kfay
Well-known member
Ross, when you say your inpatient copay, are you going to have to go to the hospital to have the dental work done? Are you just pulling the two bad ones or are you going ahead and doing them all for dentures?
Kim
Today is annual check up day for me
- Thread starter Ross
- Start date
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Ross, when you say your inpatient copay, are you going to have to go to the hospital to have the dental work done? Are you just pulling the two bad ones or are you going ahead and doing them all for dentures?
Kim
Nancy
Well-known member
Good news about your aneurysm, Ross!
Ross
Well-known member
They took one look and said, they all have to come out. There are 7 others just as bad if not worse that could infect at any time they choose. It's the real deal, full extractions and dentures. I'm assuming it will be inpatient, but I won't know much at all until Tuesday now.
Ross, try to console yourself with the fact that once they are out, you can have a set of pretty white teeth that won't cause you any more worry.
Ross
Well-known member
I'm always elated to think I'll have WHITE teeth for the first time in my entire life. I'm just down because once again, major financial adversity is striking when we've never recovered from the previous strikes. I really fear this is the last Hoo Rah.
hensylee
Well-known member
I missed this thread. checked in for a quickie, checked out and when I got back the new posts were gone and I guess yours along w/it.
Glad your aneurysm is hanging tight, but know that you are going through h**l with the teeth. They can make you totally miserable.
I will get a check in the mail to you in the next few days to help out a little bit.
Love you, my friend.
Glad your aneurysm is hanging tight, but know that you are going through h**l with the teeth. They can make you totally miserable.
I will get a check in the mail to you in the next few days to help out a little bit.
Love you, my friend.
G
Guest
Good news, Ross, about "Annie".
Thoughts/prayers continue coming your way, of course.....
Cort:34swm."Mr Monte Carlo.Mr Road Trip".pig valve&pacemaker
WRMNshowcase.legos.HO.models.MCs.RTs.CHD = http://www.chevyasylum.com/cort
"A smile can hide all the pain" ... Glen Campbell ... 'Rhinestone Cowboy'
Thoughts/prayers continue coming your way, of course.....
Cort:34swm."Mr Monte Carlo.Mr Road Trip".pig valve&pacemaker
WRMNshowcase.legos.HO.models.MCs.RTs.CHD = http://www.chevyasylum.com/cort
"A smile can hide all the pain" ... Glen Campbell ... 'Rhinestone Cowboy'
BDMc
Well-known member
Ross, Wishing you better luck, and better health! This medical "care" = financial ruin drives me crazy! You are ever in my prayers, Brian
Ross
Well-known member
Oh this only gets better. I have now found out that my HMO never sent my file on during the second level appeal. Honestly, I'm ready to have a nervous breakdown. I've been fighting a shadow all for nothing so far and I'm still not one day closer to where I need to be and the clock has been ticking this whole time. 
ALCapshaw2
Well-known member
Oh this only gets better. I have now found out that my HMO never sent my file on during the second level appeal. Honestly, I'm ready to have a nervous breakdown. I've been fighting a shadow all for nothing so far and I'm still not one day closer to where I need to be and the clock has been ticking this whole time.
Sorry to hear of this 'failure to follow through' Ross.
As Reagan used to paraphrase the Russian saying,
"Trust but Verify".
Situations like this are why I always get my records and personally send them directly to whoever needs them (after a similar result as you experienced).
Bonzo Dog
Well-known member
Ross, re. teeth, my jokey reply was going to be, 'emigrate to the UK', however as the one NHS area in an utter shambles is dentistry, stay where you are.
At least Annie isn't getting fat. Better to be alive and broke than rich and dead.
At least Annie isn't getting fat. Better to be alive and broke than rich and dead.
B
Bridgette
This whole situation sucks!!
If I win the Lotto tonight Ross, you will be getting your teeth done at whatever facility you choose, ASAP!
Fingers crossed....
Bridgette
If I win the Lotto tonight Ross, you will be getting your teeth done at whatever facility you choose, ASAP!
Fingers crossed....
Bridgette
Good advice, Al. Ross, hang in there, buddy. Try not to let it get to you - as difficult as that is. Your health and well being is top priority. S***w 'em, let them sue you - they can't get blood from a stone. Take care of No. 1.
Jim
Ross
Well-known member
What pisses me off Al is that I have been following up with phone calls etc and have always been assured that my file was sent on. I guess it should be no surprise that with the last call I made requesting all documention sent to the outside reviewer be sent to me, that nothing has come huh? Medicare is certainly going to be hearing a complaint from me about this whole situation.
Ross
Well-known member
Maybe? Maybe I've found the answer?
Statutory Dental Exclusion
Section 1862 (a)(12) of the Social Security Act states, "where such expenses are for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth, except that payment may be made under part A in the case of inpatient hospital services in connection with the provision of such dental services if the individual, because of his underlying medical condition and clinical status or because of the severity of the dental procedure, requires hospitalization in connection with the provision of such services."
Statutory Dental Exclusion
Section 1862 (a)(12) of the Social Security Act states, "where such expenses are for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth, except that payment may be made under part A in the case of inpatient hospital services in connection with the provision of such dental services if the individual, because of his underlying medical condition and clinical status or because of the severity of the dental procedure, requires hospitalization in connection with the provision of such services."
C
Curtsmum
Glad you got some good news Ross and good luck with the teeth.
Get it done in a hospital. Hope this solution pans out for you, Ross. GAWD, what gobbledigook! Seems like you have to be an (ahem) attorney to be a heart valve patient!
Jim
Seems like you have to be an (ahem) attorney to be a heart valve patient!Jim
P
Phyllis
I'm sure you would qualify for in-hospital extraction, Ross and as much as you hate the hospital it would be best both physically and financially!
Ross
Well-known member
Get it done in a hospital. Hope this solution pans out for you, Ross. GAWD, what gobbledigook!
Jim
That's just it Jim, I'm not an attorney and I'm trying to interpret their meaning. Law is a lot like taking Coumadin. One thing says this, another thing say that and they counteract each other. Just like particular ref, are they saying that everything would be covered or only hospital services? GRRRR.
Ross, did you bounce this off of Dennis?
