For Pain Meds - Documentation To Obtain Whirlpool Spa From Medicare Via Humana Supplemental Policy June 20, 2016 PDF

Stan J.
Caterbone
ADVANCED MEDIA GROUP
Freedom From Covert Harassment &
Surveillance,
Registered in Pennsylvania
1250 Fremont Street

Lancaster, PA 17603
www.amgglobalentetainmentgroup.com
scaterbone@live.com
717-669-2163
June 21, 2016
Humana Correspondence Office
P.O. Box 14601
Lexington, KY 405124601
Re: Purchase and Installation for Whirlpool Bath To Alleviate Back Pain
Dear Claims Department,
On April 22, 2016 a nurse arrived at my home with photo identification for my third party
Medical Matrix health review. The nurse became annoyed and started to harass me. She kept
trying to get me to terminate the meeting without continuing the health review, which I did not
do. In our meeting I discussed my need for whirlpool spa treatments to help alleviate my back
pain. I reported to her that I once had an outdoor hot tub that worked miracles for my back pain
and recently contacted the company that sells and installs the step-in whirlpool spas. She
promised me that she would pass this information along to Humana and they would contact me.
A few weeks ago I called Humana and the customer service representative disclosed that
there was no record of my Medical Matrix Health Review in your records. In addition, I called the
Medicare hotline and they disclosed that it is very likely that you would cover the purchase and
install of a whirlpool spa for my bathroom. Enclosed is my documentation for your review and
considerations for my claim. I have included medical reports, prescriptions of pain medications,
and product specifications. The whirlpool spa that I selected is the only available spa that will fit
in my bathroom. My home was built in 1952 and is a 1000 sq. ft. row home in Lancaster, Pa.
The purchase price is $3,674.00. If need be, I could do the install. Please contact me as
soon as possible with your reply.
Respectfully,
Stan J. Caterbone, Pro Se Litigant

ADVANCED MEDIA GROUP
Freedom From Covert Harassment & Surveillance,
Registered in Pennsylvania
1250 Fremont Street

Lancaster, PA 17603
www.amgglobalentetainmentgroup.com
stancaterbone@gmail.com
717-669-2163
C6032 BW Combination Bathtub | Watertech Whirlpools and Airbaths
1 of 4
http://watertechtn.com/product/c6032-bw-combination-bathtub/
$2,967.00
Humana/Medicare Whirlpool Documentation
Page 1 of 89
June 20, 2016

6/8/2016 3:32 PM
2 of 4
Page 2 of 89
June 20, 2016
Contact us
6/8/2016 3:32 PM
3 of 4
$3,674.00
$4,213.00
$4,083.00
Page 3 of 89
June 20, 2016
Contact us
6/8/2016 3:32 PM
4 of 4
Page 4 of 89
June 20, 2016
Contact us
6/8/2016 3:32 PM
C6032 Elite Combination Bathtub | Watertech Whirlpools and Airbaths
1 of 4
http://watertechtn.com/product/c6032-elite-combination-bathtub/
$3,674.00
Page 5 of 89
June 20, 2016

6/8/2016 3:34 PM
2 of 4
Page 6 of 89
June 20, 2016
Contact us
6/8/2016 3:34 PM
3 of 4
Page 7 of 89
June 20, 2016
Contact us
6/8/2016 3:34 PM
4 of 4
$4,213.00
$4,413.00
$5,055.00
Page 8 of 89
June 20, 2016
Contact us
6/8/2016 3:34 PM
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Case 5:15-cv-03984-JCJ Document 47-1 Filed 05/01/16 Page 29 of 67
Medical
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Humana/Medicare
Whirlpool
Documentation
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20, 2016
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Friday,
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April 22,
20, 2016
Private
Criminal Complaint
re Pain
Meds
Humana/Medicare
Whirlpool
Documentation
17 of 49
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Wednesday, January
June 27,
20, 2016
Private
Criminal Complaint
re Pain
Meds
Humana/Medicare
Whirlpool
Documentation
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June 20, 2016
PRIVATE
CRIMINAL COMPLAINT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF:
Magisterial District Number:
January 27, 2016 at 6:53am
MDJ Name: Hon
COMMONWEALTH OF PENNSYLVANIA
VS.
DEFENDANT:
Address:
NAME and ADDRESS

