Announcement

Collapse
No announcement yet.

Recent Accident to My Son

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • #91
    Originally posted by KNUCKLEHEAD RACING
    Roger

    If this insur is thru your company then check with them and see if they are a self funded group. If they are they make the rules and can override Blue Cross Ca ruling on paying for the air ambulance as Blue Cross is just the 3rd party adminstrator. It is possible that your group has a person that can assist you with this.
    Need to be careful also because most insurance companies have a limit as to the number of times you can appeal a decision. Make sure the denial you rec'd is from and MD and not just a nurse. I work for Blue Cross Blue Shield also and have done alot of work with Medical Review, and there are alot of times that only an RN denies the appeal and no MD is involved.
    You have the right to ask who the doctor was that reviewed the appeal.
    Brian works for a small medical consulting company. They purchased the Blue Shield of California medical insurance from a broker in San Francisco. When I receive denial letters from Blue Shield the letters say that the claim has been reviewed by a doctor but you can't really know that for sure.

    Roger

    Comment


    • #92
      Medical Transport Issue Resolved

      I received a letter today from the Blue Shield of California Grievance Coordinator in regards to my claim for the air ambulance transportation expense from Phoenix to Atlanta. This is the same grievance coordinator who I talked to several times in February and March. The letter says:

      " This letter is to advise you that Blue Shield of California received additional information from Shepherd Center in Atlanta GA, on you behalf, after your original appeal of February 23, 2007 had been completed.

      Based upon review by a Blue Shield Medical Director, it was determined that the request for coverage for air ambulance transportation provided on February 28, 2007 by American Aerovac Inc has been APPROVED. Deductible and any applicable co-payment will still apply"

      I'm still in a state of shock that the same person who rejected my claim several times has now approved it. The letter from the Shepherd Center was written by Brian's inpatient case worker. She is a tireless worker. She wrote a precise and powerful letter. I met with her last week when I was at the Shepherd Center Thursday and Friday. This proves to me that you need to have expert help when you're dealing with the medical insurance company.

      Getting this money from the insurance means that we can make another donation to Dr. Young. Other than that it's pretty meaningless. There can be no lasting joy for our family until Brian is well.

      Roger

      Comment


      • #93
        Roger, Excellent news for you. The dollar amount could be put towards an FES bike as well! The insurance companies wager that we will grow ired and give in, therefore they save. It is less than 35% of foks who go to the final appeal. More than 80% win in the final appeal. This holds true for SS applications as well. You just need to be part of that small percentage that hang in there.
        Great job, glad you won.
        Every day I wake up is a good one

        Comment


        • #94
          My wife and Brian are coming home tomorrow Sunday July 15. My daughter is driving our car back from Atlanta to Phoenix. She will arrive today, Saturday. A girl my daughter met at church in Atlanta is riding with her. I've done as much as I could to the house to make it ready for Brian's return but I know that there's more to do. Monday Brian has an appointment to see the surgeon who operated on him last February. Then he'll start out patient therapy a St. Joseph's Hospital. September 3 we go to Kennedy Krieger in Baltimore for the activity based restorative therapy program developed by Dr. McDonald.

          Comment


          • #95
            Great news Roger. I wish Brian success at home and hope to meet you all in Baltimore.
            Every day I wake up is a good one

            Comment


            • #96
              Does anyone have any recommendations concerning a place to stay while my son is at the Kennedy Krieger Institute in Baltimore. Brian is scheduled to start treatment at KKI on Sept 3.
              I contacted Marriott ExecuStay Church Home at Broadway Overlook, they don't have any rooms available starting Sept 3 but that could change anytime.
              1 Bedroom $ 89/night
              2 Bedroom $129/night
              Minimum stay 30 days

              I've been told that the traffic in downtown Baltimore is pretty bad. I'm thinking that if we found a place close to KKI we wouldn't need to rent a car is that realistic? I would appreciate any comments.

              Thanks

              Roger

              Comment


              • #97
                Traffic in downtown Baltimore can be annoying. My sister was shot in the neck just a few blocks away from KKI, interestingly enough. They were caught in traffic at 2:30am on Monday morning when the gunman came up behind them and fired.

                Traffic in downtown Baltimore isn't so bad during off-peak hours, though.
                Rush hour is nasty, but after that, it's not so bad. It's much better than DC, at the very least.

                While you're in Baltimore, if you need somebody to show you around, I'd be glad to help.

                Comment


                • #98
                  Originally posted by Roger
                  Does anyone have any recommendations concerning a place to stay while my son is at the Kennedy Krieger Institute in Baltimore. Brian is scheduled to start treatment at KKI on Sept 3.
                  I contacted Marriott ExecuStay Church Home at Broadway Overlook, they don't have any rooms available starting Sept 3 but that could change anytime.
                  1 Bedroom $ 89/night
                  2 Bedroom $129/night
                  Minimum stay 30 days

                  I've been told that the traffic in downtown Baltimore is pretty bad. I'm thinking that if we found a place close to KKI we wouldn't need to rent a car is that realistic? I would appreciate any comments.

                  Thanks

                  Roger
                  Roger,

                  My sister, Amber, is currently in outpatient therapy at Kennedy Krieger and it has been excellent. That is great Brian will be starting there in September. Is Brian staying inpatient at KKI?

                  As to places to stay, has KKI provided any recommendations?? Unfortunately, the area around KKI and John Hopkins(a couple blocks away) is not the nicest area. I personally would not stay in that area. Traffic during rush hour(morning and evening) can be bad esp right around the Inner Harbor area, but off hours it's ok. I go downtown to pick Amber up from therapy 2 evenings a week @ 6pm and it's hit or miss with traffic.

