Re: [MOL] alternative therapies [02422] Medicine On Line


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Re: [MOL] alternative therapies



Stacy:

I don't know what type of insurance you have (HMO/PPO/Major Med), but I have
worked for/with insurance companies for years, and the thing is to prove
"medical necessity".  To start, you'll need a doctor (i.e., your primary
care physician) and a specialist (oncologist) to write letters to the
Medical Review Director at the insurance company, stating your case and why
they feel this particular treatment is medically necessary.  Your medical
records should be included with this letter.  Those requests for review
carry ALOT of weight.  Much more so than if you or I, as the insured, tried
to fight with them alone.

Good Luck!


Lisa


At 02:37 AM 12/27/97 -0800, you wrote:
>firefly wrote:
>> 
>> Dear Stacy:  I am not able to help; but there are so many wonderful people
>> on this line that someone out there will be able to help you.  I am a cancer
>> survivor; but do not know a thing about your type.  I can't believe that an
>> insurance company won't pay for laser surgery, thats not such a new
>> treatment.  I know this must be a kicker for you, to know there's a
>> treatment and you can't get it.  My prayers are with you and please keep us
>> posted on how you are doing.   Thanks!
>> Lillian
>> -----Original Message-----
>> From: Stacy Marvelous <smarvelous@earthlink.net>
>> To: mol-cancer@lists.meds.com <mol-cancer@lists.meds.com>
>> Date: Thursday, December 25, 1997 4:28 PM
>> Subject: [MOL] alternative therapies
>> 
>> >I've been diagnosed with severe vulvar dysplasia.  I've had it for several
>> >months.  I had one excission, but the lab report showed they didn't get it
>> >all.  My insurance won't cover laser surgery until Oct 1998, and I haven't
>> >enough money for the surgery now.  Are there alternative treatments that
>> >can be used until the insurance would cover the surgery?
>> >
>> >Stacy
>> >
>> >
>> Dear Stacy,
>
>For alternative treatments, you may wish to read the book "Cancer Battle
>Plan" by Anne Frahm for which she was diagnosed with metastatic breast
>cancer in Stage IV and by following a naturalpathic plan and alternative
>she has beaten cancer.  This initially gave us the impetus and idea to
>research into alternatives and immune system therapies. May be much
>cheaper and fulfilling for your wellness program.
>
>As Lillian says, I too believe there are facilities that will treat you
>when your own facility recommends that treatment for you but is unable
>to administer for whatever reason. That is their problem and their
>responsibility as long as you are paying the medical insurance.  I would
>certainly speak to the administrator as well as seek another opinion
>about treatments.
>
>Take care and God Bless
>Marty Auslander
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