MY DOCTOR WAS VERY MAD, IS WHAT THE NURSE TOLD ME! MY WORK SAID I SHOULD CONTACT THE TODAY SHOW OR SOME NEWS CHANNEL. NOT IF THAT WOULD DO ANY GOOD? MAYBE IF A GROUP OF US GOT TOGETHER SOMEONE MIGHT LISTEN.ANNA...FROM OMAHAnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-91017482544598154022009-10-02T13:19:13.459-05:002009-10-02T13:19:13.459-05:00Anna- good for your surgeon. We all need to make o...Anna- good for your surgeon. We all need to make our voices heard on this matter. Please please let us know what happens at this meeting as we would all like UHC to change their policy on the matter. Best of luck to you.Susiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-6333111217602247512009-10-02T13:11:41.998-05:002009-10-02T13:11:41.998-05:00Oh my god! I thoutht I was the only one with this ...Oh my god! I thoutht I was the only one with this problem. Ive been fighting with uhc since aug!!! Im so upset I cant do anything as Im in so much pain!! I may even lose my job because they wont cover the scope! I just spoke to my doctors office and my doctor is meeting with the medical director of uhc on monday! See what happens!anna from omahanoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-17615655025188569222009-09-29T15:03:19.054-05:002009-09-29T15:03:19.054-05:00SK-NYC- I think it is still worth it, and it may n...SK-NYC- I think it is still worth it, and it may not be 3 months since you live locally, you can probably take a last minute cancellation. Email me if you want, this is a topic I feel really strongly about. I see him and would never see anyone else. suzq613@aol.comSusiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-27105804460260364442009-09-29T14:05:18.124-05:002009-09-29T14:05:18.124-05:00Thanks. I tried Doctor Kelly at HSS. Unfortunately...Thanks. I tried Doctor Kelly at HSS. Unfortunately, the minimum wait is 3 months for an appointment and thats not even guaranteed. Basically what the secretary told me was that I provide my info and then Dr Kelly will review and determine if and when he will see you. This is consistent with my previous experiences with top rated Doctors...long wait and once you see them, they spend very little time with you and tend to be dismissive of your symptoms. My level of pain doesn't correlate with what they can "see".SK_NYCnoreply@blogger.comtag:blogger.com,1999:blog-7202470452060558289.post-43795048363791923452009-09-29T13:42:19.575-05:002009-09-29T13:42:19.575-05:00SK-NYC- I would make an appointment with Bryan Kel...SK-NYC- I would make an appointment with Bryan Kelly at HSS ASAP 212-746-5348. He is in network with UHC so that is a big plus for you! (Don't wait for the results, just get an appt bc it can be a while before there is one available), he is THE one to see in NYC for this problemSusiehttps://www.blogger.com/profile/09347230625534251497noreply@blogger.com