Model

Sha-Lynne

Posts: 22685

Las Vegas, Nevada, US

Well...maybe just a little...(obviously this will be a rant)

To get a single case agreement for a second opinion (since there is only one specialist in network) they contacted the prospective doctor and asked for complete and supporting documentation.  Since they have never seen me they can't provide this information and their proposed solution is that I come in and self-pay and just hope and pray that the insurance reimburses me.  Eff that. 

Also, since there is no direct number, if I call I will have to start at square one and hear all of the "no, there is no such thing as a single case agreement, you're boned" over and over again until I finally find someone that knows about it and is willing to help.

Dec 28 12 11:35 pm Link

Photographer

Marc Damon

Posts: 6562

Biloxi, Mississippi, US

There has to be someone in your network who knows how to get around that type of block. Post a casting on MM, email everyone (bcc so it doesn't look like spam) you know, post on facebook, etc.

Good Luck!

Dec 29 12 05:38 am Link

Photographer

Paolo D Photography

Posts: 11502

San Francisco, California, US

*feels for you*

Dec 29 12 07:41 am Link

Makeup Artist

Tegan Lynn MUA

Posts: 511

Kitchener, Ontario, Canada

I will readily help you stab the medical community. Especially the specialists. Most of the ones I've seen don't help much because they're too busy with their belief that all the other doctors I've seen are wrong because... they think they know everything. Or something equally as dumb and self-absorbed.

Dec 29 12 12:00 pm Link

Model

Kitty LaRose

Posts: 12735

Kansas City, Missouri, US

Which type of specialist do you need?

Dec 29 12 12:12 pm Link

Model

Sha-Lynne

Posts: 22685

Las Vegas, Nevada, US

Marc Damon wrote:
There has to be someone in your network who knows how to get around that type of block. Post a casting on MM, email everyone (bcc so it doesn't look like spam) you know, post on facebook, etc.

Good Luck!

It just takes time and patience.  I don't have much of either (in the busy sense, not the dying sense)

Dec 29 12 02:12 pm Link

Model

Sha-Lynne

Posts: 22685

Las Vegas, Nevada, US

Paolo Diavolo wrote:
*feels for you*

Thx

Dec 29 12 02:13 pm Link

Model

Sha-Lynne

Posts: 22685

Las Vegas, Nevada, US

Tegan Lynn MUA wrote:
I will readily help you stab the medical community. Especially the specialists. Most of the ones I've seen don't help much because they're too busy with their belief that all the other doctors I've seen are wrong because... they think they know everything. Or something equally as dumb and self-absorbed.

It's not the specialist, it's the insurance.  As far as I know there's nothing they can do.

I hope this one says that what the other doctor said was wrong!  That would be super awesome!

Dec 29 12 02:16 pm Link

Model

Sha-Lynne

Posts: 22685

Las Vegas, Nevada, US

Kitty LaRose wrote:
Which type of specialist do you need?

It doesn't matter, there's only one in network and I saw him already.

Dec 29 12 02:17 pm Link

Model

Kitty LaRose

Posts: 12735

Kansas City, Missouri, US

Sha-Lynne wrote:
It doesn't matter, there's only one in network and I saw him already.

sad Would more chocolate-covered fruit help?

Dec 29 12 09:49 pm Link

Model

Sha-Lynne

Posts: 22685

Las Vegas, Nevada, US

Kitty LaRose wrote:

sad Would more chocolate-covered fruit help?

LoL I'll be okay (but the apples were amazing!)

Dec 30 12 12:01 am Link