Hi does anyone that posts in here know any info about how medical ins comp pay and medicare?My dh had medicare part A and retirement ins with aetna ..becus he was given a choice when he became disabled we kept the retirement ins as primary and not medicare part b..now becus of this aetna wont pay cuz he has medicare and medicare wont pay cuz he has aetna i have been on the phone for hrs(really) trying to talk to a person not a teleautomated robot..and the gist is so they tell me aetna will only pay 80% of what medicare should cover.. yikes im so frustrated .. can anyone explain this to me rosey
ROSEY . . . this is my field . . . however, in Canada, not the US. . . Here is how I think it should work (at least it would, if you were working with a Canadian provincial medicare system).
Submit the bills to the first payer (Aetna) -- but be sure to keep copies, just in case you don't get the originals back (and you probably won't) -- then after you receive the partial payment from Aetna, submit a copy of their cheque and payment detail forms, along with those photocopies of the bills, to the second payer (Medicare).
It can take a long time to get it all sorted out. Is there any specialist at your DH's old employer who you can talk to who will intervene on your behalf. When I was working (I was the Pension and Benefits Manager for a very large company) I had a person at each of our locations who spent most of their whole day trying to help employees and retirees deal with the government and the insurance company 'foibles'.
dang it, I had a nice long post then went and hit back button on the mouse. (it's on the side of the mouse)
Anyways this was my post:
Today=chilly and drizzly... I want the warm weather back. I did 4 miles in 1hr 7 minutes while DS was at school so I beat the weather on that one
tomorrow=contest weigh in. This morning at home I was 253.5. I've lost 11lbs from my original weight (264.5) OR 4 lbs from the weight after I was sick
(257.5)The scale at work sucks and weighs everyone wrong, I've even tried weighing at home and then right away at work..always different from as little as 3 to as much as 7lbs)
BGL=very good so far but around 120's when I have to get up early(4am). If I sleep in, they are closer to 100
Hope everyone is doing well and having a great week.
Hey Meowee, yeah better people... we at least we know we are sweeter yeah i know that was a lame joke, but what can ya do. lol
Im getting ready to get off from work, i will go have a portion controlled dinner, starting to hate that term just a lil bit. but hey the smaller plate thing does actually work. mind over matter i guess. then i will do an hour of tae bo or belly dance.. one of the two. i get great cardio no matter which one i do.
Yep . . . we are definitely 'sweet' people . . . have any of you noticed (and I'm not kidding) how much the mosquitoes love us as compared to people with normal sugar situations. If you want to keep the bugs away from everybody else, be sure to invite a diabetic to your next barbeque . . .
Morning! Bg was 137 this morning...an improvement over yesterday's spike of 185! I am still sporting this cold, but it seems a little better today. I took some Tussin CF, a store brand Robitussin CF. It says on the bottle not to take it unless you talk to your doctor if you have thyroid issues, or are diabetic. I took it anyway. The relief from the congestion was heavenly. I actually was able to sleep some after it kicked in.
I was contemplating going to the gym today, as I felt pretty good when I woke up, but I am going down hill rather quickly. I think a nap is in order! I passed on my trip to the mountains to work. I may go work in the garagio. I have a lot of kids' pots to glaze.
It is raining...so needed around here...and cool. A perfect morning for a nap!
Thanks for the info meowee.
My sugar was 215 last night and 315 this morning.
Went to c-pap doc and getting new equiptment.
Told me to get med for sinus infection by my reg. GP next week.
Hope this will help w/morning numbers.
I just want to have 3 starchs. I'm trying 5 small meals today so there's a few hours between. I didn't like eating big meals 3 times a day. I'm a grazer.
Trying to stick to complex carbs in evening. I like the GI and heard a few tips for lowering starchs-ex: a Tablespoon of vinegar on french fries lowers the GI of the fries. I always heard have a protein w/a carb.
I'm calling the co today to order the new machine after I check the ins. to make sure they are still listed.
Here's to a better day. Have to take a water pill-worked on book and legs swelled up from sitting too long.
Have a great day!
