Re: FFFFFFFFUUUUUUUUUUUUUCCCCCCCCCCCCCKKKKKKKKKKKKKK



Sorry to hear this latest development Lavon. Enjoy the suckers for now, pun intended, and resubmit the paperwork in January. I am sure the state insurance board will be MUCH more firm when they realize they have already told the insurance company one time already what they have to do. They still have all your paperwork from this past time. The second time will really piss them off.
Debs


cllmd wrote:

Just rec'd the ppwk from United In Hell Until They Rot and I See It From Heaven And Laugh Myself Assless saying congrats, the state decided in your favor, so here is our ass....until 12/31/07.

I figure, okay, that's cuz the school district only has a year policy. They'll re-up it when it comes time to get the med in January.

Yes, as you will ask, then i called them

They are only acknowledging the overturn until 12/31. I cannot use the state info for the year '08. I have to go through the entire FUCKING process again. I scared one customer service rep away and ended up with a supervisor who wanted to transfer me away, too. I threatened her with legal action. No, i did not curse at any time....i know that's grounds for terminating the call....i was a killer customer service rep for several years.

she said they "might" want to use the state ppwk when they begin the appeals process this time (which cannot begin until Jan 1) and "maybe" that will circumvent the double denial, but since it's a "label" issue, she doubts it.

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i was so happy. i'd spoken with a rep this afternoon, before rec'g the "we bend over" letter this afternoon. she gave me a reference number and told me that, yes, i can get the med right away...today if i wanted. Called the pharmacy, they can have it tomorrow. Called the doc, need to call in the a.m. and get into his day clinic cuz he's on-call. It was all lining up so i was going to post tomorrow and tell you i was posting with the sucker firmly planted under my tongue or between my gum and cheek.

and they've sucked every ounce of joy and relief out of the situation. am i grateful for the med? yes, of course. but i was taking down my pants, finally being given the tush, and once again, it's me getting screwed.

I think i have a case for cruelty, pain & suffering if they don't allow the med during the first appeal. i expect them to deny it right off the bat in January, as usual....that's a system thing....a computer automatic thing that a person has to go in and change. But if they pull an actual denial of that request....Then i'm going to have to get ugly.

Had to KY myself for 9 months now....they'd better grease up, and i DARE THEM to deny me in January past the initial thing.

F...no, i won't use that anymore. I've got some praying to do....

Thanks for the ears, guys....Lavon


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