LauraJ Posted February 24, 2012 Report Share Posted February 24, 2012 Found out yesterday that the neurosurgeon I saw was approved by my insurance, but not the hospital where he does his surgery. Badda bing badda boom. My ENT has to start the whole process again with a new referral. This time it's to UC San Francisco, which is rated #5 in neurosurgery. I'll be in really good hands once I get into their system. Still paper piecing and quilting, passing the time away waiting for a new appointment and the necessary surgery. God has a very interesting way of working things out. Teaching me lots of patience and finding the humor and zen in this situation. Quilt on dear quilters! Link to comment Share on other sites More sharing options...
Primitive1 Posted February 24, 2012 Report Share Posted February 24, 2012 Oh Laura, I am sorry for this frustration for you! I hate all this waiting but so glad that God has all in his hands and there is a bigger purpose for this delay - and you can be sure it is for your good! I will continue to pray for you! Link to comment Share on other sites More sharing options...
lisae Posted February 24, 2012 Report Share Posted February 24, 2012 Sending good thoughts and prayers your way, Laura! Link to comment Share on other sites More sharing options...
Quilting Heidi Posted February 24, 2012 Report Share Posted February 24, 2012 Laura, Good to look at it with humor although that is hard to do! Will keep you in my prayers and pray you get the very best! Link to comment Share on other sites More sharing options...
CrazyAboutQuilting Posted February 24, 2012 Report Share Posted February 24, 2012 Hang in there Laura! Prayers and (((((hugs))))) for you. Link to comment Share on other sites More sharing options...
delld Posted February 24, 2012 Report Share Posted February 24, 2012 Hang in there Laura! You got lots of prayers supporting you!!! Link to comment Share on other sites More sharing options...
quiltmonkey Posted February 24, 2012 Report Share Posted February 24, 2012 Quilt on Laura. Keep a good attitude. Believe this was all meant to happen and you are supposed to have surgery in SF. Everything happens for reasons. In the mean while, rest assured all of the planning will be made by the nurse and you can continue to keep a good attitude and keep on quilting girl. All will be OK Link to comment Share on other sites More sharing options...
JustSewSimple Posted February 24, 2012 Report Share Posted February 24, 2012 So sorry for your delay but perhaps this is a much better hospital and overall setting for you and your care. I hope you will be in the best hands possible as you go through this process. Just think what beautiful quilts you will churn out once all is well again. Blessings and keep us up to date! Link to comment Share on other sites More sharing options...
Barbara Conquest Posted February 24, 2012 Report Share Posted February 24, 2012 How is it that an INSURANCE company can dictate who does your surgery or where you must have it done? Don't you have any choice in the matter? Link to comment Share on other sites More sharing options...
LauraJ Posted February 24, 2012 Author Report Share Posted February 24, 2012 It's about how much the hospital will charge and how much the insurance will pay. If they can't come to an agreement, the insurance won't cover the surgery/hospitalization, etc. That's what this is all about and we didn't find out until they attempted to schedule my surgery. It's bizarre but how "for profit" health insurance can work. Bottom line, it's about their profit. I'm just thankful my family has insurance and there is still somewhere fairly close that I can be taken care of. Link to comment Share on other sites More sharing options...
WestieMom Posted February 24, 2012 Report Share Posted February 24, 2012 Hang in there Laura! There is a reason for everything and this will be for the better. My prayers and thoughts are with you. Keep on working on those quilts! Link to comment Share on other sites More sharing options...
Sandra Darlington Posted February 24, 2012 Report Share Posted February 24, 2012 Hey there, Laura, I'm sending you more hugs and prayers. Hang in there; I believe it will (eventually) all work out. Sandy Link to comment Share on other sites More sharing options...
GrandmaLKB Posted February 25, 2012 Report Share Posted February 25, 2012 It would be so rewarding to have one of these insurance CEOs or whoever makes these stupid decisions for us get denied medical attention of their choice because of the cost ! They have way too much control over us and keep charging more and more for less and less. Link to comment Share on other sites More sharing options...
cmkeindl1 Posted February 25, 2012 Report Share Posted February 25, 2012 don't forget the U of U in Salt Lake City, Utah - my daughter had Arnold Chiari Malformation and surgery up there at Primary Children's Hospital when she was 15 (7 years ago) and is doing great! They had to open the spinal cord opening and sew a "gussett" into her dura matter to make room for her brain (too big for her skull?!). When she tipped her head back, she would get dizzy and when she bent forward she would get sick, it got worse and worse over a few years and then she got so she couldn't lay back at all - it took an MRI to finally figure it out! So sort of the same as you - too much brain?! Link to comment Share on other sites More sharing options...
yankiequilter Posted February 25, 2012 Report Share Posted February 25, 2012 (((Hugs))) for you and prayers for a speedy resolution to the insurance problems. Consider it 'found' time to quilt a little more. Keep up that good sense of humor and know that we're all sending prayers your way. Link to comment Share on other sites More sharing options...
