Winter/2006 Letter From the President p.2 Research p.6 Chapter Programs p.10 Development p.15 Dates to Remember p.23 Self Help p.22 Visit our website at www.kynmss.org How to appeal when your health plan refuses your claim by Kimberly Calder, MPS, Manager, Health Insurance Initiative ou or your the treatment in queshealth-care tion, or the coverage is provider filed unclear, or your denial an insurance claim; it notice says the item or bounced back to you service is “not medimarked denied. What cally necessary”, it is to can you do? If you beyour advantage to try lieve the service, device, an appeal. treatment, or medication you received Carefully review should have been the explanation covered, you can and of benefits (EOB) should appeal. Read the EOB form, the official response Many people don’t pursue their apto your claim the company sent you. peal rights because they don’t believe Make sure you understand the reason they can win. But when done correctly, you were denied coverage or why you over half of all appeals are ultimately were reimbursed less money than you awarded in favor of the insured person. expected. The explanations often appear Start by reviewing your plan manual as codes on the front of the form, with to make sure what you thought would be explanatory notes at the bottom or on covered really is. It’s not unusual for peothe back. ple to discover that a medical service or • Is there a simple explanation, such as treatment is not covered by their policy. the claim is a duplicate? If something is specifically excluded from the written policy, the chances of win• Is there a mistake in the billing code, ning coverage for it on appeal are slim to patient identification number, date of none. service, or the like? Call your insurer But if the policy does not mention with the correct information. Y (continued page 14) WINTER2006 502-451-0014 or 1-800-FIGHT-MS Publication of the National Multiple Sclerosis Society (Kentucky-Southeast Indiana Chapter) Chairman Mark Carter T he Holiday Season has come and gone. A new year begins with hopes and dreams for a cure for MS and better treatments to help improve the quality of life of those affected by MS. I want to thank everyone who has contributed to making an every day difference in the lives of people affected by MS. We are looking at new and exciting ways to contribute even more to this effort. I hope that you will join with us as we share these developments with you over the coming weeks and months. Vice Chairman Don Gerard, Jr. Treasurer David Kottack Secretary Jeff Norton Chapter President Douglas Dressman Newsletter Editor Kelley Reeves Studies show that early and ongoing treatment with an FDA-approved therapy can reduce future disease activity and improve quality of life for many people with multiple sclerosis. National MS Society medical advisors recommend that people with MS talk with their health care professionals about taking one of these medications and about strategies and effective treatments to manage their symptoms. If you or someone you know has MS please contact the National Multiple Sclerosis Society today at www.nationalmssociety.org or 1-800-FIGHT-MS to learn about ways to help manage multiple sclerosis and about current research that may one day reveal a cure. The National Multiple Sclerosis Society is dedicated to ending the devastating effects of MS. Letter from the president One new effort of the Kentucky-Southeast Indiana Chapter is to participate in the National MS Society College Scholarship Program for the first time. Information on the scholarship program is available on page 18. We are both encouraging applications to the program and donations to support our ability to award scholarships. As always, I encourage you to feel free to email me at [email protected], call me at 502-451-0014 or 1-800-FIGHTMS, option 2, ext. 223 or write to me at the Chapter office, 11700 Commonwealth Drive, Suite 500, Louisville, KY 40299, if you have any questions, suggestions or comments regarding the work of the Chapter or the National MS Society. Thank you for your continued support and involvement. Sincerely, Douglas C. Dressman Chapter President © 2006 The National Multiple Sclerosis Society, Kentucky-Southeast Indiana Chapter Toll-Free Number: 1 800 FIGHT MS W E L L NESS Keeping Stress in Check I “Stress is usually in response to some event in the environment,” Dr. Mohr said. “Anticipating and planning for potentially stressful events can take much of the pressure off and keep stress at bay.” Dr. Miller agreed. “If you’re overwhelmed with tasks, delegate work to others. Even money worries can be reduced by getting help with financial plan- Bill Stanton s your body trying to tell you that you’re too stressed out? Common signs of unhealthy levels of stress include constantly feeling irritable or resentful, being easily distracted, or short and shallow breathing. “You find it difficult to concentrate, and you may feel jumpy or easily agitated,” said Deborah Miller, PhD, director of Comprehensive Care at the Cleveland Clinic Mellen Center for MS. “You may not be able to manage things you’re used to dealing with every day.” Too much stress David Mohr, PhD, an associate professor in the departments of Psychiatry and Neurology at the University of California, San Francisco, is an expert in MS and stress. He analyzed and reported on 14 studies on MS and stress for the March 19, 2004 British Medical Journal. “It’s still unclear if stress causes MS exacerbations or if it’s just a statistical association,” Dr. Mohr said. “But we know too much stress takes a toll.” Dr. Miller agreed: “Stress can increase blood pressure. The sooner you pinpoint the source of stress and reduce it, the less likely it is to worsen.” Stress-busting tips Dr. Mohr breaks stress-reduction into three categories: • Controlling your environment. ning.” • Adjusting your perceptions. “How you interpret an event can strongly determine your response to it,” Dr. Mohr said. “It’s good to stop and think through things, to consider whether something is as bad as it might seem, or if your response is mostly emotional.” “When you’re really stressed, you may not be able to see the parts for the whole,” Dr. Miller said. “Locating specific concerns that you have and then thinking through them one at a time may relieve stress.” • Taking care of your body. Dr. Mohr advises people to learn how to calm the body down—through yoga, meditation, or relaxation exercises. “The more you practice these disciplines, the better you get at them,” he said. Read more about stress and what you can do in the Society’s booklet Taming Stress in MS. Call us at 1-800-FIGHT-MS and ask for a copy, or read it online at nationalmssociety.org/Brochures-TamingStress1.asp. Visit our website at www.kynmss.org WINTER2006 NE W S MEDICARE PRESCRIPTION DRUG BENEFIT UPDATE A ccording to a recent USA Today/ CNN/ Gallup survey, more than half of Medicare beneficiaries do not understand the new Medicare