Telephone:
Southeast Medical Clinic at Brightside Church

Hershey Avenue
Lancaster, PA
17603
Patient First Urgent Care
Butler Avenue
Lancaster, PA
17601
Docket No.:
Date Filed:
OTN:
(Above to be completed by court personnel)
(Fill in defendants name and address)
Notice: Under Pa.R.Crim.P. 506, your complaint may require approval by the attorney for the Commonwealth before it can be
accepted by the magisterial district court. If the attorney for the Commonwealth disapproves your complaint, you may
petition the court of common pleas for review of the decision of the attorney for the Commonwealth.
Fill in as much information as you have.

Defendants Race/Ethnicity
White
Black
Asian
Native American
Hispanic
Unknown
Defendants A.K.A. (also known as)
Defendants Sex
Defendants D.O.B.
Female
Male
Defendants SID (State Identification Number)
Not Available
Defendants Vehicle Information
Plate Number
State
Not Available
Registration Sticker (MM/YY)
Defendants Drivers License Number

State
None Known
I,
Stanley J. Caterbone
1250 Fremont Street, Lancaster, PA
17603
(Name of Complainant-Please Print or Type)
do hereby state: (check appropriate box)

1.
x I accuse the above named defendant who lives at the address set forth above
I accuse the defendant whose name is unknown to me but who is described as
I accuse the defendant whose name and popular designation or nickname is unknown to me and whom I have
therefore designated as John Doe
with violating the penal laws of the Commonwealth of Pennsylvania at Southeast Medical Clinic, Hershey Ave.
(Place-Political Subdivision)
Lancaster, PA
in
17603 and Patient First Urgent Care on Butler Avenue, Lancaster, PA

January 21, 2016
Lancaster County
County on or about
17603
Participants were: (if there were participants, place their names here, repeating the name of the above defendant)
Dr. Theresa Jerrel of Patient First and Douglass Leahman, MD of Southeast Medical Clinic at
Brightside Church, Hersehy Avenue, Lancaster.
Both did refuse to provide adequate medical care
and refuse to prescribe pain medications, the reason for the visits while also HARASSING ME!
AOPC 411A-10
Private
Criminal Complaint
re Pain
Meds
Humana/Medicare
Whirlpool
Documentation
Page 1 of 2
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PRIVATE
CRIMINAL COMPLAINT
Defendants Name:
Docket Number:
2.
The acts committed by the accused were:

