Nothing to Lose -- Redux

Friday, May 05, 2006

Making Headway

I truly believe if you all were to look up the word "assertive" in Webster's Dictionary, you would find a picture of my face. I am seriously the veritable definition of the word these days. Here's what I've found out about the Anthem issue:

(1) MPRI cannot see me until they have Anthem's pre-determination approval on file. This is a document that says that the insurance company will pay at least part of the costs (even if it is onlly out-of-network) for their services.
(2) My pre-determination paperwork is sitting in a pile somewhere waiting to be signed
(3) Anthem is about 4-6 weeks behind on these papers. This means that it is not likely anyone will even look at the paper until the end of May.
(4) If the paper is not signed until the end of May, I cannot be measured or fitted until then.
(5) After I'm measured and fitted, it will take about 1 month for the computer to run the numbers and for the doctors to develop my radiation plan.
(6) According to my calcuations, this means I would be able to begin radiation anywhere (because Bloomington can't let Goshen start until they are done with the plan) until the beginning of July.
(7) Radiation will last 6-8 weeks
(8) I would not even be done with radiation when school starts next fall

Does anyone else see this as unacceptable? Hey... I'm happy this is a slow-growing cancer, but I'm not going to sit around and let it grow in my face all summer. I am already having a hard time chewing, smiling, and laughing, and it seems to be getting worse by the day. I'm the funniest person I know. I'm forced to laugh on a regular basis. I can't afford to not laugh. Plus, Dr. Thornton himself said it was the best form of medicine for my tumor :)

So... here is what I say: I will be in Bloomington for measurements and fittings next week. If Anthem doesn't get the paperwork signed, MPRI is just going to have to figure out how much it will cost me to pay for those procedures outright, and we're all gonna have to do some serious fundraising until the suits at Anthem get out their Mont Blanc pens, get on the ball, and get my pre-determination paper signed! I AM NOT TAKING NO FOR AN ANSWER! In fact, I'd like to go to Bloomington on Wednesday and Thursday of next week, and I may just show up in the waiting room!

Secondly, RaKeesha Marie Ballard will be going on the U.S. History Trip. Let's all make this happen. I won the school $500 for an Excellence in Education Award (tune in to see me on the 16 Morning News on Monday) and the trip costs $600. I think I know how EMHS should use that check!

So...everyone needs to jump on board Ashli's Assertive Bandwagon! It's actually a pretty fun ride!

13 Comments:

At 2:35 PM, Anonymous Anonymous said...

So, Ashli--I'm ready all next week with my car and myself. I am agast at the audacity that anyone would even think a person would wait for paperwork on something like this!
Jane aka: Driving Miss Daisy

 
At 3:24 PM, Anonymous Anonymous said...

Hey Ashli! It's Lisa Sheehan -I tried to email you- I'm not sure that it went through! Kelly has been keeping me posted and gave your blog address which I'm thankful for. I think of you often and am so sorry to hear the news but I know youll get through it! Hope to hear from you soon. Have a great time in Hawaii

 
At 4:52 PM, Anonymous Anonymous said...

Isn't insurance wonderful? No one knows there's a problem with the system, until they actually need to use what they have been paying for. I'm so sorry, you shouldn't have to be dealing with this now. You should use your pull with channel 16 and see what they can do with this mess. Keep us posted. We'll definately donate to the "Get Ashli to Bloomington Fund". Oh, I still haven't heard back from my uncle. I'll talk to ya soon.
Love,
Danna

 
At 4:59 PM, Anonymous Anonymous said...

I love it how you posted my whole goverment name!

 
At 5:10 PM, Anonymous Anonymous said...

hey good luck

 
At 7:49 PM, Anonymous Anonymous said...

Hi long time no see lol what a wondeful sense of humor I have and no not really. Well I just wanted to say that I am very happy that you are better and that you are still teaching red and gold one very happy. I'm sad that you are leaving us for Hawii but hey have fun cause i would leave in a hart beat to go there so have fun and live bigger than life
chelsea

 
At 4:20 AM, Blogger Cary said...

Hi!
It's the second funniest person you know! :) I want to kick some arse at anthem! We deal with that crap at our office all the time. Argh. Talk about the bane of my existence!! Do you know if anyone from the docs office can call them to expedite the process? Sometimes our "reimbursement specialist" can call in and be a catalyst to get things rolling...and sometimes our doctors will do a peer-to-peer consultation to determine medical necessity, etc. Whatever, it's just something to think about for Miss Assertive. I wish I were more assertive. I have so much to learn from you in that manner. Maybe when you become our hot new roommate you can teach me some skills. Maybe you can teach me how to get a freaking school counseling job. Maybe you can teach me how to be amazing.
Love you!
Cary

 
At 6:42 PM, Blogger Ashli Hepler said...

Sheehan! How are you? I never got your email. What is up in your life. Kathy Gribbin just emailed me asking about you the other day. Comment back and fill us both in. Thanks for the well-wishes!

 
At 10:59 PM, Blogger Brad said...

Hey there H. I'm all for you going into the hospital and protesting that they at least fit you for the measurments. Its horrible how the insurance companys jack people who are in need around. Right now you cant switch insurance company's ,but after your done with your treatments i would look for another company. also, doesnt the school have a policy? It'll all work out in the end. Yin is just kinda heavy right now. I'll also be watching 16 in the morning. i'll also e-mail you some easy blog moders. It'll be P-I-M-P. I still have to get that lotion ,but i'll put a reminder on my arm or somethin. Later

 
At 7:38 AM, Blogger crock said...

going to send you an email too, but wanted to let you know that I'm packed and headed for bed. I'll be up around 6 am tomorrow (Monday am) - 5 pm (sunday evening) for you, the plan is to leave for the airport by 8 am - 7pm (for you). Please give me a call - just want to touch base with you before we fly out.
love you!

 
At 11:22 AM, Blogger AJLutz said...

ASHLI'S AWARD FOOTAGE:

Hi All, just thought for some of you non-locals, you might enjoy being able to see the clip from 16 on Ashli's Excellence in Education award. Here is the link:

http://www.wndu.com/news/excellen/052006/excellen_49753.php

If that does not work, just go to www.wndu.com and scroll down, click on Excellence in Education Awards 2006. You can read the article, or there is a video clip that I assume is the entire thing that was on the news this morning. I watched it via internet this morning. We have T1 line and it didn't take long to download.

We are SO proud of you Ash!

Love You Always~

Alysia

 
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