I am hoping that the right help comes your way. If you haven't collected all of your medical files, this could be a very important step to start working on for your evidence.
Insurance in the US can be equally infuriating! I was not granted pre-certification because there was "a lack of medical necessity", and a surgeon's philosophy that "everyone knows adhesions don't cause pain"! I have the proof now that I've had my surgery, and will be able to fight, but it is frustrating to have to fight these battles.
Hang in there, your health is well worth fighting for!
Love,
Janet (USA)
>----- Original Message -----
From: "Adrian Gray" <agray001@aol.com>
To: "Multiple recipients of list ADHESIONS"
<adhesions@mail.medispecialty.com>
Sent: Sunday, March 25, 2001 2:06 PM
Subject: Please can you help!!!
> Please can you help!!!
>
> Fellow sufferers
>
> Two and a half years ago I had an operation to remove a large tumour
> from my
>
> small intestine, since then I have had yet another operation to repair
> two
>
> post operative hernias, I have had continual pain that is particularly
> bad
>
> for approximately ten to fifteen days a month, as a freelance
> professional
>
> ballet photographer and designer and it is not possible to say when I
> will
>
> have a good day or a bad one!
>
> I have a career specific insurance policy with Scottish Amicable
> European
>
> and they have refused to pay me a penny and keep saying that I will be
> OK
>
> ONE
>
> DAY even though my consultant and his consultant registrar has stated
> that
>
> it is almost certainly Adhesions and they do not want to operate again
> as
>
> they feel they would gain nothing, my financial advisor and my GP has
> also
>
> told the insurance company that I cannot do my profession because of the
>
> pain
>
> and unpredictability of when it will strike, I have also told them many
> many
>
> times.
>
> I have spent my savings to support myself and my family, I have cashed
> in my
>
> tessa/peps, I have even asked my mortgage company to refund me the money
> I
>
> have spent on the house over the last few years, has anyone had a
> similar
>
> problem with an insurance company over Adhesions? I am still paying £91
> a
>
> month to this company and it is slowly driving me under.
>
> Any advice or help would be a great help, I am going to take the matter
> to
>
> the insurance ombudsman and I need all the evidence I can get my hands
> on.
>
> Yours
>
> Adrian Gray
>
> (England)
>