Good morning everyone,,hope this day is treating you well,,woke up with a bs of 174,,,crap,,but had a low in the night and ate a danish,,urrrrr,,could have picked something better I am sure ,,but was in that sleep stupper (sp) state of mind,,then went to go get my byetta out and found out I left it at work,,urrrr,,thats my morning,,ha ha,,good thing I can laugh,,what other choice is there ?,,ha
Over cast and cold enough that I have fire going,,looks like the sun is trying so hard to break through,,,sure hope so,,well all have a fabulous day !!
Morning Folks,
Meowee: yeah..i just had some bug go all big mac attack on my legs last nite lol. hope it enjoyed it I realized something when i weighed myself this morning and saw i was up 3lbs! T.O.M is in a couple of days, so that explains why im going in the wrong direction. well at least thats what im going to stick to until after lol. I chickened out on my work out last nite, i was just tired and didn't feel like having billy blanks yell at me to push it but today i shall sweat it out and even take the 2mile walk home from bart instead of a bus. i think i need to keep a food journal as well.. some where im getting extra cal. its not in the work day, i think its the snacking after work at home. but i shall see. here's a question for all ya great gals. Have u ever felt like u were getting smaller, you know feel more tone and slim, then get on the scale and see just the opposite? lol. thats been me the last week. i feel like something is slimming out, then get on the scale and have it call me a liar, which becomes a bit depressing to say the least. hope everyone is having a good morning. San Francisco is looking lovely today..sunny and not to cold for a change. ok..i'll check in later.. take care and all that jazz
Morning everyone.. the sun is shinning today..and thats helps with my stress..sl was 120 this am not to bad inspite of the poor nights sleep im a worry wart.. and ive been told it just makes you wrinkled and gray( and i am that )..sounds like we are all having some issues with our sl,glad to we can vent together..mickey.i was told when i went to curves that you can loose inches and not weight..i didnt beleive it but as you are exersizing your body is toning so may be thats why you feel smaller cuz you are..meowee.. i must be the opposite cuz bugs dont bother me..monet hope you feel better..jeanne hope your weather clears we have sun for the first time in weeks..im off and running errands today.. hello to any i have missed and (((((hugs))) for all rosey
Just flying past and quickly saying HI EVERYBODY Got tangled up with some spring cleaning and furniture rearranging this morning and you know how that can some times expand to fill the day . . . I'm exhausted.
In the middle of it all I got a call from the office asking for some help with some more retirement packages and, of course, they have to be done for tomorrow. Can't face those files right now so I guess that is my morning taken tomorrow and then I have errands to do because of the surgery on Monday. So I probably won't be around much tomorrow either.
Have a great moving and shaking evening, gang . . . I will see you sometime tomorrow . . .
Stay the same this week. Will try a food journal this week to see if it will help.
Has been raining here since yesterday,suppose to stop sometime tomorrow. Have to clean and bake the next couple of days,the kids are coming for dinner on Sunday. Off to watch the hockey game.
Judy S
Good evening all, I haven't posted because I fell backwards onto the floor in the bathroom saturday and have stress fractured my L1 (Lumbar One vertebra) I'm in pain and so only stay on the puter for as long as I can handle it. I wil be on and off in the following days.
Oh...I also gained 4lbs. since I was last weighed. CRAP-OLA
i have been on the phone for hrs(really) trying to talk to a person not a teleautomated robot..and the gist is so they tell me aetna will only pay 80% of what medicare should cover.. yikes im so frustrated .. can anyone explain this to me rosey
yeah i know that was a lame joke, but what can ya do. lol 
Mickey
hi everyone. i'm havyng my 
bs was 7.1. the bugs love me. 
but today i shall sweat it out and even take the 2mile walk home from bart instead of a bus. i think i need to keep a food journal as well.. some where im getting extra cal. its not in the work day, i think its the snacking after work at home. but i shall see. here's a question for all ya great gals. Have u ever felt like u were getting smaller, you know feel more tone and slim, then get on the scale and see just the opposite? lol. thats been me the last week. i feel like something is slimming out, then get on the scale and have it call me a liar, which becomes a bit depressing to say the least. hope everyone is having a good morning. San Francisco is looking lovely today..sunny and not to cold for a change. ok..i'll check in later.. take care and all that jazz 
ouch. get well soon 