March 2001


The Voice of Courage

PUBLISHED TO ENLIGHTEN THE NEW LARYNGECTOMEES ABOUT THEIR FUTURE LIFE, SINCE MID 1972

By Dean Rosecrans P.O. Box 310 Nampa, Idaho 83653 1-800-237-3699 03/10/2001


Stoma Care | Medicare | HHAPPS | Special Thank you

| Stoma Care |

1.                           W. C. Fields said, “If you don’t drink,  when you wake up in the morning, this is as good as you will feel the whole day.”  Or maybe it was someone else but the fact remains when a laryngectomee wakes up in the morning, they feel good.  But after their morning hot shower they will feel the best.
            Coughing out the debris inhaled the previous day is important to their well being.  A hot shower with good lighting is very important.  Seeing the stoma clearly makes it easier to clean. 
            For this reason I am enclosing Shower Collar literature.  I recommend new laryngectomees try one of our shower collars and for best results use a Foam Filter under the shower collar.  You will be surprised how good you will feel just standing in the hot shower and breathing in the warm moist air. 

| HHAPPS |

1.                           If you are residing in a nursing home, Please give our order form to the administration, and ask them to order your supplies for you.
            If you receive visits from a home health agency, please give our order form to the visiting nurse and ask them to order you supplies for you.
            If either of these situations applies to you and you purchase your supplies directly from us, you WILL NOT be reimbursed by Medicare.

I will be attending the Texas Laryngectomee meeting in San Antonio from April 5th through the 8th.  The vender’s viewing time is 8:A.M. on Friday the 6th till 5:30 P.M. and again on Saturday the 7th.  

Stoma Care | Medicare | HHAPPS | Special Thank You

| Medicare |

1.                           The last time I looked, it was Christmas in the year 2000, now it is March 2001.  Where does the time go when you are having fun?  We lost a lot of friends in the year 2000 and I hope it will not continue at the same rate this year. 
            You have to remember that more than 50% of us are over 65 and facing the grim facts that Medicare is cutting back all the time, not just in the amount Medicare pay but in the ways they pay.  Medicare sets the standards for all Major Medical Insurance.  So we must be alert to the little changes that are being made.
            If you have had any battery claims denied in the year 2000.  Please let me know.  Medicare has been denying claims since May 2000.  Batteries are a covered item and we are filing the claims correctly.  However, they are being denied anyway.  The only way at this time is to file a review. 
            Please, if you have had any batteries denied this year, send me a copy of the Medicare EOB showing the denial and I will file a review for you.  Better still, if you have met your deductible for this year send me a copy and a check for 20% of the order and I will accept your Medicare Claim Assignment.  Let me fight with Medicare. 
            These subtle changes are happening all the time and if they are overlooked by the Medicare recipient, then the next time policy is made by HFCA, the changes become the new rules.
            Now Medicare will buy two batteries every six months for an artificial larynx for a period of five years.  At the end of five years Medicare will allow a new artificial larynx to be purchased and the new one should come with two batteries for the Medicare allowable price, because Medicare will not purchase any more batteries for six months. 
            Medicare will also pay for any repairs to the artificial larynx that has purchased been with a Medical Doctor prescription for a period of five years.  If these rules are overlooked by the Medicare recipient, this allows Medicare to change the rules. 
            Here is where the support groups come in handy, they know the rules and can help you with any Medicare problems.  If they don’t know they can ask one of their members who has gone through the same experience recently.  Visit any support group, laryngectomee preferred, in your area.
            If you can’t get any satisfaction on your own or through your support group, Please call our claims office @ 1-800-295-0094.  Or better still buy your stoma care products from me and I will accept your Medicare claim assignment, and you pay only 20% after this year’s deductible has been met. 
            Medicare allows the use of one Foam Filter per day with a Medical Doctor’s prescription.  If you use more, ask your physician to document your needs on the in prescription form.  I will accept assignment for any Stoma Care products your physician will prescribe.
            Many of you have a secondary insurance that covers your 20% and/or the deductible.  If you make our claims office aware of your current insurance coverage, all that is required to place an order is a toll free phone call. 
            An example of how Medicare influences the other Major Medical Insurance is the way prescriptions are dispensed these days.  Normally you could buy a bottle of 100 tablets and now the limit is a one month’s supply.  A little annoyance for those of us that take pills daily.  We don’t always remember purchase a new supply when we are at the pharmacy.  We  run out and have to make a special trip to the pick up a new supply .

| Special Thank You |

            In every order since the first of the year, a pleasant surprise gift has been included.  This is my way of saying thank you.  The 29 successful years of selling stoma care products has been a great pleasure.  I never thought for a minute as I designed the Foam Filter, that it would be so widely imitated and accepted in the laryngectomy community. 
            Our products can be purchased in many ways: Mail order, C.O.D., Telephone, Fax, or on our web site www.deanrosecrans.com. , www.laryngectomee.com or you can ask any question, I can answer, at my e-mail address  dean@deanrosecrans.com

 

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