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Catastrophic Impairment


Budweiser

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This is in Canada and i'm involed with car accident insurance. My insurance say that my medical money has used over 60% of it. Which means (BS :angry2: ) that I may loose in the near future for my speech therapy, psychologist etc...They sent me a form for my family doctor to check out if I may be have a catastrophic impairment (at the time I wasn't anove) has i'm 19ish months now and my speech/language is very hard. My family doctor filled it out and say's yes, i'm have a catastrophic impairment which meens I may get more medical help (longer time, more money medically etc...).

 

After my insurance looked at it, now they say I have to go more tests for a Independant Medical Evaluation Catastrophic Impairment Determination. WTF, OMG. Will this ever end? :angry2: I now have to go through tests in the middle of December to see a Occupational Therapy Assessment, Neurosurgeon, Psychiatrist and a Physiatrist.

 

Over the last year and a half, i've have done (through my accident);

 

3 CT's

2 MRI/MRA

3 Dopplers

3 X-rays

6 Sessions/treatments (and going) of Speech therapy (One seesion is about 3 months)

5 Assessents/treatments (and going) Occupational Therapy

1 Neuropscych testing

16 sessions to start coming up - Pscycologist

Every 2 months family doctor

1 Neurosurgeon

2 Neurologist

Surveillance tape (silent, no talking) :angry2: :Tantrum:

ENT Doctor (craked septum) scoped down my nose :head_hurts:

opthalmologist and eye field test

10 months physio

Orthopedic Doctor (broken hand)

etc....................if I forgot one or two of other doctors <_<

 

 

Once I feel i've down one step forrow, the insurance get in here and I go 3 steps backwards.

 

Will this ever end? I'm trying to be go forward but the insurance fulls me back. :whack:

 

Well, it's another day in my life!!!!! :juggle:

 

6 Comments


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I understand the Insurance issue. I lost my medical Insurance 3 months post stroke. So I practiced what PT had taught me at home by myself.

 

I have a small disability plan through where I worked I cannot return to work, due to cognitive impairment. Yearly I have to fill out their forms and have the Dr fill out their forms even though he has told them I am permenantly brain damaged. They get upset if I don't go to the Dr more than once a yr.. I told them I am NOT sick I am brain damaged, it's not something the Dr can "fix" I go for my check ups and to have my BP checked, it is well controlled with medication. last one was 128/78. I guess the Insurance companies have to keep their employees busy.

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Bill,

 

Wow! You have been through the wringer. I feel for you my friend. I have to wonder how these government agencies determine an individual's disability? Do they make a commission if they can deny somebody? Seems that way to me sometimes.

 

I have been on state disability here in California since June. The process for the state was fairly simple, but I never applied for medical. I should have though.

 

I am now in the process in filing for federal disability. The paperwork is incredible and yet it has just begun. I'm keeping my fingers crossed that I get approved.

 

I don't have any speech issues per se; now and again I get a brain fart, usually when I'm stressed or tired. My CPS and fatigue, plus right sided paralysis keeps me from working.

 

I wish the best for you. I hope you won't have to undergo much more testing and you get approved.

 

Bob

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I'm in the Canadian system (system off what? noone knows :hahaha: ). After I did the neuropsych tests, he say's i'm pretty much done with most of the recovery. They said I can't work anymore but maybe volunteer in the future. Once the insurance read that, they said I have to join onto C.P.P. Disability. They said any money I get, I have to give it all to them. It's realy rude how they ask/tell you. The neuropsych says i've stroke and head injury by a bad hit by the van that hit me.

 

Well, at least I lived through that and i'm trying to do as much as I can. Insurance (throught car insurance) loves you until you need help. They can kiss my bum!!

 

 

:big_grin:

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Bill,

 

I wonder sometimes if insurance companies create process, that are cumbersome barriers, in a hope the applicant or potential beneficiary will not be able to complete the process, and therfore fall from their system and one less person that they have to pay.

 

Hang in there!

 

-Karen

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Karen,

 

I think you're right that a lot ot the road blocks they put up are designed to make it so hard that some people die or drop out of the process and burn up their savings instead....if they even have any left. They also don't want to get you locked into a disability payment too soon in case you get better.

 

The other side is there is a TON of fraud going on with people who claim disabilities who aren't disabled. Don used to have a neighbor who made a living defrauding one insurance company after another with false claims and he was very open about the network of doctors you could buy to back up a phony claim to get off from working. People like him are one of the reasons they give us all a hard time. It was only when they started following this guy around with a video camera that his 20 years of fauding for a living caught up with him.

 

Bill,

 

Take a deep breath and jump through a few more hoops. Eventually you'll get your disability so hang in there and then they will be kissing your bum for real!

 

Jean

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LMAO

 

That is funny :big_grin:

 

Yes I know about to many people fraud. It hurts for people that really need the help. I've everything the insurances ask me to do. If they say "jump", I say "how high". It's not the doctors problem so I keep going with a smile.

 

In 1990 while I lost my hand, I was on WSIB (work comp). After about 6 months WSIB sent me a letter saying I was cutting off (benefits) because I was fully recoverd. I called the WSIB and said "do you have new water or new seeds", they said "why?", I said "I can't get my hand grow back so can they help". The WSIB is don't worry, they will throw out that letter and put me back on benefits.

 

What really bugs me, the insurance knows after 10 months my strength is back and it's mostly in my speech/languagenow. I can walk/drive/cook/cleaning etc...so they send a silent surveillance tape on me. WTF is that? They spend the money in the wrong areas.

 

:2cents:

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