AS YOU CAN TELL BY MY HANDWRITING, I AM ANGRY AS HELL AND I WILL NOT TAKE NO FOR AN ANSWER.
After my donut, I am actually happy. Now I have something to pass my time.
This morning I wrote a preliminary appeals letter.
Here goes nothing:
Dear Sir or Madam,
After receiving a verbal denial of coverage on 10/22/08 I have decided to appeal your decision to deny coverage of my recommended treatment plans for Melanoma cancer from Dr. John Kirkwood at the Hillman Cancer Center in Pittsburgh , Pa..
It was stated to me over the phone that the service sought is available locally here in Rochester. I requested numerous times to you staff for a list of specialists in melanoma who could treat my type of cancer including clinical trials locally and none was given.
This is just a prelimarily letter of appeal to get the process started. I will be forwarding more supporting documentation to support my appeal in the near future.
I have enclosed a copy of Dr. Kirkwood’s credentials.
Sincerely,
James M. Breitfeller
After that, I had Medicare file a complaint on my behalf.
I also contacted the New York State Health Insurance Dept.
I am presently waiting for a call back.
In the meantime I found:
ATTORNEY GENERAL Andrew Cuomo COMPLAINT FORM
State of New YorkOffice of the Attorney General Consumer Hotline For the Hearing Impaired
HEALTH CARE BUREAU 1-800-428-9071 TDD 1-800-651-7820The CapitolAlbany, NY 12224-0341
http://www.oag.state.ny.usTel. (518) 474-8376 Fax (518) 402-2163
So if you don't hear from me for awhile, I am only a key stroke away.
It is time to roll up the sleeves!!!!!!!!!!!!!!!
Wish me luck
Jimmy B.
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