Rx drug benefit. Just a reminder, there are a number of resources to guide you. Enrollment Information • www.medicare.gov has tools to help you decide about coverage, select an Rx plan, and find the nearest location for personal assistance. General Information • Medicare & You 2006 handbook was sent to every Medicare household. If you haven’t received one, call 1-800MEDICARE. • If you are eligible for the low-income subsidy, be aware of an error in the Medicare & You 2006 handbook. It incorrectly states that all plans available to low-income beneficiaries will charge no premium. About 40% will not charge a premium. Check carefully. National MS Society Resources • 1-800-MEDICARE will connect you to a person who can answer questions. • Medicare Rx News on the nationalmssociety.org home page will direct you to the most current information. • Medicare Rx Connect, www.maprx. info, has a useful FAQ section on eligibility, enrollment, and costs. • MS Learn Online about Medicare Part D, “Understanding the Facts, Understanding Your Options,” premieres The following Corporate Stars have demonstrated a significant commitment of financial support, expertise, public awareness and volunteer support to the Kentucky-Southeast Indiana Chapter in our efforts to end the devastating effects of MS. Berlex Publisher’s Printing Biogen Scheller’s Fitness and Cycling Fischer’s Meats Serono/Pfizer GE Teva Neuroscience Kindred Healthcare Toyota Motor Manufacuring, Kentucky, Inc. Mac Construction and Excavating, Inc. Power Creative Toll-Free Number: 1 800 FIGHT MS UPS NE W S December 1, 2005, at 8:00 a.m. ET. To join the Webcast, or to view it after December 1 in the archives, go to nationalmssociety.org/mslearnonline. • Call us at 1-800-FIGHT-MS (1-800344-4867) if you have questions or if problems arise. TYSABRI UPDATE Safety and final trial results from studies of Tysabri (natalizumab) for use by people with MS were presented to the FDA for evaluation in early fall by Biogen Idec and Elan Corporation, Tysabri’s sponsors. This raises the possibility that the drug may return to the market. Tysabri was suspended last February following the diagnosis of PML (progressive multifocal leukoencephalopathy) in two people being given both Tysabri and Avonex. According to the companies, there have been no new cases of PML confirmed in people with MS. See our Web site for detailed information (keyword Tysabri) or call us for a paper copy. The FDA would like to hear from people with MS about Tysabri. Tel: 888-INFOFDA; e-mail: [email protected]; mail: Office of Special Health Issues, FDA, HF-12, Room 9-49, 5600 Fishers Lane, Rockville, MD 20857. KNOW YOUR NAbs One of the more controversial debates about MS therapies concerns neutralizing antibodies—NAbs for short. Antibodies are immune system proteins, which the body naturally creates to fight off foreign substances, such as viruses and bacteria. Some people taking Avonex, Betaseron, or Rebif—the three interferon-based disease-modifying MS drugs—develop a form of antibody to these drugs. Scien- tists call them “neutralizing” antibodies because they can sometimes interfere with, or neutralize, the effects of the interferon. NAbs potentially render the drug less effective. Not everyone taking an interferon develops NAbs, and some who develop NAbs continue to do well on their interferon. Copaxone (glatiramer acetate) is a different type of drug, and the antibodies that develop in response to it do not appear to have any clinical significance. What is known about NAbs Neutralizing antibodies typically develop a year to 18 months after a person has begun treatment. NAbs occur least often in people taking Avonex, but researchers do not know if this is because Rebif and Betaseron are taken more frequently, or if the difference is related to the ways the drugs are made, the dosage levels, or the routes of delivery. (Avonex is injected into muscle; Rebif and Betaseron are injected just under the skin.) Conclusions Some people continue to do well in spite of testing positive for NAbs, and decisions about treatment should be based on how well a person is doing, rather than on whether a person has tested positive for NAbs. A change to the noninterferon medication (Copaxone) might be considered in someone whose disease remains active and who then tests positive for NAbs more than once. People concerned about NAbs should read the Society’s clinical update at nationalmssociety.org/Clinup-Antibodies. asp (or call us at 1-800-FIGHT-MS to request a copy) and discuss these matters with their health-care professional. Visit our website at www.kynmss.org WINTER2006 R e s e a r c h Zeroing in on pregnancy and MS I t’s been said that the best treatment for MS is pregnancy. A woman with relapsing MS will experience significantly fewer MS relapses during a pregnancy. The reduction can be higher than the results of a disease-modifying drug (Betaseron, Copaxone, Avonex, or Rebif). than one member has MS may want to discuss the potential for increased risk with a genetic counselor. If you have questions about having children, call us for a list of specialists in this area. Does recent research offer new insights? Taming the postpartum flare Suzanne King and her daughter, Sara Some studies show a spike in the number of relapses during the first six months after childbirth. Then, a woman’s MS tends to return to her pre-pregnancy pattern. Many studies confirm that pregnancy has no long-term effect, either good or bad, on the course of the MS. Potential parents need to plan for the unpredictability of MS. Losses in ability require adaptation and almost certainly some extra help. For most people with MS, the risk of having a child who will develop the disease is well within the limits of “normal” risk. But people in families where more Gammaglobulins Post Pregnancy in MS: A multicenter study in Europe looked at the effects of two different doses of immuno-globulins, given intravenously (IVIG). These are blood-derived antibodies believed to moderate the immune system. The 163 women in the study received IVIG within 24 hours of birth and then once a month for six months. Irrespective of the dose, the treated women had no increases in expected relapses during the six months. Pregnancy in MS Study (PRIMS): Data from this 1998 study of 227 women were analyzed for factors that might predict relapses in the first three months after childbirth. They found a trend, but not very powerful evidence: Women who had the most relapses before pregnancy had a slightly increased chance of a higher number of relapses after their babies were born. Analysis failed to find any significant connections between relapses and breastfeeding, epidural anesthetic during labor, age at pregnancy, age when MS developed, length of time the woman had had MS, number of previous pregnancies, or the sex of the baby. Both these studies need to be confirmed by other studies. IVIG treatment is considered experimental. (continued next page, bottom) Toll-Free