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Best Recent Content

  • Gratuitous Budgy Smuggler Pics


    Tad_MKenElPescadoPeladoAaronWebstey
  • Let's See Your Critters

    Meet Apollo and Bullet, 8 and 6yo Norwich terriers we adopted recently. They enjoy green beans, walks, and licking everything. I love them.


    Jennifer PostStruangM_WareTad_MAaronWebsteyKenElPescadoPelado
  • BAAW Thread?

    Bike against a totem.


    wchevronTad_MAaronWebsteyKenElPescadoPelado
  • Gratuitous Budgy Smuggler Pics


    Tad_MKenElPescadoPeladoAaronWebstey
  • Gratuitous Budgy Smuggler Pics


    Tad_MKenElPescadoPeladoAaronWebstey
  • BAAW Thread?

    I think @kjrunnin wins
    kjrunnin
  • Sartorial advice column

    @James Lange You wear it swimming backstroke?
    James LangeAaronWebstey
  • Anyone know anyone?

    Thanks. As is usually the case, things are starting to fall into place a bit which will make this doable for the foreseeable future from a financial perspective. We are insurance experts at this juncture in our 5 years dealing with cancer. The main issue with insurance/doctors this time around was the delay. We just needed them to tell us what was covered and what wasn't. Until that happened, the doctors hands were somewhat tied per their contract with the carrier. We also couldn't start working on the financing side until we started moving forward with the protocol. The denial is not likely to change - it's legit under the terms of the policy even if it's not legit that it's "medically unnecessary" which is the term they use. We've done the peer to peer, first round appeal and second round. We'll also do the last step - the independent review - however that will be denied as well. I just have to do it in case later on we need to sue them at which point we will get screwed over by ERISA most likely anyway.

    @KHilgendorf as for out of pocket, if it's not covered then it neither erodes your deductible or out of pocket max, which we typically blow through by the end of the first quarter each year. If it's not covered, it's not covered. When they initially denied everything, we were looking at $40-70K every 29 days (aka Purple Patch Budget). At this point, we have that down probably 90% and I think before this first round is complete we will have that down still further (shooting for Internet Coaching - Limited E-Mail Budget).

    Her doctors are continuing to be amazing and helping us navigate everything hand in hand while keeping all their charges/costs to a minimum if not at $0. After all, she is the poster girl for living with late stage cancer - she is alive and relatively well over a year past her best survival estimate at this point. They can't let good advertising like that go without a fight!
    AaronWebsteyM_WarewchevronJennifer Post
  • BAAW Thread?

    That's quite the downtube @kjrunnin , well done!
    wchevronkjrunninAaronWebstey
  • BAAW Thread?

    Bike against a totem.


    wchevronTad_MAaronWebsteyKenElPescadoPelado

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