HELP IS NEEDED

[softfirelight]

As some of you know John and I have joined the Quaker Community. We found that the views and ideology of the Quakers fits in with our views. One of the biggest values I have found in the Quaker community is their sense of helping others no matter who they are, there is no discrimination. They see a need and they help without questions. Recently, a

Comments

[geometrician]

Gretchen, this is something I sometimes arrange for my patients. If they have a bona fide reason for going to the physician in New York, someone from the New York office who can explain the situation should get in contact with the insurance company's appeals manager. It will take effort and resolve on the part of someone who has the background to help the appeals office understand that the boy will receive care in New York that he cannot get in Pennsylvania, and that his outcome will be better if he has care in New York. The two people most in a position to do this would be an advanced practice nurse or a social worker

[softfirelight]

Thanks for the information. I do know that the doctor's office in New York has tried with the insurance company and was turned down. I do know that they haven't given up. They just had their first rejection. I do believe the hospital is also involved. The family is reaching out since this is a time issue. The tumor is wrapped around the main artery that supplies the blood to the brain so they aren't putting all their eggs in one basket. They have met with doctors in Pennsylvania and even in Texas. No one has offered to take him on as a patient. The one doctor they saw in Pennsylvania didn't offer to take him on. Later the insurance company tells the family that he can do the surgery, but the doctor will not put it in writing that he's willing to take on the case and do the same procedure as the New York doctor. In fact, the Pennsylvania doctor says the procedure he will do is about 2 hours, the New York doctor says the surgery is 8 hours. Now since the doctor in New York created and teaches the procedure, you tell me how someone else

[geometrician]

Do you know if the D'Angelo Foundation takes a cut from the donations?

[softfirelight]

I heard that, but I also heard that if it's earmarked for the family that they can't.