Monday, February 2, 2009

New Hope

Hi everyone. Life for Madeline has gotten dramatically better. Her food is working, her shyness is subsiding (a bit) and her smiles are no longer a workout to acheive. For us, on the other hand, things are a bit more challenging.

Madeline's food is so expensive. I mean like $450 a month expensive. We are in the process of fighting with the insurance company to pay for it.

I want to pose a question to all of you out there. How can an insurance company deny a claim for something that is a medical necessity? Her doctor submitted a letter about how Madeline would die without this formula. Now they want the doctor to call them. Why isn't the letter enough? Why isn't the presciption enough? Who do insurance companies think they are? Saving money at the expense of babies for people who pay their premiums is insanity.

That being said, I think we are one step closer to having it approved. Our doctor is fighting for us. They have not denied or claim yet. It is on hold--in some sort of strange limbo waiting game. I really hope that they will come their senses about this one.

Does anyone have any advice on how to get claims approved??? Is there anything else I should/could do?

1 comment:

denise said...

Insurance companies are so difficult!!! We are also in the middle of a battle with ours as we try and obtain a speech generating device for Delaney and have already been denied twice. We've been told by several people in her school district that claims for this are often denied several times before they're approved. It's sick that insurance companies play this game with people. So, my advice would be to keep battling for it and don't take no for an answer. They may approve it one day just to get rid of you:) Good luck Julie!!!