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Showing posts with the label insurance

Insurance Update / Prayers

 I lifted this from Rachel's Facebook, but thought those of you that follow us here would like to know as well.     "Thank you to all my prayer warriors who have been praying about our insurance stuff for Isaiah's surgery. I got word today that all our providers have successfully set up agreements with our insurance company to have their services paid as 'in network' for the surgery. Yay! Now we just have to make it through the next week"  While it doesn't mean everything is covered 100% it is a great relief to us that things will go through at the in network rate or minimally at a lower pre-negotiated rate than us being stuck with the high out of network rates. We appreciate everyone's prayers and know everyone will be praying for Isaiah on the 15th and during his recovery.  We have also been asking people to lift up the surgical team of doctors and nurses that will be caring for Isaiah at Medical City Hospital in Dallas.  Especially Dr....

Phew! Glad that's over!

Its officially officially, we received a letter from Medical City Dallas yesterday stating we no longer owe anything on Isaiah's last surgery. I honestly have to say this is mainly due to Rachel's tenacity. It's been a four month ordeal that finally seems to have some closure. After months of calling insurance, various departments in the hospital, writing appeals letters, letters to the CEO, CFO, CMO and various board members at Medical City and sending them an email blast its finally done. This was Rachel's full time job while juggling taking care of the little guy and I think she just ended up making more this year than I did. I know how much she hates making those calls and how frustrating it can get, but we look at it as her 'making' money for the family since its less money that actually goes out of our pockets. So far she's made nearly $70K for us this year between the Hospital and a bunch of other smaller bills she's gotten written off or r...

The $67,000 Pyramid

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Dick Clark here, okay not really. I'm just in a bit of a goofy mood lately. Stress tends to do that to me sometimes. Anyways, we got some fun mail today a bill for over $67K from the hospital in Dallas where Isaiah had his last surgery in November. Apparently our insurance and them are not seeing eye to eye, or should I say network to network since for some reason this time it's getting processed as out of network. We're not paying $67,000 as of yet though. We're going to go through the whole appeals process, and I know we've said we have that as an option in the past for big bills, but it never got to that point. This time, I think it will. Oh the joys! See where the stress is coming from? I've been trying to keep it light lately because for once Rachel is more worried about something than I am (and I'm the one with anxiety issues!) She feels like she's taking on the insurance company all by her lonesome, and that's no easy task. I...

Big D 10/30/09

We got the word earlier today from Dr Fearon's office that we are pretty much a go for surgery so we are going to make the trip out to Dallas. Isaiah is not a 100% yet, but he's trending upwards and hopefully should be fine by monday when we get the official go ahead after all the preop stuff. If I had to guess I'd say we're 97% certain the surgery will go as planned. Rachel and I are already pretty worn down even before we started packing. Rachel was sick last week into the early week, and I'm getting a stress cold, and with Isaiah being sick we've been doing nebulizer treatments 7 times a day (xopenex every 4 hrs, and a double dose of pulmicort in the evening between xopenex doses) which doesn't allow much time for sleep. We're also sticklers for trying to get as much of the billing stuff figured out ahead of time with all of the doctors so we don't have a surprise in 3 months when the EOB comes from insurance saying they're not covering s...

Mountains and Valleys

Today has been one of those roller coaster days. First you're up, then you're down, there's a few twists, a couple loops for good measure, and then you're right back where you started and asking yourself 'was that it?' Well I hope so for now. We had some fun insurance things today regarding Isaiah's surgery scheduled for Tuesday next week. Apparently somehow Coventry thought we were doing it here in Atlanta which is not the case. This after yesterday we were alarmed to find out that Medical City in Dallas was going to be out of network for us. After many frantic phone calls, a bit of anxious wait and see, and a couple bouts of crying (some sad, some happy) we are fairly confident that almost all the providers will be covered as in network for his surgery come tuesday. Our last hurdle is getting the okay from Dr Leonard tomorrow that he's healthy enough for surgery. So yeah, there were times today I thought I was going to have a heart attack. This...