Number: 1 800 FIGHT MS M A N A G IN G MS If you are new to MS… W hat do you do now? The National MS Society has many resources for you and your family to explore. Here are some suggestions on where to begin. Knowledge Is Power is a free education program of 8 weekly mailings sent to your e-mail or postal address on such issues as treatment options and the impact of MS on the family. Sign up online at nationalmssociety.org/Knowledge, or call us. We want to be your mainline to services. Our offerings include physician referrals and self-help groups. Our Web site houses more than 3,000 pages of up-to-date information on MS. For easy access, click on the words “Site Map”, located in the upper-right corner of every page, just beneath the search icon. To network with others, there are chat rooms and message boards. Sign up at nationalmssociety.org/chat.asp. Brochures and other publications are all available on the Web site. The Newly Diagnosed page at nationalmssociety. org/NewlyDiagnosed links to brochures on topics ranging from MS drug treatments to choosing a health-care provider. If you don’t have Web access, call us. Publications for families are also on this page. Click on the icon for Teen InsideMS, our quarterly Webzine by and for teens affected by MS. For younger kids, Keep S’myelin is available in print and as an interactive Web site. The icon will take you there. And if you’d like someone to talk to or to be added to the chapter’s mailing list, call us at 1-800-FIGHT-MS (1-800344-4867). This is why we’re here. Zeroing in on pregnancy and MS (continued) Safety of disease-modifying Pregnancy registries The FDA has asked the pharmaceutical drugs in pregnancy EMPATIE Study on Pregnancy and MS Therapies: Researchers reviewed the records of 36 pregnancies in women who had been taking interferon beta. All stopped the drug for the duration of pregnancy, but 8 pregnancies were unplanned. These women took their medication for 2–3 weeks before becoming aware of their condition. The others stopped before the pregnancy occurred. The rate of miscarriage (25%) was identical in both groups. companies that sell interferon-based MS drugs to track pregnancy experiences. Ask your health-care provider or call for information. Participation is voluntary and strictly confidential. And important for future knowledge. Avonex Pregnancy Registry: 800-8110104 Rebif Pregnancy Registry: 877-447-3243 The Betaseron Pregnancy Registry was being evaluated by the FDA at press time. Visit our website at www.kynmss.org W A Y S TO FIVE TIPS FOR YEAR-END GIVING Like most people, you probably do the majority of your charitable giving toward the end of the year. Income tax laws make this the “season of giving” for personal and charitable gifts. This year, donors may take a 100% tax deduction for all contributions to eligible charities—such as the National MS Society— made between August 28 and December 31. The Katrina Emergency Tax Relief Act is not restricted to hurricane relief; it is meant to encourage relief of all kinds. We hope these tips help: 1. Calculate your income. Take the time to do some planning while you still have the opportunity to make a year-end charitable gift. If you will owe more taxes this year, you may want to create a larger charitable tax deduction for yourself by increasing your giving before December 31. Our response to the hurricanes of 2005 In September, as the scope of devastation wrought by Katrina became clear, we created a dedicated page on our Web site, nationalmssociety.org/hurricane, to provide resources and information to the MS community. It includes updated information on local resources, referrals, prescription and over-the-counter drugs, Medicare, Medicaid, and more. If you know someone with MS who has been affected by this year’s hurricanes, please help us help them. Let them know that information about how to get help is available at the URL above. WINTER2006 G I V E 2. Talk to your advisor(s). Before making any significant gift to the Society have your CPA, attorney or other advisor determine the impact of your gift on your income tax return and estate. The Society encourages you to give prudently, joyfully, and generously. 3. Do your giving early. This is especially true for gifts of noncash assets (stock, real estate, etc.) or for life-income gifts (gift annuities, trust arrangements, etc.). Your professional advisor(s) and the Society’s Gift Planning Office will appreciate helping you avoid the end of year rush with early gift activity. 4. Review your stocks. Look at the appreciated stocks you have held for more than a year. It may be prudent for you to make your year-end gift using appreciated stocks and avoid capital gains tax in the process. By giving the stock to the Society and allowing us to sell it, you also get a charitable deduction for the full value of the stock, just as you would with gifts of cash. 5. Consider a charitable gift annuity The Society offers charitable gift annuities, providing you with guaranteed payments for your life as well as current tax benefits. Our gift annuity administrator can provide confidential personalized material to assist you and your advisor(s). For more information, contact our Gift Planning Team toll-free at 1-800-9237727 or read more about making a special gift through our Web site at nationalmssociety.org. Click on “Donate” and then “Guide to Giving”. You can also contact this chapter by dialing 1-800FIGHT-MS. Toll-Free Number: 1 800 FIGHT MS A SK MS K NO W - IT - A L L Dear MS Know-it-All: I’ve been married for three years and was diagnosed with MS about a year ago. My husband and I have always had a loving and healthy marriage. However, since being diagnosed and meeting others with MS whose spouses have left them, I have become increasingly worried about what my marriage will look like if my MS progresses. It seems to me as though a lot of people who have MS get divorced. Is this true? How can I help ensure that my marriage won’t fall apart too? Signed, Married and Still in Love Dear Married: Having a chronic illness can put strain not only on the person who is ill, but on the entire family as well. Now you not only have to navigate all of the normal marital issues, you may also be faced with additional concerns over money due to medical bills, fatigue that prevents you from doing things you did before, and possibly even feelings of guilt that your marriage doesn’t look the way it once did. However, not all marriages end in divorce and not all partners’ leave when the going gets rough. You trusted your partner enough to marry him. Now you must trust your partner enough to believe that he loves you unconditionally and will be there to help you through the bad times and laugh with you through the good times. Two-way communication is key to having healthy and long-lived marriages. If you are struggling with some new symptom, talk with your partner about the challenges it may be bringing you. Perhaps, he will not only