It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Disabilities Message Board
Post New Thread   Reply Reply
LinkBack Thread Tools
Old 01-14-2009, 03:26 AM   #1
Senior Member
(male)
 
Join Date: Mar 2005
Posts: 164
jaydar HB User
comp insurance

workers comp has been screwing me since 2002.They've denied fusion surgery recommended by 5 doctors(approved the surgery with one doctor after I had already fired him)
Anyway I've had no life for nearly 7 years.Can't walk more than 50 yard without severe buttock/leg pain.
They do have a court order to care for my back.
My lawyer says he needs their denial in writing before he can take it to the judge.I can't imagine there is no such paperwork.
Anyway I'm disabled and have medicare,so I'm thinking about getting surgery that way and then having lawyer take the billing to court for reimbursement.
The problem with that is,until it's ajudicated,a portion of the bill willbe my obligation.
Has anyone had his surgery through medicare?
If so, what were total costs and your part?

 
Reply With Quote
Old 01-14-2009, 05:58 AM   #2
Senior Member
(male)
 
Join Date: Oct 2008
Location: Oklahoma
Posts: 215
Devon07 HB User
Re: comp insurance

what state you in?.laws vary from state to state..your attorney should have been able to get your surgery much much quicker than years.....it should be as easy as getting it done within 6 or 7 mo TOPS!......some IC fight hard but with court rulings and even court appointed doctors have to approve.

Get a new attorney and I wish you luck workers comp is one of the most corrupt systems in the world! Im assamed!

Devon

 
Reply With Quote
Sponsors Lightbulb
   
Old 01-14-2009, 10:19 AM   #3
Senior Member
(male)
 
Join Date: Mar 2005
Posts: 164
jaydar HB User
Re: comp insurance

I'm in Florida but the claim is Massachusetts.Medicare is a Federal benefit.
I just need to have some idea as to how much surgery/hospital will charge,and my portion.I'll need to be paying down my obligation until court sorts it out,to preserve my credit.

 
Reply With Quote
Old 01-14-2009, 11:38 AM   #4
Senior Member
(male)
 
Join Date: Oct 2008
Location: Oklahoma
Posts: 215
Devon07 HB User
Re: comp insurance

I understand Medicare is a Federal benefit......but you said;

workers comp has been screwing me since 2002.They've denied fusion surgery recommended by 5 doctors(approved the surgery with one doctor after I had already fired him)
Anyway I've had no life for nearly 7 years.Can't walk more than 50 yard without severe buttock/leg pain.
They do have a court order to care for my back.
My lawyer says he needs their denial in writing before he can take it to the judge.I can't imagine there is no such paperwork.


I wanted to offer some extended advice but couldnt without the state you're in....I didn't go through Medicare so I have no numbers for you.

Good luck,
Devon

Last edited by Devon07; 01-14-2009 at 11:39 AM.

 
Reply With Quote
Old 01-15-2009, 11:50 AM   #5
Senior Veteran
(female)
 
Join Date: Jul 2007
Location: USA
Posts: 1,203
BeHappy2 HB UserBeHappy2 HB UserBeHappy2 HB UserBeHappy2 HB User
Re: comp insurance

Jaydar, reading your post sounds so similar to my hubby's situation.
w/c denied fusion surgery even though he has 4 docs saying he needs fusion surgery. This has been going on for 2 years, i can't imagine your length of time gone by. I agree that w/c is one of the most corrupt situations.
i have a suggestion for you, since you do have medicare can you get itemized statements from surgeon of cost of all involved with the fusion surgery and ask medicare what they will then pay?
I hope you get some answers from all soon, and as far as firing w/c attorney we've been through that route too. This is hubby's 2nd attorney and we do now see it's all a waiting game for the person in pain.
Wish you all the best, please keep us posted on what comes of this.

BeHappy2

 
Reply With Quote
Reply Reply

Similar Threads
Thread Thread Starter Board Replies Last Post
Workmans comp hell Junior456 Back Problems 7 05-26-2009 04:37 AM
A Workman's Comp Issue (Very Long) Michale Health Insurance Issues 22 10-30-2007 05:32 PM
Question on Insurance Continuity - Workers Comp. and/or Medical bgsha Health Insurance Issues 2 09-25-2006 01:21 PM
Work Comp IME Dr's vs Every other Dr I've seen cornburner Back Problems 37 08-12-2006 04:56 AM
question for those on Workers Comp and has RSD RSD hopeless Reflex Sympathetic Dystrophy (RSD) (CRPS) 16 05-18-2006 07:48 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



BlueSkies14 (605), mscat40 (414), SpineAZ (411), jgrangran (393), ferd144 (153), gayle428 (147), sunni123 (138), vann04 (103), Jacki345 (95), NElady (75)

Site Wide Totals

teteri66 (1180), MSJayhawk (1004), Apollo123 (905), Titchou (848), janewhite1 (823), Gabriel (759), ladybud (754), midwest1 (669), sammy64 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 01:53 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!