Insurance & Samara
My weekend was good for the first half. I really think I over did it, and was throwing up by Saturday night, I haven’t fully recovered.
I wish I knew people who understood how this feels.
I spent most of the morning on the phone with the insurance company. Both of them.
Tricare, they aren’t helpful. They started denying therapy for Samara telling me it is only 10 well yes, but it isn’t $10 once it is $10 2 x’s a week every week. In one month it is $80 plus with the 4 months of back log they havent paid for it becomes $320 for something they typically pay all of.
I know I am lucky to have good insurance, but sometimes it is a lot of work.
Then I called the union insurance. Remember how weeks ago I sent in an appeal for ABA thearpy?
Well they never reveiwed it. Instead they paid for her OT, called it the same thing and thought they were done. I finally convinced them it wasn’t the same.
The appeals committee meets tomorrow and it will be sent then. They are supposed to call me so I can speak on Samara’s behalf. I honestly have no idea what to even say to them.
I look at my daughter and I don’t see what is wrong, I see what is right. Besides how do I convince a group of men over the phone to allow child whom they’ve never me to invest $50,000 a year indefinertly in her?
I pray the right words find me, and that they are receptive to the appeal, instead of stern and unfeeling towards the smallest of those whose lives are in their hands.
I also found out I have to go back through the school for therapy and be denied again so that they won’t cut her off at 6.
In other news homeschooling is going well. We all enjoy it, and I am happy it is working. She has blown through the kindergarten material and is now onto first grade. I am so glad she is home and learning, and not being sent to the wolves to have her spirit crushed.
I do need to get the homeschool stuff moved and then gates put up little men are getting into everything all the time.
Perhaps I will have enough energy to shower today.
RYN: Paul doesnt agree. Its frustrating.
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Sending positive thoughts for your appeal phone call.
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I will keep good thoughts for your call, and hope the men see what you see, a wonderful child worth the money and time. Bless her little smarty pants heart! 😀 I’m glad that homeschooling is going so well for her.
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I will be praying that your conversation with the appeals committee goes well. 🙂
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Ryn: I think i can get him to come around if any of the kids start having issues with bullying… but Id really have to strong arm him and so far only kayla has had issues and she was able to resolve them. Its just hard knowing you dont have that support willingly…ya know? Like I’d always be trying to prove something to him. Right nowi its not worth the fight..
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Praying that things will be resolved for the best in your daughter’s situation. *HUG*
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Hoping it all goes well for you.
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