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  1. KarenK

    I now think my ins. denial was due to the Cleveland Clinic, not Humana.

    Yesterday I got a copy of a poorly prepared partially completed appeal that’s certain to be denied. 1st - No required Appointment of Representation form. 2nd - Where it asks for the specific medical service for this appeal it only states “aortic valve replacement”. There’s no mention of TAVR or...
  2. KarenK

    For those who went to the Cleveland Clinic… did they do this to you?

    In 2 days I’m supposed to be flying to the CC, BUT how I have been treated is unlawful and unacceptable. I feel like I have been badgered by a number of people in the Surgeon’s office and in Surgical Registration. They all say one thing about the financial arrangement but they won’t put it in...
  3. KarenK

    Anyone beside me having issues with the Cleveland Clinic? Cancelling my surgery

    My ins. denied coverage. CC did an urgent peer-to-peer appeal. CC called when the urgent appeal was to be completed, said it was denied and ins. co. won’t respond again until 11/2, surgery is 10/24. So we’re in the 2nd level of appeals. CC said my case was submitted to the powers that be and...
  4. KarenK

    Cleveland Clinic just called. Wanted to schedule surgery for next week!!

    Next week was a shocker! I pushed it back a bit. I’m scheduled to head to CC 8/11/23. I expected it would be scheduled in a few months, two months at the minimum. The person who called as she was very terse at first, then got very irritated when I asked about their thoughts on my medical...
  5. KarenK

    Cancel nonheart related procedure? How long a wait for Cleveland Clinic surgery dept. response?

    I just received a call from the doctor’s office cancelling an outpatient medical test that I’ve waited 8 months for. The doctor wants to do the test in the hospital instead due to the aortic stenosis. It’s a colonoscopy which I’ve only been given light sedation for in the past so this surprised...
  6. KarenK

    Need your opinion on these echo results... not trusting my doc.

    My latest echo states severe aortic stenosis however it shows the valve area as 1.37, gradient 32.5, EF 65%. These numbers seem like it's moderate, not severe. What else could push it into the severe level? The other items that were a bit off: Aortic max vel 3.90 m/s Tricuspid Valve max vel...
  7. KarenK

    Does the Mayo Clinic accept Medicare? Maybe, maybe not... or only for some?

    The Mayo Clinic was my first choice since they have all my records from a prior brain surgery and resulting complications. I tried to make an appointment. They said they take my insurance, a United Healthcare Medicare Advantage plan, but then said their file said there were restrictions. They...
  8. KarenK

    Anybody else's doctors refusing to provide copies of test results?

    They are MY test results, am I not entitled to them? Has this become a way that they try to protect themselves from legal issues? I ask and they make various excuses. Then when I try the hospital’s medical records department, they say it’ll take up to 5 weeks to receive them. They never arrive...
  9. KarenK

    I'm at maximum anxiety levels! Crazy bad experience with cardiologist

    I’ve had 3 appointments with my new cardiologist. He showed up for the 1st and was quite charming. 2nd I met with a surgeon. Cardiologist showed up at the very end and contributed nothing. 3rd, after waiting 1 ½ hrs. a different surgeon met with me. He announced that they were going to do a...
  10. KarenK

    Now I have heart failure and other issues... aaaahh!!

    I made my original post in Jan. about my first visit with a cardiologist who was sending me for an immediate heart cath. After the Cath, the dr. was too busy and wouldn’t see me for months. His office refused to provide a copy of the test results or any information what so ever! His nurse had...
  11. KarenK

    Received copy of PCP's Echo that he waited 6 months to tell me about...

    Report states: 1. Left ventricle systolic function is hyperdynamic, ejection fraction 75%. I've only seen info. regarding lower EF. Don't know yet what it means to be abnormally high. 2. Right Ventricular Systolic Pressure (RVSP) elevated 45 mm Hg. I guess this is why on the first visit with...
  12. KarenK

    Had

    Had first appointment with the cardiologist today. He's scheduled me for a heart cath in a week and I was told to bring a bag in case they have to put in a stent. I really didn't learn anything on the appointment. Doc wanted to wait for test results. This doesn't seem like the standard...
  13. KarenK

    Diagnosed with moderate-severe aortic stenosis 2 days ago....

    Hi everyone, I'm rather overwhelmed with this and what I should or shouldn't be doing at this time. Is exercise good or potentially harmful? Haven't seen a cardiologist yet, waiting on the referral. I hear they cardiologist are really busy in this area so I'm wondering how serious they will...
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