be able to listen, but to also provide you suggestions on how to cope with the changes. In the end not all marriages, regardless of a chronic illness, are built to last. If you begin to feel that your partner is not meeting your emotional needs, or find yourself truly unhappy, it may be time to consider your options. Perhaps marriage counseling would be helpful in working through your differences. Above all, please remember that is never okay for your partner to emotionally or physically abuse you. Should you ever find yourself in that situation it is definitely time to get out. If you currently live in an abusive situation, please call 911 or the National Domestic Violence Hotline at 1-800-799-SAFE for help. The Kentucky Domestic Violence Association has an excellent website: www.kdva.org that identifies what domestic violence looks like, how to report it, and what your rights are under the law. The Indiana Coalition Against Domestic Violence, maintains a website that pertains to Indiana laws at www.violenceresource.org/ home.htm. Send your questions to MS Know It All National Multiple Sclerosis Society Kentucky – Southeast Indiana Chapter 11700 Commonwealth Drive Suite 500 Louisville, KY 40299 Fax: 502-451-9747 Visit our website at www.kynmss.org C h a p t e r WINTER2006 P r o g r a m s My Favorite Resource By: Sonya Sandridge, Director of Chapter Programs I f you have ever called the Chapter office looking for information about MS such as the latest research or information regarding a “cure” you heard about from your cousin Millie, have you ever wondered how the staff gets answers to the questions you ask? Many times we can find the answers in our nationwide database, but sometimes the questions stump even us. When that happens, we are able to turn to my newest favorite resource—the Information and Resource Center (IRC). The IRC is a marvelous technological advance that has helped to bring the National Multiple Sclerosis Society into the twenty-first century. It is comprised of 20 Information and Referral (I&R) Specialists who are trained to know everything there is to know about MS, as well as a host of other things such as Medicare, Medicaid, insurance issues, employment issues, and SSDI. The IRC is part of the National Multiple Sclerosis Society and is housed in Denver, Colorado. All of the I&R Specialists are Master’s level college graduates with expertise in the many facets of life with MS. The best part is, you too now have access to the specialists! In our continued quest to bring you the absolute best services and most reliable information, the Kentucky-Southeast Indiana Chapter is joining a growing number of other chapters in making the switch to the IRC centralized call center. Anytime you need information, or referrals to a local resource, all you have to do is pick-up the phone and dial 1-800FIGHT-MS and press the number 1. Your 10 call will be answered by one the highly trained and well respected I&R Specialists. This will also enable the program staff at the Chapter to be out in the communities growing resources to help you during your time of need. We want to ensure that we have enough neurologists on our referral list to meet the needs of folks in Kentucky and Southern Indiana. We want to ensure that we are looking under every possible rock to locate financial assistance for those who need it. We want to ensure that we are doing everything possible to get exercise programs, such as aquatics and yoga, in as many communities as possible. And as always, we want to ensure that you are receiving top-notch service every time you call for information. Making this switch will help us to do all of this and more. Doug Dressman, Chapter President, said of the switch to a centralized call center, “This is an exciting time for the Kentucky–Southeast Indiana Chapter! The Programs Director and Manager in our office have worked relentlessly to manage I&R calls and coordinate the additional programs we offer. The IRC will allow the staff added time for growth in local programs delivery, and will assure continued customer service and accurate information to our clients.” So the next time you are looking for answers to your questions about MS, call 1-800-FIGHT-MS and let the experts help you! Toll-Free Number: 1 800 FIGHT MS C h a p t e r P r o g r a m s Upcoming Couple’s Retreat P lease join Baptist Hospital East MS Clinic, Dr. Stephen Kirzinger and Len & Cheryl Chatman for a Couple’s Retreat on March 3 and 4, 2006. This is an overnight retreat at the Louisville Marriott East for couples. This retreat is designed to offer couples the tools to: approach MS as a team, discover a sense of power over your MS, enhance your interpersonal communication and renew commitment in your relationship. This unique retreat is being presented by Len & Cheryl Chatman. The Chatman’s have been married 20 years and have a personal connection to multiple sclerosis. Cheryl was diagnosed with the RRMS in 1990. Her husband Len, a marriage enrichment specialist, takes an active role in helping his wife manage MS and has developed a passion for reaching out to carepartners. Together the couple’s main goal is to inspire others to see MS as an obstacle that can be overcome. To register for this program, please contact Baptist Hospital East MS Clinic at 502-896-7695. The cost for this program is $15.00 per couple, which includes overnight accommodations. Space is very limited. The program will begin on March 3, 2006 at 6:00 pm and conclude on March 4, 2006 at 3:00 pm. The Kentucky-Southeast Indiana Chapter of the National Multiple Sclerosis Society is announcing this program as a courtesy to you. We wish to inform you of this educational opportunity. However, we want to be clear that the Kentucky-Southeast Indiana Chapter is not offering or sponsoring this program. The Society has had no role in developing the content of this program. Should you choose to participate, you must register through Baptist Hospital East MS Clinic. Her Sports magazine T he Kentucky-Southeast Indiana Chapter of the National MS Society has teamed up with Her Sports magazine to bring our members and event participants another opportunity to raise money in the fight against MS. Her Sports magazine provides training plans plus fitness, health, nutrition, travel and gear information designed for women who enjoy being active, no matter their age or experience level. This collaborative effort will help keep you or your loved ones motivated and active throughout the year, all while raising money in the fight against MS. For each subscription sold using the code QMSS26, Her Sports magazine will give $5 back to our local chapter. QMSS26. So go to www.hersports.com and click on the “subscribe” button and enter code Visit our website at www.kynmss.org 11 C h a p t e r WINTER2006 P r o g r a m s Advocacy Moment T Changes to Kentucky Medicaid May Affect You Too! he Kentucky Medicaid program is going through changes that could affect you or your loved