I previously had an HMO insurance while on disability which I was paying $637 a month for and was referred to Dr. X at UCLA by my pain management doctor and was denied. I have seen 3 surgeons who they authorized who have told me there is 45% chance of permanent paralyzation if they did surgery and and have been hospitalized 30 times since Dec of 2007 where all physicians and nurses know me on a first name basis. The ER doctors answer for my parents is to put me in a rest home that can provide my care and pain management. I have T6-T12 herniated with so much calcification they can't even put a needle in for treatment and T6 ruptured and pressing on my spinal cord and now T-12 bulging. To say the least I live in constant pain and help. I am 42 yo and now on a Medical program called Cen-Cal and in the process of being accepted by Medicare and permanent disability. Please help me with any suggestions to getting to Dr.X at UCLA
(Note: Physician's name removed by EmpowHER moderator.)
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Hi bigmoc - It has to be very frustrating for you to have to deal with so much bureaucracy and hit these types of restrictions. It certainly makes the process of getting care a lot harder.
Here are some suggestions to consider:
1) A direct appeal to Dr. X to provide uncompensated care.
2) Investigation of whether there are any clinical trials underway with Dr. X at UCLA, as well as other LA area providers, that would enable you to obtain medical care at no cost.
3) Seeking additional referrals
4) Review of the credentials and qualifications of additional physicians and facilities that are available to you through your Medicare program. You may also want to look outside of LA County if your coverage allows that and determine whether there are additional options available to you.
We wish you well in getting relief from your pain and the care you need. Pat
April 20, 2010 - 6:37pmThis Comment