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Chat-Saturday July 23rd; Have a GREAT day! :)
Topic Started: Jul 23 2011, 06:19 AM (663 Views)
ElaineRuth
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Eagle Guardian
Sunnyland. bringing this forward for you, too.

lmorton2001
Jul 21 2011, 07:33 AM
Sunnyland - I'm so sorry about the insurance company denying the claim on your wrist. :'( :'( I know how you must feel. Is it something that Medicare will take care of? I know they wouldn't if it was caused by the accident, but if the insurance company claims it wasn't, what else can you do? There is probably an appeal process with the insurance company, but it would likely take months to work through that. And it seems like there would be a department in your state government that oversees insurance companies - I would likely file a complaint with them. :Hugs: I know you just want to have it fixed, and there must be a way to get that done.
I haven't followed this from the beginning but I just have to add: Medicare does cover injuries caused by accident! If the care was given by a hospital, doctor, ER, etc, that facility has to file with Medicare if they are Medicare providers. That includes ambulance services. If you collect any money from an insurance company for the accident, Medicare does get repaid out of that money.
Now, some facilities will (and I know this as a fact) send you the bill, saying that Medicare won't pay it as it was due to an accident. What this means is that the facility has not filed with Medicare because they never get the full amount they charge from Medicare and so would rather get it from you! If they are a Medicare provider, just tell them to file with Medicare! If you have a lawyer, he should/will tell them and tell them to stop bugging you!
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KLJinOz
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Eagle Guardian
G'day Peeps!

Hope everyone is well today, its my Sunday, beautiful Bright and Cold but fortunately the rain is overwith.... for now.

Did Sailing Allegro on Pittwater on Saturday, after torrential rains all week, Wednesday being cancelled due to high winds, it was a magnificent day. Ok, it was cold too. Not a lot of competition, many boaters stayed in port thinking the weather was going to be nasty. I wasnt at all, winds, cold but no rain. I had the starboard side jib work and also the spinnaker when it went up. There were a couple of people on board I hadnt met before, one actually knew less than me, wow! The bowman Mark I'd met before, and he did some major stuff ups with the spinnaker sail, getting it up right. Captain Rog was ever so patient with him but our starting first became wasted, oh well. We came into port under a very light sprinkle and a rainbow! It was one of those perfect days for me.

Christine, thank you for the analysis/synopsis on the eagleife voting, very informative. Better prepared next time, yes.

Hope you Northern Hemisphere folks stay cool. I'm staying warm!

A Hug for Bette
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silveregal
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Eagle Guardian
:Hugs: And prayers to all.
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A GOOD EVENING JILL - TOPA - HEDI - Penny - River - Carole - EagleDuo - ElaineRuth -
KljinOZ - Silvergal - and ALL

ElaineRuth - NOT in NJ If you are injured in an auto accident the auto medical (PIP) has
to pay. You CANNOT go to your insurance. My wrist was injured (a bone like lump needing
surgery) but was not noticed till later. SF Ins kept stalling. Said it wasn't from accident.
Finally made me go to their IME (who reported he didn't believe it was from the accident)
Even though my Son-in-law who is a surgeon had verified it was accident caused. If I had gone to Medicare I'd be in trouble with the law! So I have called them requesting a copy
of the IME's report. When I get that, where he said it wasn't from the accident, That may
free me to go to Medicare and have it done. "WHEW! The danger is shooting my BP way up
Don't ever move to NJ! :o

Hedi - It'd a good thing to have all the info for the fund raiser! :)^

Topa - I missed also what ever was said the other night. Hope it doesn't mean I'm
not a cruzer because I'm new! :o

Penny - Love the rainbow roses! A turtle plods along but gets there :)^

River - Very touching eagle in cemetery! <3

Carole - So glad you can be home with DH and Maya! :Hugs:

KLJinOZ - So GREAT to be able to sail! :)^
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EagleDuo - :Hugs: :Hugs: :Hugs: :Hugs: for Bette - Hope you have a pleasant visit
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Harpo516
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Eagle Guardian
No time to read today's posts :(

Still wrapping up my packing ....

gotta meet my boys at 7:45 AM and then send them on their way up to camp tomorrow morning

Soooooo I probably won't be able to check in
until next Sunday


Every have a fantastic week - be careful in the heat

Prayers and hugs to all :}^
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