ones that rely on this state service. On November 19, 2005, staff from the Chapter Office attended a meeting of the Pharmacy and Therapeutics Advisory Committee that reports to the Medicaid Oversight Committee. On the agenda, was a review of policy concerning the four disease modifying drugs, Avonex, Betaseron, Copaxone, and Rebif used to treat multiple sclerosis. The options the committee was to review and approve stated that all disease modifying therapies should be, “considered clinically equivalent in effectiveness and safety. That patients should be prescribed the most cost effective disease modifying therapy available or if not, the patient would be required to have prior authorization through Medicaid in order for their therapy to be covered.” The MS Society requested time on the agenda to make a statement against basing a patient’s MS therapy on economic evaluation. An excerpt from the Chapter’s intended presentation follows: “It is the position of the National Multiple Sclerosis Society that patients with a diagnosis of definite MS, be offered the presently available disease modifying treatments. Since the approved agents are not equivalent therapies, it is important that all agents be equally available to the physicians managing MS patients. These drugs are not as they say, “One stop shopping”. In fact it is absolutely false to say that all MS disease modifying therapies are clini12 cally equivalent in efficacy and safety. Furthermore requiring preauthorization for these medicines substantially limits their availability to those with MS. There are a limited number of neurologists with the expertise and desire to treat persons with MS in Kentucky. This is due to the low rate of reimbursement by Medicaid, Medicare and private insurance as well as by the considerable time investment needed to properly treat an MS patient. Requiring preauthorization places undue hardship and burden on both the Medicaid recipient and treating neurologists. We simply cannot afford to discourage existing and future neurologists from treating the MS population.” Unfortunately, due to a full agenda, the committee meeting ran over and the discussion on the disease modifying therapies has been rescheduled for the January 19th meeting. Chapter staff is planning to be there, as well as representatives from the Louisville Comprehensive MS Center, and representatives from each of the pharmaceutical companies. We would love to see you there too. If you are interested in making a statement to the committee, concerning these limits to the disease modifying therapies, please contact Christopher Stewart at [email protected] to request five minutes on the agenda. Or write to your state representative and let them know how these knew limits would affect you and your family. For more information on getting involved with advocacy in your area, contact the chapter at 1-800 FIGHT MS. Toll-Free Number: 1 800 FIGHT MS D e v e l o p m e n t Renowned Author, Jacquelyn Michard, Featured at Third Annual WAMS Luncheon D on’t miss our Chapter’s third annual Women Against MS Luncheon featuring New York Times best selling author Jacquelyn Mitchard. The luncheon, scheduled for Thursday, Feb. 16, 2006, will be held from 11:30 am – 1:30 pm at The Olmsted in Louisville. Two thirds of the people living with MS are women, and women are often the care providers for everyone else. The WAMS luncheon creates an opportunity to empower each other to create a better future for those living with MS today and those who haven’t yet been diagnosed. In her most recent novel, The Breakdown Lane (HarperCollins Publishers, April 2005), Mitchard provides a sensitive and realistic portrayal of the challenges that can arise when MS is introduced into a family. The author is an advocate for the National MS Society, and speaks throughout the US to raise awareness for MS and to dispel misconceptions about the disease. Mitchard is the author of the number one New York Times bestselling novel, The Deep End of the Ocean - chosen as the first book for Oprah Winfrey’s Book Club. She subsequently wrote five other novels, The Most Wanted, (1998) A Theory of Relativity, (2001), Twelve Times Blessed (2003), Christmas, Present (2004) and The Breakdown Lane. The film version of The Deep End of the Ocean, starring Michelle Pfeiffer and Whoopi Goldberg, was released in March 1999. Tickets for the luncheon are $100 each and $1,200 for a corporate table of 10. If you are interested in purchasing tickets, a corporate table or serving as a table captain, please call the Chapter office at 502451-0014 or 800-FIGHT-MS ext 231. Buy Your MS Band of Hope Today! - $1 T soon we will find the cause and cure for multiple sclerosis. Give them to family, friends and coworkers. Join together to give hope that All proceeds from the sale of the MS Band of Hope benefit the National Multiple Sclerosis Society and our mission to end the devastating effects of MS. he MS Band of Hope is an opportunity for you to share the MS cause with others. One side of the band is embossed with the word “HOPE” and the other side with the National MS Society’s web address. Visit our website at www.kynmss.org 13 MONE Y WINTER2006 M A TTERS How to appeal when your health plan refuses your claim (continued) tion, could be invaluable. If your doctor Follow your plan’s rules for thinks a delay in the treatment or therapy appeal If your claim seems in order, the next step is to understand your plan’s Appeal Procedures. Look in your manual. (It may be listed under “Grievances and Appeals”.) Follow the procedures carefully, especially the deadlines—and these guidelines: • Write a letter providing the facts and a concise explanation of why you believe your claim should be paid. Be business-like, not emotional. • Keep your letter to one page, but be sure to include your insurance ID number, the specific claim number (if applicable), the name and contact information of your health-care provider, and date of service (if applicable). • Keep copies of your letter and appeal form. Keep records of all interactions with your insurer, including names of company representatives you speak with on the phone and relevant dates. Keep copies of claims, bills, letters, attachments—anything the company sends you. Involve your health-care provider Discuss your appeal with your healthcare provider and ask for his/her active support. Send your provider copies of your appeal letter(s) for his/her records and to make sure you don’t duplicate efforts. If the dispute is over the necessity or value of a service or treatment, your health-care professional’s support in the form of a letter about your condition, which refers to scientific studies supporting the benefit of the treatment in ques14 would pose a danger to your health or result in your inability to regain functions, you should request an “expedited or accelerated review”. Expedited reviews typically cut the appeal review time down to 2 or 3 days. We can help your health-care