Denied

[Babelfish]

Acc, bless 'em...they're just too nice to say you're a fat fuck that shouldnt be putting that much weight on your knees

[Mom]

+1 on the second opinion

had almost exactly the same thing happen this time last year...every time I'd put weight on my right knee it'd feel like a hot knife was being twisted under my knee-cap.
Went to the doc..got reffered to a physio for a check over...nothing found so back to doc then off to get a X-ray still nothing found but pain getting worse by the day.
Finally reffered to a knee specialist in ChCh...appointment made, arrive & put on consultation bed...knee & leg bent & twisted, pushed & prodded and diagnosis made Buritis impatella a couple of steroid shots along the side of the knee-cap and a swollen knee for a few weeks and problem solved...only twinges once & while now but ACC couldn't refuse the diagnosis from a specialist

Which is all well and good, but NOT what Maha has wrong. Be wonderful if it was, a couple of injections and all is sweet. As shown by the MRI that ACC rquested and paid for, he has a partial tear of his anterior cruciate ligament. That is not a bursitis, that is a proven injury However, ACC, despite the referring doctor telling them, that the patient complained of a sharp and sudden, severe pain in his knee, on a given date, have decided that it is a gradual onset condition. Mind you, she will not go back on her diagnosis of bursitis despite the ultra sound and MRI saying he does not have it.

I am not sure how you can partially tear a ligament in a gradual fashion without any warning pain to let you know you are doing it slowly???????



They can all get fuckt!

[Swoop]

They are obviously punishing you for daring to ride a bike bigger than 600cc and that is where the danger is! We know that since ACC told us... and they wouldn't lie...

Work is safe since we have so many osh-nazi's running around creating paperwork.

[T.W.R]

Which is all well and good, but NOT what Maha has wrong. Be wonderful if it was, a couple of injections and all is sweet.

Not quite. It's a deterioration of ligaments under & around the knee-cap that doesn't go away...it has to be monitored and can easily flare up again to the point that an operation can be the only cure.

As shown by the MRI that ACC rquested and paid for, he has a partial tear of his anterior cruciate ligament. That is not a bursitis, that is a proven injury However, ACC, despite the referring doctor telling them, that the patient complained of a sharp and sudden, severe pain in his knee, on a given date, have decided that it is a gradual onset condition. Mind you, she will not go back on her diagnosis of bursitis despite the ultra sound and MRI saying he does not have it.

I am not sure how you can partially tear a ligament in a gradual fashion without any warning pain to let you know you are doing it slowly???????

Entitlement to a second opinion is always there, though a dianosis of an existing injury that has flared up is their defence as there's no telling when it was initiated or what caused it. ligaments deteriorate with age and you can't claim ACC for getting old

[duckonin]

ACC are shit bags, they will wear you out with a paper war, your age says it all and their responce will be 'your knee is degeneritive' age related, they even said the same about a fifteen year old lass recently....Pick your words very carefully with ACC, remember they have our money to fight us !!

[Laava]

Neither have I!

[p.dath]

I'm starting to think you and Mom have really pissed off someone at your local ACC branch ...

[freedom-wedge]

The cynic in me wonders if it's new ACC policy to deny claims on the first go to see if people give up.

I recall reading somewhere that some insurance companies do that. Not that ACC are an insurance company though........

I think its the rule, dont pay out until you really have to, and as far as insurance goes ACC are the biggest and best at this hold on to the funds as long as you can game.

[yungatart]

I'm starting to think you and Mom have really pissed off someone at your local ACC branch ...

I agree! All that protesting and speaking out against them has turned against you, Maha!

[Bounce001]

If you are having no luck with your local ACC branch, which it sound like you are not as they are standrad issue ACC Nazi's. Try getting in touch with an ACC mediatior to fight this on your behalf. Have a mate who does this. PM if you want further details to contact him.

[EJK]

Well, they weren't so helpful were they?

[Ixion]

The cynic in me wonders if it's new ACC policy to deny claims on the first go to see if people give up.

I recall reading somewhere that some insurance companies do that. Not that ACC are an insurance company though........

Yes. I have had a number of people tell me about ACC denying claims on totally ludicrous reasons. I suspect they are doing exactly what you say. On the basis that a percentage of people will just accept it and give up. Those that contest it, they will delay and fudge a bit. If they finally have to admit they're wrong, they're no worse off. Cunts.

[hayd3n]

i had the same for my wrist
one day it went all sore and weak
acc follow up saying gradual bla bla bla not covered

[Mom]

The doctor yesterday called ACC an insurance company. She was very earnst about educating us

I am currently reading ACC's Statement of Intent 2009–2012 and their annual report to glean a bit more information. One of the ways they are saving money is to manage the claims they accept. New speak for decline as many as they think they can get away with hoping no one has the energy to complain. In breaking news I have just had a call from ACC - apparently they have now accepted my claim

[Mom]

i had the same for my wrist
one day it went all sore and weak
acc follow up saying gradual bla bla bla not covered

But you are only a young fella. How young bods can be degenerating is beyond me. There was a 17y/o girl that injured her knee and ankle in an accident. ACC accepted teh ankle but not the knee citing gradual process. They took ACC to the High Court and got the decision reversed.