(Set forth a summary of the facts sufficient to advise the defendant of the nature of the offense charged. A citation to the statute allegedly violated, without more,
is not sufficient. In a summary case, you must cite the specific section and subsection of the statute or ordinance allegedly violated. The age of the victim at the
time of the offense may be included, if known. In addition, social security numbers and financial information (e.g. PINS) should not be listed. If the identity
of an account number must be established, list only the last four digits. 204 Pa.Code 213.1 - 213.7. )
I have been seen by both Dr. Theresa Jerell and by Southeast Medical Clinic prior to
January 21, 2016 for the sole purpose of continuing my pain medications that were
previously prescribed by Dr. Brian Sullivan of Abbeyville Family Clinic. Dr. Sullivan
prescribed a regime of Naproxen and Hydrocodene, as evidenced on the Lancaster General
Hospital Plastic Surgery Visit Summation of December 11, 2015. Both Dr. Jarell and
Dr. Leahman not only refused to provide pain prescriptions, but the also engaged in
a whosale methodology of harassment akin to torture, given the severity of pain that
I am experiencing.
It is even more concerning that in the summer of 2015 I started this attempt at gaining
pain medications to treat the severity of pain that I am experiencing. It is now,
January
27, 2016 and I am still trying to find a remedy to my pain. On a scale of One to Ten,
as
often asked by the medical community, my pain is at least a ten. My pain gets so bad
that at nights I cannot walk and must use a walker. On several tript to Harrisburg, to
continue my efforts at getting Pennsylvania Legislative Support for my proposed
Anti-Stalking and Harassment Legislation, I had to turn around and go home for not
being able to walk.
The fact that Lancaster General Hospital is an ACTIVE DEFENDANT in an OPEN Case in both
state and federal courts, and considering thier NO TRESPASS NOTICE of 2010 that DENIES
ME ACCESS AND TREATMENT AT ANY LANCASTER GENERAL HOSPITAL AFFILIATED MEDICAL FACILITY
Demonstrates that the only intention is to PROVIDE A MEANS OF DEALING WITH THE
PAIN FROM TORTURE WITHOUT ADEQUATE MEDICAL CARE, WHICH CAN BE CONSTRUED AS ATTEMPTED
MURDER, at some level of the law.
All of which were against the peace and dignity of the Commonwealth of Pennsylvania and contrary to the Act of
Assembly, or in violation of
and to be completed at a later time
(Section)
(Subsection)
of the
(PA Statute)
3.
I ask that process be issued and that the defendant be required to answer the charges I have made.
4.
I verify that the facts set forth in this complaint are true and correct to the best of my knowledge or information and
belief. This verification is made subject to the penalties of Section 4904 of the Crimes Code (18 Pa.C.S. 4904)
relating to unsworn falsification to authorities.
January 27, 2016
/S/ Stanley J. Caterbone
Date
Office of the Attorney for the Commonwealth

(Name of Attorney for Commonwealth-Please Print or Type)
AND NOW, on this date
Signature of Complainant
Approved
Disapproved because:
(Signature of Attorney for Commonwealth)
(Date)
, I certify that the complaint has been properly completed and verified.
(Magisterial District)
AOPC 411B-10
Private
Criminal Complaint
re Pain
Meds
Humana/Medicare
Whirlpool
Documentation
(Issuing Authority)
SEAL
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33
PROTHONOTARY OF LANCASTER COUNTY

Katherine Wood-Jacobs
Prothonotary
George Alspach
Solicitor
STANLEY J CATERBONE
vs.
LANCASTER GENERAL HOSPITAL (et al.)
Case Number
CI-06-03349
PROTHONOTARY DOCKET ENTRIES

04/10/2006
COMPLAINT FILED BY STANLEY J. CATERBONE, PLAINTIFF, PRO SE
04/10/2006
CAPTION ENTRY IS: STANLEY J. CATERBONE (MA) VS LANCASTER GENERAL HOSPITAL, (M7)
ET AL
04/28/2006
AMENDED COMPLAINT FILED BY STANLEY J. CATERBONE, PRO SE. CERTIFICATE OF SERVICE

OF SAME.
04/28/2006
AMENDED CAPTION ENTRY IS: STANLEY J. CATERBONE VS DR. EMILY PRESSLEY, PSYCHIATRIC
DEPARTMENT AND LANCASTER GENERAL HOSPITAL.
05/16/2006
PRAECIPE-ENTER APPEARANCE ON BEHALF OF DEFENDANTS, DR. EMILY PRESSLEY AND

LANCASTER GENERAL HOSPITAL. FILED BY MEGAN R. FORD, ESQ. CERTIFICATE OF SERVICE
OF SAME.
01/12/2007
MOTION FOR CONTINUANCE FILED BY: STANLEY J. CATERBONE, PRO SE. CERTIFICATE OF
SERVICE OF THE SAME.
04/03/2007
JUDGMENT-NON PROS PRAECIPE FOR JUDGMENT OF NON PROS ENTERED AGAINST