professional Call our program director if the dispute is about the medical necessity of specific drugs, rehabilitation therapy, wheelchairs, scooters, or other durable medical equipment. The Society has prepared a “tool kit” of successful appeal letters, with references to relevant medical research, for your professional to use. The letters are on a CD, enabling busy practitioners to upload materials to a computer, and personalize an appeal in a matter of minutes. We will send a copy on request. What else can the National MS Society do? The home office produces “Expert Opinion” papers and other professional reports describing the use and value of various therapies in the diagnosis and management of MS. These are available on nationalmssociety.org, under the section For Professionals. Feel free to provide them to your insurance administrators and your health-care professionals. Follow up! If your appeal is denied, go to the next level. A second appeal won’t happen automatically. You need to communicate your desire for a second-level appeal to Toll-Free Number: 1 800 FIGHT MS MONE Y M A TTERS your insurer on the phone and in writing. This will be another “internal” appeal conducted by the company, but it will involve a re-consideration of your claim by higher-level professionals. If your second appeal is denied, you may be eligible for an “external review” by health professionals who are not affiliated with your insurer. Contact your insurer again to find out if you are eligible. If you are, you will need guidance on external review procedures. We’ll try to find someone to help you. For more information on health insurance, go to nationalmssociety.org, click on “Living with MS”, then “Life Planning and Independence”, then “Health Insurance and Medicare”. There you will find insurance FAQs, COBRA and HIPAA information, drug facts, and more. If you don’t have access to the Internet, call us at 1-800-FIGHTMS with your question and we’ll print out material and send it to you by mail. HOT OFF THE PRESSES The National MS Society has awarded $15.6 million, the largest amount in history for research to protect and reverse nerve damage in people with MS. Four teams are funded to lay the groundwork for clinical trials of novel agents over the next five years. These awards are part of the Promise 2010 Campaign, a nationwide effort to raise $30 million for targeted MS research and care. Learn more at http://www.nationalmssociety.org/ Research-TargetedRepair.asp Interested in volunteering? WE NEED YOUR HELP! If you would like more information on our Classifieds: volunteer opportunities, 1999 - van - (town& country), LXI V 6,w/ electronic chair lift. GREAT SHAPE and well maintained $12,000 / OBO call (270)365-2841 or (270)360-8415 contact the chapter at 502-451-0014 or 1-800-FIGHT-MS option 2. Visit our website at www.kynmss.org 15 WINTER2006 D e v e l o p m e n t SAVE THE DATE FOR THE KENTUCKY MS WALKS E very hour of every day, someone is diagnosed with MS. This is why we walk. The 2006 MS Walks will be here before we know it and we look forward to your participation! Now is the time to register, recruit a team and start collecting contributions. Your participation is very important to our chapter. The MS Walk is a significant part of the National MS Society’s efforts to fund services for people with MS and research that will one day lead to the end of this disease. It is only with your support that we can continue to make tremendous strides in the fight to end the devastating effects of multiple sclerosis. We can’t do it without you! So, choose a site and we will send you all the information you need to make the 2006 MS Walks the best ever! • April 15 Louisville, Waterfront Park Lexington, Kentucky Horse Park • April 22 Paducah, Noble Park •Sept. 9 Morehead, Don Greenhill City Park Columbia, Columbia Baptist Church •Sept. TBA Bowling Green Elizabethtown Three ways to register for the 2006 MS Walks: 1. Visit our website at www.kynmss.org 2. Fill out the included registration form and mail/fax it today! 3. Call 502-451-0014 or 1-800-FIGHT MS option 2. Register by Wednesday, February 1 and receive a free MS Walk stationary pad! 16 Please complete this form (print please) & return by fax or mail to address on back page of newsletter! Name:_______________________________ Email: ______________________________ Please send Walk related materials via email to help the Chapter save money on postage Employer: _____________________________ Title: _____________________________ Address: _____________________________ Home Work City: _________State: ____Zip: __________ Phone: (W)______________(H) ___________ Fax: ________________ Please select your preferred Walk site: April 15, 2006 Louisville/Waterfront Park Lexington/Ky. Horse Park April 22, 2006 Paducah/Noble Park September 9, 2006 Morehead/Don Greenhill City Park Columbia/Columbia Baptist Church Team Name: _____________________________ Team Captain: ______________________________ Team Type: Friends/Family Corporate Club/Organization Place of Worship School I am interested in forming a team-please contact me. (A team consists of 4 or more walkers.) Yes! My company has a matching gift program. T-shirt Size: Medium Large X-Large XXL Date of Birth: ___/__/________ MM/DD/YYYY Please send me the following: _____ (#) of brochures Information on MS and the MS Society A press release for my corporate newsletter Information about volunteer opportunities I am unable to form a team this year, but enclosed is my donation of $_______ Toll-Free Number: 1 800 FIGHT MS D e v e l o p m e n t Meet the Challenge. Make A Difference O Register Online today www.kynmss.org n June 3 & 4, hundreds of cyclists will take to the back roads of Kentucky for the eighteenth annual Toyota MS 150 – bike the bluegrass. The signature fundraising event is part of the nation’s largest premier cycling event and online registration makes it easy to participate. writer for Kentuckiana HealthFitness. This exciting 150mile two-day expedition that starts and ends at the Toyota Plant in Georgetown, takes serious and recreational riders on a journey through the breathtaking countryside of the bluegrass. The overnight head“Greatness. It comes from putting aside quarters will once reasons why you can’t ride to find the reasons again be in Danville, why you can.” Already meeting which will boast new the challenge for the food and entertain2006 tour is Toyota Motor Manufacturment options this year. ing Kentucky, Inc., as they once again Participants can register for $25 before have signed up to be our title sponsor. Also joining our efforts to end the February 1. Each rider is asked to raise devastating effect of multiple sclerosis a minimum of $200 with incentives for is Kirby Adams, who recently agreed to various levels of advanced fundraising. serve as the 2006 Toyota MS 150 honorRegistration is available online at www. ary chair. Adams is a consumer reporter kynmss.org or by calling 502-451-0014 and anchor