06 May 2013

One Battle Over

Once we had decided that Bryce's best opportunity would be to have the surgery in St. Louis with Dr. Park, we knew it would be a battle with insurance. Let's just say that it was countless hours of battling with our insurance company . I wrote numerous letters of appeal, received numerous denials and made daily phone calls to the insurance company. I have had battles with insurance before but nothing (and I do mean NOTHING) like this. It was hard, it was exhausting and it was a HUGE weight on my shoulders. I even went as far as contacting my employer to reach out to my insurance company (which they actually did but in the end it didn't help). I contacted the Department of Insurance for help as well. Matt and I even applied for a medical loan as a last resort - we were desperate to get this done.

How was it possible that Bryce have two insurance coverages but NO ONE would cover? Finally I talked to the right person and learned that I could also appeal through the secondary insurance, Kentucky Medicaid. I had always been told his primary had to cover a portion of cost before the secondary would cover anything. I never had considered appealing through the Kentucky Medicaid based on the primary's denials. I was wrong!

To shorten up what took months to achieve - Bryce's secondary coverage has agreed to cover the surgery. They have already reviewed and APPROVED the Prior Authorization. The lady telling me this on the phone could never understand the news she was delivering. I, of course, asked for it in writing but....
IT IS COVERED... IN ST. LOUIS... with the AMAZING DR. PARK!!!!!!!

Bryce is scheduled for surgery on Tuesday, July 9th.

We will travel to St. Louis on Sunday, July 7th. Bryce will have his appointment on Monday, July 8th with Dr. Park and his team. After surgery he will spend 5 days inpatient before being released to go home. My mom and mother-in-law will go with us. They will help entertain Cohen - of course Cohen has to go. He and Bryce are so close and Bryce does best with Cohen around.

Miracles Can Happen!
Sometimes they don't happen on their own but they do happen with a little help.

This is by far the best Mother's Day Gift I could have gotten!

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