Regarding veteran CL member Real Deal (Brandon)

nameant · Joined: 16 Jun 2005 Posts: 15789

Good to see you are making some progress. Good luck man. bow

Mookie · Joined: 26 Jun 2003 Posts: 6027 Location: Houston

Real Deal · Clublakers Analyst Joined: 08 Oct 2004 Posts: 7639

Well, I got some bad news today. Apparently, Medicaid isn't going to cover the cost of my surgery, or any of my appointments. This does two things:

1) forces me to pay $10,000+ for everything I've done so far
2) delays my second surgery until I find another surgeon

They tell me that, since I went to Oklahoma City for the surgery, and it's Kansas Medicaid, they won't pay for it being out of state. The rule is, I needed a referral from another doctor, which I got...but now, they want to know WHY that doctor referred me to OKC. That was actually placed ON the referral, so I'm very, very pissed off because they are trying to get out of it.

I had an appt. tomorrow, but it looks like I won't be going. This doctor was probably the one doctor I like. I'm known for trying to get out of seeing docs, because I haven't had any good ones for a while...but this is very disappointing, to say the least.

Not making an attempt to rant for paragraphs, I'm just steaming because so many [Swearing is not permitted at Clublakers. You must edit this post prior to submitting.] people that DON'T deserve medical assistance, who try and screw the system, can get whatever they want, whenever, with no problems. I know this because my uncle is one of them...falling off a semi on purpose, "hurting" his back and getting on disability, getting his surgery done for free and suing the trucking company in the process.

I'm not very amused by it at all. Coffeyville is practically in Oklahoma (there's a town in Oklahoma named South Coffeyville, and that's actually the south part of my town). They got their referral, the eye center was given the go-ahead to do it by Medicaid, and after everything was looking up, they screw me over, and screw Dean McGee Eye Center as well.
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DarthRekal · Posted: Mon Apr 21, 2008 10:43 am Post subject:

that REALLY pisses me off too mad1

that EFFIN sucks Real... keep fighting man5

jeez this country is screwed up..

you will remain in our prayers
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Real Deal · Clublakers Analyst Joined: 08 Oct 2004 Posts: 7639

Well, we went to my appointment today. My family doctor, and my eye doctor, teamed up and got this taken care of for me. One called up the Medicaid offices and told them that he tried for weeks to get me set up with eye specialists in Kansas, and the one in OKC was the quickest and could do the most for me. My eye doctor provided something that proved that there was a call made to the surgery center, from the OKC offices, approving the surgery with a confirmation on the computer, or something.

And...because my family doctor did that for me, they are now going to pay for everything, as well as the second surgery.

=========

Now...the appointment. I got my right eye checked again, and I read two sets on the 20/30 line. My doctor freaked out, said he was "on Cloud 9" and that he hasn't seen anyone heal that well, from where I was a month ago.

Then, he looked into the eye and told me that there was still blood in it, and that it has a very big chance of getting even better...then he said that he would've never expected this.

I go back in a month, May 21st, for my last appointment until the second surgery (and he'll schedule that one at that time). He said he's still pessimistic about the other eye because it's detached as well, much worse than the other one was...but after seeing this first one, he really can't say things will go bad for me.

And...I've dropped the text size down one, so it's only twice as large now. lol

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Nelo Ice · Joined: 30 Apr 2006 Posts: 4713 Location: Lakersfield

GREAT NEWS
and grats on the the smaller text size man10

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magicmoment · Posted: Wed Apr 23, 2008 9:26 am Post subject:

yayy! good news!
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halekulani · Joined: 14 Jul 2005 Posts: 5397

glad to hear you're getting better

Critter · Posted: Thu Apr 24, 2008 8:33 pm Post subject:

very happy to hear it bow

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missmyzte · Posted: Thu Apr 24, 2008 8:46 pm Post subject:

Great news Brandon!!! jam2

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Real Deal · Clublakers Analyst Joined: 08 Oct 2004 Posts: 7639

Thanks...and by the way guys, this doesn't have to be a sticky, you know. It really never had to be in the first place. man11

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BDG · Posted: Sat Apr 26, 2008 12:59 am Post subject:

^We'll keep it stickied man12

That's great news. Like DR said, keep fighting.
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Snake Eyes · Joined: 27 May 2003 Posts: 5703 Location: Claremont CA

Great news Real! When I read the whole thing about medicare I was like those damned companies are a bunch of freaking crooks. It was great that the doctors stepped up to the plate for you and solved the problem. Either good things happen to good people or these prayers and thoughts are paying off. I am glad to know that things are going great as you are improving. Keep up the fight Brandon!
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Chicano · Posted: Fri May 02, 2008 2:19 pm Post subject:

Great to have you back. bow

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ViXsTeR · Posted: Fri May 02, 2008 8:16 pm Post subject:

Great News jam2

DarthRekal · Posted: Fri May 02, 2008 8:31 pm Post subject:

Mookie · Joined: 26 Jun 2003 Posts: 6027 Location: Houston

As long as every veteran member here gets to watch Laker games, I will be happy and calm, otherwise I couldn't enjoy the game knowing one of our brothers isn't enjoying our same privileges.

Your doctor couldn't be happier, your family couldn't be happier, and your CL family also couldn't be happier for you.

Praying together does help others.
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sarc4stic · Posted: Fri May 02, 2008 9:34 pm Post subject:

Glad to hear you're doing well jam2

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extreme · Joined: 19 Feb 2005 Posts: 3426 Location: Ypres, Belgium