for WHAS-11, co-host of or 1-800-FIGHT-MS, option 2. WFPL’s Health Works and a contributing FIGHT MS Kroger Card I magine that every time you buy food for your family or need a special gift for a friend or employee, that you are also helping to find the cause and cure of multiple sclerosis! Purchase a FIGHT MS Kroger Card today! Call the Chapter Office at 1-800-FIGHT-MS. Get Your MS Connection Via Email Send an email to [email protected] Visit our website at www.kynmss.org 17 WINTER2006 D e v e l o p m e n t APPLICATIONS FOR 2006 SCHOLARSHIP PROGRAM NOW AVAILABLE A pplications for the 2006 National MS Society Scholarship Program, which provides financial relief for people affected by MS who are entering their first year of post-secondary education, are now available. This is the fourth year of the Society’s rapidly growing scholarship program. In 2005, 88 awards totaling $207,000 were given nationwide to people with MS or their children entering an accredited post-secondary educational program. Awards are based on financial need, academic record, and a personal essay discussing the impact of MS. The non-renewable scholarships range from $1,000 to $3,000. In addition, the Society will award the Mike Dugan Scholarship – named in honor of the Society’s former CEO, this special scholarship is a fouryear scholarship totaling $10,000. This was established in 2004 and is awarded annually to the top scholar applicant. The scholarship fund is supported by donations from individuals at chapters across the country as well as national foundations. “We know so many families are struggling to cope with the financial impact of MS,” says Doug Dressman, Chapter President. “This is why we are fighting this frequent side effect of multiple sclerosis – because MS shouldn’t stand in the way of an education.” The National MS Society Scholarship Program is administered by Scholarship America. Scholarship applications will be accepted between January 1 and February 16, 2006. For more information about the National Multiple Sclerosis Society, or to receive a scholarship application, call 1-800-FIGHT MS or visit http://www. nationalmssociety.org/Scholarship.asp to download the application or to be directed to your local chapter. If you have specific questions regarding filling out the application, please contact Scholarship America directly at 1-800-537-4180, ext. 471. Memorials and Honorariums Gifts have been given to the Kentucky-Southeast Indiana Chapter of the National Multiple Sclerosis Society in memory and in honor of these individuals from August 1, 2005 to October 31, 2005. Nancy Mayer In Memory William Norton Dr. John Calloway David Sandler Terry Thomas Courtney Nancy Sloan Joe Elkins David Tinkle Winfred Fires Wynne Yates Georgeann Harter Theresa Howard In Honor Comala Howell Doug Anderson Linda Mossberger Isaacs Kentucky Southeast Indiana Chapter Staff William Lenz Kelly Dereeza Velma Hodge Martin 18 Toll-Free Number: 1 800 FIGHT MS D e v e l o p m e n t Kentucky-Southeast Indiana Chapter Announces Staff Addition & Changes T he Kentucky-Southeast Indiana Chapter is delighted to introduce you to our newest staff member, Emily Giffin, development coordinator. A native of Louisville, Emily recently returned to her hometown after graduating from Cornell University and spending a year in Cincinnati. Emily got her start in fundraising for MS when a co-worker in Cincinnati was diagnosed with secondary-progressive MS. When a particularly serious exacerbation left her friend hospitalized and forced her to quit her job, Emily decided to take action. Working closely with the Ohio Valley Chapter and the Cincinnati community, Emily organized A Night for Amy, a benefit dinner, concert, and art auction attended by more than 400 guests (including two Cincinnati Bengals), which raised $10,000 to help alleviate the burden of medical bills. Emily hopes to bring the same kind of energy and creativity to the Chapter. We would also like to welcome a familiar face to the programs department. Beth Bell has taken on a new role in the Chapter, that of programs manager. Beth has served as the information systems manager in the office for the last 3 ½ years, working on keeping our computers and database in tip-top shape. However, when the opportunity arose in October to channel her skills and passion for our mission in a new direction, she was thrilled to accept the challenge. Beth graduated from Western Kentucky University with a BA degree in Print Journalism. Through her experiences working with other non-profit organizations she has accumulated a wealth of knowledge in advocacy issues, communications, and public relations. Beth will be working vigilantly to ensure that the Chapter continues to improve the services we offer and to identify and meet the ever-changing needs of people living with MS in Kentucky and Southern Indiana. With the addition of Emily to Fundraising and Beth to Programs, we hope to be even better at meeting our goals and accomplishing our mission—to end the devastating effects of MS. The National Multiple Sclerosis Society is proud to be a source of information about multiple sclerosis. Our comments are based on professional advice, published experience and expert opinion, but do not represent therapeutic recommendation or prescription. For specific information and advice, consult your personal physician. The National Multiple Sclerosis Society does not endorse products, services or manufacturers. Such names appear here because they are considered valuable information. The National Multiple Sclerosis Society assumes no liability for the use or contents of any product or service mentioned. Visit our website at www.kynmss.org 19 WINTER2006 D e v e l o p m e n t Special Thanks to our Sponsors Congratulations to our MS Champions and Kentucky Champions Darrell Griffith, KY Champion; Dr. Stephen Kirzinger, MS Champion; Dawne Gee, MS Champion; Mary T. Meagher Plant, KY Champion; David Gould, MS Champion; Joyce Nelson, CEO, National MS Society; and Will Wolford, KY Champion Special Thanks to our Patrons & Volunteers Baptist Hospital East Gold Table Sponsors Bronze Table Sponsors Pride Mobility Berlex Committee Members Invacare Teva Neuroscience Norton Healthcare Medical Society Professionals University Neurologists, PSC UofL Department of Medicine Silver Table Sponsors Gould’s Discount Medical Jewish Hospital & St. Mary’s HealthCare Atria Senior Living Group Anthem – Mark Kleiner Teva Neuroscience William Turner Ernst & Young, LLC Biogen Jeff Norton Dr. Mark Langford Nicklies & Company 20 Toll-Free Number: 1 800 FIGHT MS Nancy Moss Kathy Ciresi Yvette Rojas Jeff Norton Keri Jones Shauna Brown Brandi Campbell Brooke Griffiths Carole Lorfing Mary Rucker Jennifer Wilbourn Jane Wilson D e v e l o p m e n t Four Roses Single Barrel Bourbon, represented by Dan Gardner, Southern Wine & Spirits, Patty Holland, Four Roses Bourbon Sales Manager and Jim Rutledge, Four Roses Bourbon Master Distiller, served as the Cocktail