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Old 09-27-2009, 03:00 PM
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fmichael fmichael is offline
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Join Date: Sep 2006
Location: California
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fmichael fmichael is offline
Senior Member
fmichael's Avatar
 
Join Date: Sep 2006
Location: California
Posts: 1,239
15 yr Member
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Quote:
Originally Posted by SandyRI View Post
Unfortunately, even though I am entitled to psych therapy benefits under RI State Law, the Hartford has denied all of my psychologist's bills as she has submitted them for payment. I just found out that her bills have been denied by worker's comp last Friday - she didn't tell me, my attorney did. Apparently she'd known for a while and didn't want me to know. My attorney has filed a 21-day motion, which means that if The Hartford doesn't pay my doctor within 21 days of the date of the notice, then my attorney will take them to court to get her paid. Since the inception of my illness my attorney has had to take the Hartford to court at least a dozen times for non payment of bills for my care for stuff that I am entitled to under the WC law. All of my legal bills are paid by the Hartford.

I decided that I needed to start talking to someone once I stopped working, because the disability LOA was so hard for me to accept. Maybe it was because I had more time to think about my illness, but I started to have terrible crying spells during the month of July. I have seen my psychologist 7 or 8 times, and we have started to develop a very nice relationship. I really like her. By now she understands a lot about me. It is SOOO humiliating that she is rendering services and hasn't been paid yet. Admitedly, she accepted me a patient knowing the deal with WC because I explained how evil they were the first day I was there, and the entire set-up regarding her bills and how they needed to be submitted. I made sure she knew what she would be dealing with when she took me on, and let her know I had back-up insurance just in case (which will be very expensive for me if I have to use it, and SO UNFAIR). Under the law, I am entitled to psych counseling.

I honestly believe that I would not be as sick as I am if I had a better WC insurance company to work with. Every time these guys these guys torture me with a new denial I flare. (she is teaching me the breathing techniques and I should be getting better at dealing with that).

Those of you that are WC that have decent adjusters with a conscience and a sense of fairness that approve the services that you are entitiled to should count your blessings. You have no idea just how lucky you are!!

Thanks for listening to me vent (for the umpteenth time!) about the Hartford!!
Dear Sandy -

I can't believe what you and almost everyone on WC has to go through: until I got on the boards, I didn't realize how "lucky" I was to have been injured at the gym.

RI is small enough state, however, for a couple of determined people to have an impact through it's legislature. It might be worth finding out if there is a WC patient advocacy group already set up, and then getting in your two cents.

In the meantime, all I can say is that you are clearly a strong person for being able to cope with this much frustration, as well as you are. (Believe it or not.)

hang in there,
Mike

Last edited by fmichael; 09-27-2009 at 05:05 PM. Reason: typo
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AintSoBad (09-27-2009), daylilyfan (09-28-2009), Dew58 (09-27-2009), hope4thebest (09-27-2009), SandyRI (09-27-2009), Wilbyfree (04-06-2010)