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A Request for Help From Fellow ActiveRainers

By
Mortgage and Lending with Reasy Financial LLC NMLS 2446155

MomWhile there are many jokes and gripes about having a mother-in-law, I feel like I am one of the lucky few who had the chance to marry into a wonderful family.  My mother-in-law, Diana, has taught me so much about having a positive attitude, no matter what life throws your way.  She's taught me how to have the courage and strength to keep fighting when others would give up.  She's also taught me the most important thing about life, your family.

My mother-in-law has been battling breast cancer for the last two and a half years.   I've watched her go through extensive surgeries and chemotherapy treatment, all while keeping a positive outlook and a sense of humor.  She has already had a radical mastectomy and has also had 40% of her liver removed.  The cancer has metastasized again to her liver and we have been recently told that the chemotherapy treatment that she was undergoing is not working.  The tumors have increased in both number and size and the cancer has since spread to several places in her bones.

My wife, Kristen, and Diana have met with several doctors where she has been told that she is not a candidate for many of likely treatments.  Her doctor has recommended a procedure of transcatheter occlusion and radiopharmaceutical therapy (radioactive beads place directly into her liver).  The insurance company has denied the treatment stating that it is experimental and investigational. This treatment is approved for liver cancer.  However, since the cancer originated in her breast, the insurance company is classifying it as breast cancer in the liver and is refusing to approve/pay for the procedure.  I'm not familiar with how issues, like this, are typically handled in the medical and insurance industry.  It's hard for me to understand and comprehend why someone who needs life-saving treatment can be denied coverage for treatment at her doctor's recommendation, if they have insurance.  After all, the reason people like you and me have insurance, is for emergency situations.    

Her doctors are appealing this decision and have asked for family and friends to write letters on her behalf asking for them to overturn the decision.  If you have time and would like to help, I would really appreciate it.  All they want is a personal letter stating that she has gone through so much and deserves every chance to beat this devastating disease.  

Diana MourssaliIf you could address the letter to:

Mercy Healthcare Group
Grievance Department
4350 E. Cotton Center Boulevard, Building D.
Phoenix, AZ  85040

Re: Diana Mourssali

The letters can be emailed to me or Diana, dsmourssali@q.com, and they will be submitted with the doctor's appeal.

Thank you again for all your support and prayers.  It means more than any of you can possible know.

Posted by

About the Author

My name is David Krushinsky and I am a Phoenix mortgage specialist that is truly passionate about my profession and the result is that nearly 100% of my business is by referral from satisfied clients, trusted financial advisors and the most experienced REALTORĀ®'s in the Phoenix area.
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Comments (5)

Coleen DeGroff
Coldwell Banker M.M. Parrish Realtors - Gainesville, FL
Haile Plantation Real Estate - Gainesville FL

David,

This story is absolutely heartbreaking and one that is repeated far too often every day in our country.

MERCY HEALTHCARE GROUP?

Are you frickin kidding me? Their name is MERCY HEALTHCARE GROUP??

Perhaps one of the administrative pinheads at the top of the cheese heap in that organization needs to pull out a dictionary to find the meaning of the word.

Have you considered contacting local radio stations/newspapers about your mother in law's situation?  Quite frankly outside pressure from media will be much more effective than any letter-writing campaign....after all, if pleas from family members didn't work, a letter writing campaign aimed at the mis-named MERCY HEALTHCARE GROUP probably won't be effective.

Public humiliation, though, can be a beautiful thing.  If I were you I'd contact local media organizations and local places of worship to explain the situation and see if anyone has any ideas to help. 

 

I am so so very sorry for what your mother in law and the rest of your family are going through.

 

Sending prayers and thoughts your way.

 

God's strength and peace be with you all --

Coleen

Jun 09, 2010 11:04 AM
Kate Kate
San Diego, CA

David, I am so sorry to hear and would be happy to send a letter. It hits close to home. Our insurance ditched their approval after I had the surgery and we were left with the bills. I don't know if they even bothered to call it experimental. They just paid a few pennies and walked away, then told us they would not insure me any longer. We are still trying to pick up the pieces. But they sure welcomed our premiums for years... until we used the insurance.

Jun 15, 2010 12:50 PM
Kate Kate
San Diego, CA

David, do you have any update regarding Diana or the insurance company decision?

Sending Diana my greetings... Kate

Jul 09, 2010 08:39 AM
David Krushinsky
Reasy Financial LLC - Peoria, AZ
AZ MB-1044208 MLO NMLS #202115

Hi Kate!  Mercy Healthcare Group denied her appeal.  She has retained an attorney who's handled a similar case and won.  I will keep you posted but it appears that Mercy Healthcare Group only cares about their bottom line profit and not the people they insure.   

Jul 12, 2010 11:49 AM
Kate Kate
San Diego, CA

David, I'm sorry to hear that. I am disgusted also. Our medical care is controlled by pharmaceutical and insurance companies. The doc is only the middle man.

Sad as it is, I do not think the gov will do a better job. I have always maintained if there was no insurance,   private or public, medical cost would become affordable again.

Jul 23, 2010 03:16 PM