State Employees who want insurance coverage for WLS on August 30, 2008 4:33 pm
I got my response from the Governor yesterday. He said he's concerned about the health of all Georgians, but for the State Health Benefit Plan, I need to contact the Dept of Community Health. So, to anyone who needs her name and address...
Rhonda Medows, M.D., Commissioner of Department of Community Health
Department of Community Health
2 Peachtree Street, NW, Suite 4043
Atlanta, GA 30303
404-656-4479
Write her, call her, bombard her!!!!!
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2 more responses on August 27, 2008 6:23 am
Well, I got 2 more responses to my letters yesterday. First one was very unsatisfying. It was from Representative Tom Knox. He's the Chair of the House insurance committee (I think that's the right one). Anyway, he appreciated my input and would take it under advisement when the new legislative session begins. The second response was from the benefits manager from my school system. She sent me the form I need to use for appeal and said I should send it in with a letter "similar to what I sent her". And she wished me luck. We shall see. I'm just glad people are responding to my letter and not filing it in the "circular file" so to speak.
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Government on August 23, 2008 6:57 pm
The day before sending my insurance package out, I mailed a letter to the Govenor of the State of Georgia, my district state representative, my district state senator, 4 other state representatives/senators who chair state committees related to health, labor and insurance, the state insurance commissioner, the head of the Dept of Community Health (she heads the state health plan), the superintendent of the school system I work in, the chief executive of HR of the school system and the benefits manager of the school system. While Sonny Perdue (the Govenor) hasn't called yet, I have received 2 responses.
One letter was from my district state senator Chip Rogers. It was a very nice letter. In a nutshell, he basically said the legislature doesn't dictate health insurance that if this surgery truly helps to reduce costs and save money that it was something they needed to look into and when the legislature goes into session in January they could potentially take this matter up.
The 2nd letter was from my CEO of HR for my school district. Also, a very nice letter saying that the school system has no input in what benefits the state chooses to place in our health policy (okay, I disagree...while they can't dictate, I have to believe they have right to at least make suggestions). He did say he has made the benefits manager aware of my situation (I sent her a letter too) and she would be getting back with me about how go thru the formal appeals process.
This is almost exciting...who will I get a letter from on Monday?!
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My package arrived on August 22, 2008 11:30 am
Just like the postal lady indicated, it arrived at UHC's PO box in Atlanta on Monday (at 4:40am!). I got back my "return receipt requested" card yesterday. So, today, I called UHC to confirm that they had a record of at least receiving my package and ask what the process was. Natasha put me on hold and looked. She said they had it and she would forward it to the correct department. She said it could take up to 30 days but did not expect it to take that long. Once complete, the provider and I will both get letter notification.
Alright. We'll see what happens. The sooner I get a denial, the sooner I can get this show on the road! And if by some miracle I get approval, Thanksgiving would be great!
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and it's off! on August 17, 2008 2:22 pm
So, I made copies and sent out my package to my insurance company yesterday morning. Sent it priority mail, certified, return receipt requested. I went to the surgeon's office on Friday afternoon to pick up my records. That PCP letter I was waiting on? SUCKED! I love my PCP, but I have to believe he has better letter writing skills than that! It was 2 sentences long and said something to the effect that I would be a good candidate for WLS and there were no medical reasons not to do surgery. Yeah, okay, whatever! I'm SOOOO glad I got letters from my other docs. I feel like giving copies of those letters to my PCP and telling him to practice his letter writing skills.
Anyway, the postal lady said my package would get to it's destination on Monday (since it's only going to downtown Atlanta).
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