Reception Sponsor. Dinner of Champions Committee members Jennifer Wilbourn, Carole Lorfing, Mary Rucker and Keri Jones, greet patrons at registration. Joyce Nelson, CEO, National MS Society, and Chapter Chair Mark Carter, Jewish Hospital & St. Mary’s HealthCare, along with Mary T. Meagher Plant, Kentucky Champion (far right) present Dawne Gee, WAVE3-TV News Anchor, with her MS Champion Medal. Chapter Chair Mark Carter, Jewish Hospital & St. Mary’s HealthCare, Joyce Nelson, CEO, National MS Society, and Darrell Griffith, Kentucky Champion, present Dr. Stephen Kirzinger with his MS Champion Medal. Chapter Chair Mark Carter, Jewish Hospital & St. Mary’s HealthCare, and Joyce Nelson, CEO, National MS Society, along with Will Wolford, Kentucky Champion (far right) present David Gould, Gould’s Discount Medical, with his MS Champion Medal. WAVE3-TV Sports Anchor Kent Taylor served as Emcee for the Dinner of Champions festivities. Visit our website at www.kynmss.org 21 S e l f H e l p Please contact the group leaders to ensure meetings will be held as scheduled. Elizabethtown Multiple Sclerosis Praise and Two Meeting Times Prayer Group Bridge Community Church Lyndon Baptist Church Last Tues of each month 6:30 pm 1st & 3rd Wed each month 1 pm 2nd Mon of each month noon Contact Mary 502-426-4784 Contact Tom 270-360-8415 London Frankfort First United Methodist Church Frankfort Regional Medical 4th Tues each month 7 pm Center Contact Shirley 606-864-5326 Multi-purpose room *Will resume in February nd 2 Fri each month 6:30 pm Contact Michelle 502-223-1306 Madisonville Trover Clinic, 8th Floor Franklin 4th Mon each month 6:30 pm Calvary Baptist Church Contact Carolyn 270-639-5679 1st Mon each month 7 pm Contact Linda 270-598-0669 Morehead St. Claire Medical Center Lexington Room B St. Luke’s United Methodist 4th Tues each month 7 pm Church Contact Judy 606-784-8044 nd 2 Mon of each month 7 pm Contact Leslie 859-269-4036 New Albany, IN Providence Nursing Home Newly Diagnosed Group 3rd Mon each month 6 pm People diagnosed 2 years or less Contact Regina 502-541-8069 Meeting Locations Vary Last Mon of each month 6:30 pm Paducah Contact Jenny 859-263-3643 Western Baptist Hospital 3rd Sat each month 2 pm Louisville Contact Karen 270-247-4064 St. Stephen’s Baptist Church 3rd Thurs each month 7 pm Jellico, TN Contact Chapter Jellico Community Hospital 3rd Mon each month 1 pm Guardian Angel Contact Beth 865-470-9933 Tri-City Self-Help Group 3rd Thurs each month 7pm Harrogate, TN Contact Tonya 502-543-2025 4th Mon each month 7 pm Contact Beth 865-470-9933 Action Alert Action Alert is the grassroots program of the National Multiple Sclerosis Society. Each chapter develops its Action Alert list—a group of people who will quickly and reliably respond to requests for advocacy action. Possible requests for advocacy action might include: writing letters, e-mails, calling and/or visiting elected officials or executive agency staff. All Action Alert members automatically receive the monthly federal and state advocacy updates as well as all federal action alerts published by the advocacy programs department. If you would like to add your name to the Action Alert list, please contact the Chapter at 1-800-FIGHT-MS or [email protected] MS Learn Online MS Learn Online is an internet-based educational program designed to deliver quality information to your computer. To connect to MS Learn Online, go to www. nationalmssociety.org and select “Educational Programs”. To inquire about starting your own group, contact Sonya Sandridge at 800-FIGHT-MS or 502-451-0014. 22 Toll-Free Number: 1 800 FIGHT MS DATES TO REMEMBER New Self-Help Group starting for younger persons with MS in their 20’s, 30’s, and 40’s. First meeting Tues., Jan. 24, 2005. 7 PM Hampshire East Clubhouse on the corner of Timberwood Circle and Yorkwood, located off of Hurstbourne Lane in Louisville, KY Call Tom 502-376-5832 for more information 2006 Women Against MS Luncheon February 16, 2006 The Olmsted, Louisville, KY 2006 MS Walk Louisville April 15, 2006 Waterfront Park 2006 MS Walk Lexington April 15, 2006 Kentucky Horse Park 2006 MS Walk Paducah April 22, 2006 Noble Park 2006 Toyota MS 150 June 3 & 4, 2006 2006 MS Walk Morehead September 9, 2006 Don Greenhill City Park 2006 MS Walk Columbia September 9, 2006 Columbia Baptist Church A q ua t i c E x e r c i s e Glasgow YMCA 1 YMCA Way Glasgow, KY 270-651-7599 Mary T. Meagher Aquatic Center 201 Reservoir Avenue Louisville, KY 502-897-9949 Northeast YMCA 9400 Millbrook Road Louisville, KY 502-425-1271 Baptist East/ Milestone Wellness Center 750 Cypress Station Dr. Louisville, KY 502-896-3900 www.baptistmilestone.com Shawnee High School 4018 West Market Louisville, KY 502-485-7664 Pool is located behind school, next to the football field. Mon-Wed 10-11 am $2/class YOGA Yoga East 1135 East Kentucky St. Louisville, KY 502-585-9642 www.yogaeast.org EXERCISE CLASSES Eastern Kentucky University Moberly 202 Richmond, KY 859-622-1891 [email protected] North Lexington YMCA Mon/Wed 3-4 pm 859-622-1891 [email protected] Visit our website at www.kynmss.org Staying Connected Confidential email reminders about upcoming programs in your area are available by sending an email request to: [email protected] The Friendship Link is a program designed to provide peer support counseling to clients throughout the Chapter area. Volunteers are needed to contact those wishing to talk with clients with similar experiences and provide support. Training will be provided. Here is a rewarding opportunity to: *Make new friends *Give to your community *Help others cope with MS *Volunteer for the MS Society without leaving your home To find out more about the program, contact the chapter at 800-FIGHT-MS. 23 C h a p t e r Doug Dressman Donna Myers Sonya Sandridge Beth Bell Whitney Vogel Michelle Forsting Emily Giffin Jennifer Welscher Kristin Darrow WINTER2006 S t a f f Chapter President Director of Finance Director of Chapter Programs Programs Manager Director of Development Development Manager Development Coordinator Community Relations Manager Office Manager Contact Us National Multiple Sclerosis Society Kentucky-Southeast Indiana Chapter 11700 Commonwealth Drive Suite 500 Louisville, KY 40299 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 502-451-0014 1-800-FIGHT-MS Fax: 502-451-9747 Email: [email protected] www.kynmss.org Publisher’s Printing underwrites all printing costs for the MS Connection. The support this business provides to the Kentucky-Southeast Indiana Chapter of the NMSS ensures our clients will receive timely information and that funds raised will support client services, educational programs, and research to find a cure to end the devastating effects of multiple sclerosis. Kentucky-Southeast Indiana Chapter 11700 Commonwealth Dr., Suite 500 Louisville, KY 40299 Toll-Free Number: 1 800 FIGHT MS NON-PROFIT ORGANIZATION U.S. POSTAGE PAID Louisville, KY Permit # 494
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