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03-05-2007, 09:24 AM
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#1
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Senior Member
Join Date: Aug 2006
Posts: 492
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Chelee,
I just hate what insurance companies do to patients. I have been very lucky in that respect. I had horrible treatment after one of my surgeries at a local hospital and raised holy hell about it. But, bottom line is they (the hospital) don't want the bad feedback- but they want the $$$ more.
Anyway, back to you- do you have an insurance agent/hr person or have read your policy very well? Seems to me if you are unable to go to that cancer center and there is not another for 50 miles or whatever- that you should be able to go out-of-network for your care. I know they have ridiculous "enrollment periods", but there should be room for exceptions. Your insurance company got you into this mess in the first place and you were offered sub-standard care. THEY SHOULD go out of their way , for liability reasons, to accomodate you. But will they? I know you have not had much luck on the insurance end- but I would explore every little detail. THIS IS NOT RIGHT!
And I am so sorry that on top of cancer you have to deal with this crap- it is an emotional ordeal to say the least. I hope you get some answers soon.
__________________
Are we there yet?
Dx 10/05 IDC, multi-focal, triple +, 5 nodes+
MRM, 4 DD A/C, 12 weekly taxol + herceptin
rads concurrent with taxol/herceptin
finished herceptin 01/08
ooph, Arimidex, bilateral DIEP reconstruction
NED
Univ. of WA, Seattle vaccine trial '07
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03-05-2007, 09:53 AM
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#2
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Senior Member
Join Date: Sep 2005
Location: OH
Posts: 385
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Do you have an ombudsman at the cancer center? That should be the first call, and make sure you document date, who you spoke to, etc. Sorry for your situation.
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03-05-2007, 10:08 AM
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#3
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Senior Member
Join Date: Sep 2006
Location: Houston, Texas
Posts: 624
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I am also sorry to hear of your situation. You deserve better care and I agree with the others that you should take action. I hope things work out for you and that you get the care that you deserve. I don't have anymore suggestions, but just know that I have you in my thoughts and prayers.
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03-05-2007, 10:32 AM
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#4
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Senior Member
Join Date: Jan 2007
Posts: 368
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03-05-2007, 10:53 AM
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#5
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Senior Member
Join Date: Aug 2001
Location: Oregon
Posts: 1,756
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Chelee, I've been following your posts on this ordeal you're going through and just want to let you know you're in my thoughts and prayers. Also it occurs to me to ask if you have someone who goes with you to your appointments to take notes and be a second pair of eyes and ears? If not, perhaps the local bc support group could put you in touch with a volunteer who could take on that role. It's can be an invaluable source of support and comfort to have an ally when you're in this kind of situation.
Big Hus to you,
<3 Lolly
__________________
Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.
Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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03-05-2007, 02:20 PM
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#6
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Senior Member
Join Date: Nov 2004
Location: Colorado
Posts: 131
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Maybe not related, but wouldn't it be coincidental if this is your HMO
HEADLINE:
<CENTER>HMO Denies Cancer Patient Treatment That Doctors Say Would Have Saved Him, Says Law Firm</CENTER>
http://news.corporate.findlaw.com/pr...b20071130.html
For information, call Stephen Garcia at The Garcia Law Firm, (800) 281.8515 or visit http://www.lawgarcia.com.
The Garcia Law Firm
__________________
Mel Gordon, Husband of Lisa Lowe - Queen of Love and Light and the bravest person I know!
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03-05-2007, 05:59 PM
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#7
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Senior Member
Join Date: Oct 2005
Posts: 476
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In the message above, a Long Beach attorney represented the patient who was mistreated by the medical group. Perhaps you should contact the same attorney asking his help.
Best luck.
__________________
Ann
Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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