Della Posted February 25, 2012 Report Share Posted February 25, 2012 We are all with you, Laura.....God is good and you are in good hands! Hugs to you! Link to comment Share on other sites More sharing options...
RoseCity Quilter Posted February 25, 2012 Report Share Posted February 25, 2012 Really? Makes me love our Canadian Health Care system even more! Hugs and prayers.... Link to comment Share on other sites More sharing options...
quilted charm Posted February 25, 2012 Report Share Posted February 25, 2012 Insurance can be a pain, with all their dumb policies and procedures, but we are all thankfull we have it when it comes to these kind of situations. I work in a not for profit hospital, so we see all of the people that do not have insurance. I feel for them on a daily basis. They are so afraid of what they are going to do about their problems. So, I'm glad you can look at it in a possitive light, and we will all keep thinking good thoughts for you. Link to comment Share on other sites More sharing options...
meg_marsh Posted February 25, 2012 Report Share Posted February 25, 2012 Hang in there!! Love ya Girlfriend!! Link to comment Share on other sites More sharing options...
Guest Linda S Posted February 25, 2012 Report Share Posted February 25, 2012 I hope you come out okay with the insurance. Being retired, I'm really having an eye opener on insurance. Things that used to be covered in full while I was working have very little coverage now, and I've had to plunk down a lot of money for too many things. I had a bad spot on my mammogram back in August and they wanted me to come in for a special view mammo and an ultra sound. I scheduled it, and then they called to tell me how much I had to pay. I cancelled the tests, as they were outrageously expensive. I've been through this three times before and can tell you that those tests would have told them nothing. If they continued to think the spot was suspicious, I would have had to have a biopsy to be certain (as I've done three times before). No way I'm paying for a slew of tests and then ending up with a biopsy anyway. I go back in on Monday to have a left-side only mammo to look at the spot again. If they want another look at it after that, they'll have to biopsy it. Link to comment Share on other sites More sharing options...
Linda G. Craig Posted February 25, 2012 Report Share Posted February 25, 2012 My thoughts and prayers are with you, Laura. I am constantly amazed how the American medical system works. I pray they get it all sorted out for you and looked after you, so you can concentrate on recovery and getting well very quickly. (((Hugs))) Ardelle, I'm with you, so grateful for our Canadian health system. Link to comment Share on other sites More sharing options...
Farmwife Darlene Posted February 25, 2012 Report Share Posted February 25, 2012 Laura, still sending up prayers for you. I have learned that God works in mysterious ways and this may be His way of taking better care of you. Yes insurance is difficult to work with at times. Keep us posted. Link to comment Share on other sites More sharing options...
Oma Posted February 25, 2012 Report Share Posted February 25, 2012 Just make sure you have it in writing from your insurance company that it was properly approved. I had two appointments with a breast specialist and a second ultrasound that my doctor said was approved and both places I went to said I was approved then lo and behold...6 months later I'm having to pay the bills because neither one approved it properly with the insurance. How does that happen? I have three kinds of insurance and I'm paying the bill? I frequently refer to my Blue Shield of CA as BS of India. I've had two of these insurances for well over 10 years and one of them for 20 years and the primary seemed surprised that I had two secondary policies even though we go through the same declaration paperwork practically yearly. I say this because you're having surgery and that can and probably will be up in the $$thousands and you don't want to be left holding that bag. Seriously would cut into your quilting budget. Can't have that happening. Other than that...you're in a good area for good, qualified surgeons and medical centers. Once the paperwork is taken care of you will be too. Keep us posted. Link to comment Share on other sites More sharing options...
Bonnie H Posted February 25, 2012 Report Share Posted February 25, 2012 Laura, I agree with Oma, you are in a great area to get the best doctors for your medical care. I will keep you in my thoughts and prayers. Link to comment Share on other sites More sharing options...
PattyJo Posted February 26, 2012 Report Share Posted February 26, 2012 Laura, just seeing this and searched back to find out what is going on with you. I'll be adding my prayers along with all the others. Hang in there girl, and yes keep up that good sense of humor! I think that's God's way of helping us cope with stress. Glad that you have your quilting to keep you busy while your waiting. Link to comment Share on other sites More sharing options...
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