                  ~Heidi

                  Comment


                  • #99
                    See my previous post about the area around Johns Hopkins and KKI. My sister was 10 blocks south of KKI on the same road when she was shot. Convenient area for a hospital, no?

                    I'd have to second Hiedi's recommendation to not live there. Baltimore is a small city, and the suburbs are a short drive away. With no traffic, I can get to Johns Hopkins (and by extention, KKI) within 20 minutes from the suburb of Dundalk. If you have an eye on a specific property, let me know, and I can tell you about the particular neighborhood. I've been around Baltimore all my life.


                    By the way, I don't know if you're an NFL fan, but the Arizona Cardinals are coming to Baltimore on September 23rd. You should PM me sometime, Roger.
                    Last edited by Jack21222; 07-25-2007, 11:28 PM.

                    Comment


                    • Originally posted by Jack21222
                      See my previous post about the area around Johns Hopkins and KKI. My sister was 10 blocks south of KKI on the same road when she was shot. Convenient area for a hospital, no?

                      I'd have to second Hiedi's recommendation to not live there. Baltimore is a small city, and the suburbs are a short drive away. With no traffic, I can get to Johns Hopkins (and by extention, KKI) within 20 minutes from the suburb of Dundalk. If you have an eye on a specific property, let me know, and I can tell you about the particular neighborhood. I've been around Baltimore all my life.


                      By the way, I don't know if you're an NFL fan, but the Arizona Cardinals are coming to Baltimore on September 23rd. You should PM me sometime, Roger.

                      Jack21222

                      Thanks for the information on housing. I'm going to go through the list of places that KKI gave me starting tomorrow. I'll post the places where I'm looking. Wednesday is my busy day at work so I didn't get much done today on the Baltimore housing issue.
                      It sound like if you're close enough to KKI to not need a car then it's not a neighborhood that you can walk around in safely. I'm thinking that we're going to need to rent a car.

                      We're not big AZ Cardinals fans. The Bidwill ownership decisions kind of burns people out.

                      Roger

                      Comment


                      • Originally posted by heidigo
                        Roger,

                        My sister, Amber, is currently in outpatient therapy at Kennedy Krieger and it has been excellent. That is great Brian will be starting there in September. Is Brian staying inpatient at KKI?

                        As to places to stay, has KKI provided any recommendations?? Unfortunately, the area around KKI and John Hopkins(a couple blocks away) is not the nicest area. I personally would not stay in that area. Traffic during rush hour(morning and evening) can be bad esp right around the Inner Harbor area, but off hours it's ok. I go downtown to pick Amber up from therapy 2 evenings a week @ 6pm and it's hit or miss with traffic.

                        ~Heidi
                        Heidi

                        Brian would be an out-patient at KKI. I have a list of hotels that KKI sent to me. I'm going to start calling them Thursday.

                        Thanks

                        Roger

                        Comment


                        • Roger,

                          Yes, I would agree that I would not feel comfortable walking around KKI, esp in the evening and at night. So from that I would say yes, you will need to rent a car. How long is Brian scheduled for outpatient therapy? Do you know what times he is scheduled?

                          Let me know what hotels you are looking at - I'm sure Jack or I can provide feedback. Hotels that are around the Inner Harbor would be okay - there are a lot of activities and places to eat that you can walk to and may be more convenient for Brian then getting him in and out of the car everywhere you go, but then you're going to be paying a higher price to stay there. Hotels around BWI airport are good too - it's only about maybe 15 mins to KKI from that area.

                          Heidi

                          Comment


                          • I've called several of the hotels that are at the harbor and close to Kennedy Krieger they're not cheap. The Holiday in Express was $169/night Monday-Thursday and $299/night Friday-Sunday. A more reasonable place that rents by the month is Marriott ExecuStay and Chase Street Properties. Both of these companies rent furnished one and two bedroom condo's. I have a reservation with Marriott starting Sept 3 at a high rise building near the water called the Promenade. There are so pretty nice pictures of the Promenade on the Marriott website. It's about 5 miles south of Kennedy Krieger. I got the name of another property management company from Cheesecake. It's called Chase Street Properties. They also rents condo's in the Promenade but they won't know about availability for a couple of weeks. I think Chase Street Properties is a little less expensive so I'll wait and see if that works out. The two bedroom condo looks good. It's in a nice area, full kitchen and a nice secure building. The only negative is that the Kennedy Krieger Shuttle doesn't stop at the Promenade. That means we either rent a car or take a cab to Kennedy Krieger. I'm going to continue calling places to see what else I can find.

                            Roger

                            Comment


                            • you should also make sure the place is handicap accessable. the bathrooms especially. we had trouble with that when i was thinking of staying in the city during outpatient.
                              ___________
                              T12-L1 since 11-27-06

                              Comment


                              • I've confirmed my reservation for 30 days at the Promenade in Baltimore starting Sept 3. Brian begins treatment at KKI on Sept 4. I called several hotels and two condo rental companies, Chase Street Properties and Marriott ExecuStay. The best deal was Marriott ExecuStay. Chase Street Properties was going to be about $350 more than Marriott for a similar 2 bedroom apartment at the Promenade. Marriott doesn't offer van service so we will need to rent a car. Chase Street Properties had van service but it wasn't wheel chair accessible. We'll probably rent a Chevy Equinox mid size SUV from Alamo. The passenger seat in the Equinox is about 23 inches above the ground which is the right height for the using a slide board to transfer. The wheel chair will fit into the rear area without being taken apart.

                                I'm going to send Marriott ExecuStay an email to find out if the bathroom in the apartment is accessible, I doubt that it will be. We have a shower chair and shower head that we can take to Baltimore. We might have to buy a shower chair that's more portable than the Active Aid shower chair that we currently have.



                                Roger

                                Comment

                                Working...
                                X