fatnurse

Thanks for the info! I"m gonna try my best to fight.

Thanks for the info, but how would I contact the state insurance dept? I'm in Texas. Just google it or something? What's this?

doesn't it make you sick? but what else can we do but wait. I have seriously thought about going to Mexico to get it done. Everything I have read seems very legite. We'll see. Keep me updated on your progress and I"m gonna keep raising heck with insurance folks.

That's right. Until Forever. That's what my insurance told me. They have "forever" to decide on an appeal that I sent in on 10/08/07. Is that right? She said they have sent to the company I work for to see if they will pay for an outside agency to review and that they have for FREAKIN' FOREVER!!!! I"m SOOOO . If anyone has ANY advise, please :help:.

Ah, thanks for that. I'm not up with all the lingo quite yet. But yeah, my insurance does cover they are just being jerks. Have any of you been denied and appealed? What did you include in your appeal?

I know... isn't it. That was one of my main points in my appeal letter. I really hope they listen to me. I have already consulted a lawyer for backup but I hope it doesn't go that far. I really have NO idea what that means... total exclusion. Um, they told me I was denied due to an outside source "their medical team" didn't think it was medically necessary. Yet, that was before I picked up 2 cardiac specialist and had an EP study and all that jazz. So now I have more letters of support and hopefully a compelling letter. Have a great night! Hope to hear from ya'll soon. :notagree

I'm sorry to hear that, but LOL on the Twinkie business. Are you going to appeal the denial? I recieved the last letter of support from my ONE of my cardiac doctors, so I typed my letter and had my mom also speak on my behalf due to a strong family history of cardiac problems. I hope to get reweighed and send all this stuff in my Tuesday or Wednesday of next week. Please keep me updated on you situation. GOOD LUCK:biggrin1:

LOL, I should make it more positive, but when I wrote it I was in a sour mind frame from getting my decline from insurance. but we are working on an appeal and everything is looking positive But good luck on the nuclear stress test, I'll keep my fingers crossed for you. Let us know how it goes. I feel your pain. I also have PCOS and have been going through infertility treatments X 3yrs. VERY frustrating. Everyone, keep in touch with me and let me know how things are going.

EP study = eletrophysiology study= a mapping of your eletrical system of your heart. A electrophysiologist would go through one or both of your groin area with a thin cath. and a camera and look at the "mapping" of your heart. If they find any abnormalities then there are many things they can do to fix it. Stent placement, ablation, catherization... so on. But what I"m confused about is who determined you "failed" your stress test? I NEVER knew, personally or professionally, that you could "fail" a stress test. I mean of course, like my resting heart rate is around 160-170, which is about 80-90 beats per minute faster than normal. During my stress test it took :45 sec to get my heart rate to 211. My goal was 167. Thats what I started out at... Anyway, I was just wondering what's going on with that "fail" business. Have a wonderful day

I was denied approx. 2 weeks ago. I have EBMS (employee benefit managment services) I am now trying to get more convicing letters of support from my PCP (shes dragging her feet) but I did receive one from my OBGYN (for PCOS) and will get one on Monday from my electrophyisologist (specialized cardiologist, for my tachycardia) What did you do after a denial? Here is a list of my diseases : PCOS, (causes very low insulin resistance), tachycardia, acid reflux, infertility, sometimesy high blood pressure, depression/anxiety. I"m 5'1 and 220. What do ya'll think? Please let me know of any tips you may have. Thanks Alot... Oh, i'm new to this so excuse me if I mess anything up.

I had to have and EKG, Echo, Stress Test... and all that lead to me having a EP study. BUT I have a STRONG history of family heart disease. Yours might not include all that.