PLAINTIFF PURSUANT TO PA.R.C.P. 1037(B), FILED BY STANLEY J. CATERBONE, PLAINTIFF.
04/12/2007
PRELIMINARY OBJECTIONS OF DEFENDANTS TO COMPLAINT PURSUANT TO RULE 1028 (A)(1)

AND RULE 1028(A)(4) OF THE PENNSYLVANIA RULES OF CIVIL PROCEDURE. FILED BY: MEGAN R.
FORD, ESQ. CERTIFICATE OF SERVICE OF THE SAME.
04/13/2007
PRELIMINARY OBJECTIONS OF DEFENDANTS TO AMENDED COMPLAINT PURSUANT TO RULE

1028(a)(1) AND RULE 1028(a)(4) OF THE PENNSYLVANIA RULES OF CIVIL PROCEDURE WITH
CERTIFICATE OF SERVICE. FILED BY: MEGAN R. FORD, ESQ. (SENT TO BUSINESS JUDGE
MADENSPACHER APRIL 17, 2007)
04/16/2007
JUDGMENT-NON PROS PURSUANT TO PA.R.C.P. 1037(B) FILED BY STANLEY J. CATERBONE, PRO

SE.
04/18/2007
ORDER ISSUING RULE FILED. AND NOW, UPON CONSIDERATION OF THE ATTACHED
DEFENDANTS' PRELIMINARY OBJECTIONS TO AMENDED COMPLAINT PURSUANT TO RULE
1028(a)(4) OF THE PENNSYLVANIA RULES OF CIVIL PROCEDURE, IT IS THIS 18 DAY OF APRIL,
2007, HEREBY ORDERED THAT: 1. A RULE IS ISSUED UPON PLAINTIFF TO SHOW CAUSE WHY
DEFENDANTS NOT ENTITLED TO THE RELIEF REQUESTED PURSUANT TO THE PRELIMINARY
OBJECTION UNDER RULE 1028(a)(1). 2. PLAINTIFF SHALL FILE AN ANSWER TO THE
PRELIMINARY OBJECTION UNDER RULE 1028(a)(1) WITHIN TWENTY (20) DAYS OF THE DATE OF
THIS ORDER. (SEE FILE FOR ADDITIONAL INFORMATION). BY THE COURT: MICHAEL J.
PEREZOUS, JUDGE. CC'S W/236 NOTICE TO: CHRISTOPHER W. MATTSON, ESQ. (2)
04/23/2007
MEMORANDUM OF LAW OF DEFENDANTS IN SUPPORT OF THEIR PRELIMINARY OBJECTIONS

TO AMEND COMPLAINT. FILED BY: MEGAN R. FORD, ESQ. CERTIFICATE OF SERVICE OF THE
SAME.
04/24/2007
ADDENDUM TO COMPLAINT. FILED BY: STANLEY J. CATERBONE, PRO SE. CERTIFICATE OF

SERVICE OF THE SAME. (SEE FILE OF CI-06-07330 FOR ENTIRE DOCUMENT).
04/30/2007
MOTION OF DEFENDANTS TO STRIKE PLAINTIFF'S PRAECIPE FOR JUDGMENT OF NON PROS.

FILED BY: MEGAN R. FORD, ESQ. CERTIFICATE OF SERVICE OF THE SAME.
04/30/2007
MEMORANDUM OF LAW OF DEFENDANTS IN SUPPORT OF MOTION TO STRIKE PRAECIPE FOR

JUDGMENT OF NON PROS. FILED BY: MEGAN R. FORD, ESQ. CERTIFICATE OF SERVICE OF THE
SAME.
Private
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Humana/Medicare
Whirlpool
Documentation
47 of 49
Page 89
89
(c) CountySuite Prothonotary, Teleosoft, Inc.
Wednesday, January
June 27,
20, 2016

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