Showing posts with label Insurance. Show all posts
Showing posts with label Insurance. Show all posts

Tuesday, March 6, 2012

We are on the schedule

Finally! I can finally say we are on the surgery schedule.  It has been less than a month since my last post and I'm pretty shocked by that. I have called the insurance company so many times, and exchanged countless emails with multiple hospital staff members. It has felt like forever.  And on Friday, roughly two hours after hanging up with the insurance comany, emailing the hospital yet again, and honestly feeling pretty unhappy, they called and said we were APPROVED!!!

Unfortunately, we lost our opportunity for surgery in April.  So May 16th it is.  How exciting!

We are also starting with a sign language teacher this week! It was supposed to be last week, but she had to cancel.  She will be teaching us pretty much whatever we ask for.  Exactly what we need to fill on the gaps of what we already know.  Which thanks to Eric's recent IFSP tests, we know 133 of the 400 signs I assume they think are the most common.  Not bad I think!!

Friday, February 10, 2012

Frustration

Well, on Wednesday, I found out that we got denied by the insurance company for Eric's surgery.  "He does not meet the medical requirements for cochlear implants" the rep says to me.  Excuse me?!  I promptly asked her to send me the report and include the appeal information because that will be happening.  = )  Turns out it's only that they will not authorize it prior to his being 12 months old.  OK.  Fine.  It's only two months from now.  The odds of getting on the schedule for March was slim anyway. 

So now we are waiting some more.  Unfortunately I need to convince the hospital personnel to pressure the insurance company for a conditional approval.  They wanted to wait to just appeal after his birthday.  But the conditional approval seems like an obvious, simple answer to our problem.  He will be 12 months when the surgery takes place, so shouldn't common sense say yes?  The doctor is only doing surgery one day in April.  I want Eric on the schedule!

But I'm trying to be patient.  It is not one of my strong suits.  I keep reminding myself that a one or even two month delay will not hurt Eric's speech for the rest of his life.  We will get approval.  And more importantly, he's not sick.  I'm sure there are plenty of parents out there fighting their insurance company for children that are very ill and that puts my frustration in perspective and I have to continue to be thankful.