Feeling better Friday

Thanks so much for the advice, you guys.  I'm still really really really mad (gee, can you tell?)

But I've made a few plans.  I called my OT who agreed to help me out.  She's going to pull some peer review articles for me.  On The Hubster's next day off, or Sunday if they are open, I'm going to visit the local Big Medical College and do some research in their library.  My sister knows a few medical attorneys who she's going to put me in touch with.

I've called We Suck insurance, and requested all in house communications and all the information relevant to my case.  They have to provide this to me, and I left a message requesting this information ASAP. In fact, I think I'll call again now. 

I've called my pediatrician's office, and the office manager will help me with locating an attorney as well.

I'm GOING to fight this.  For God sakes, I'm not talking about doing a voodoo dance around my daughter, holding a bloody chicken.  I'm talking about medical therapy, therapy which has ALREADY shown to be a help, after just two months.  I'm talking about improving her quality of life, as well as the entire family.

I've already looked into Early Intervention, but at this time, it's not something I want to pursue.  I would have to pay a percentage, she'd be in group therapy, and she wouldn't receive the same therapist every week.  I don't want to have to start over every week, kwim?

There are other insurance companies that cover this - in fact, most of them do, so that will be a big selling point.  Asking point?  Whatever.

Thanks for your input.  Any other ideas?  Keep 'em coming.

I went out and bought new magazines, even though I have subscriptions that will probably arrive in today's mail, but I felt bad enough that I wanted my new reads NOW.  The dinner went well, I was praised for my cooking, my house was cleaned before AND after, I took a sleeping pill so my sleep rocked last night, and the school list came out and three of my kids got the teachers I wanted for them. 

So, it's looking up. 

But never cross me in getting care for my kiddos, as We Suck is about to find out.

Comments

[Peaches]

Hi, Carmen. Michele sent me. And BTW, I'm convinced insurance companies reject ALL claims on the first and second rounds. It's only the persistent who get paid. Good luck getting this resolved.

[vicki]

Hi Carmen- thanks for coming by this morning and your kind comment. This post! ARRGHHH! It pushes all my buttons. I've spent 30 years of my professional life fighting with We Suck Insurance. I'm going to read back in your archives over the weekend to see what other references I can find to your child's situation, what you're seeing, what you've tried, etc. I'll do it over the weekend and get back to you so I can make an informed comment. But it sounds as though your position of informing yourself and advocacy is right on target...I need to explore around here. Check out the visuals, too. Because it seems like a very interesting place. :-)

[vicki]

P.S. I assume you've found my dear friend Bonnie at http://belleonhertoes.blogspot.com/
If not, she's a charm.

[rachel]

our insurance company covered several months of weekly OT for SID for my eldest. The OT had to call her dx something other than SID though in order to get her treatment approved - something goofy like "learning to self-regulate". whatever. Apparently our (not too sucky) insurance doesn't cover SID. At least we had a workaround. Good luck!

[chris]

(((HUGS)))

Totally sucks. Keep on fighting, they probably are just counting on you giving up and going away.

[Mrs. Fun]

You go girl!! And with you fighting this, it opens doors for others that may need this in the future. Good for you.

[Denise]

Ah boy.. you definitely need a mom from hell t-shirt!! hehehe
Stick it to em!! You will get things done!!

[lucy]

Man the torpedos, full steam ahead!

We Suck Insurance is about to get a rude awakening, methinks...there is no fury like a *mother* scorned...

[kalisah]

good for you! They have no idea what they're messing with!!

[WebKittyn]

Hi Carmen..

I came here through Michele's comment thing but I don't feel right just leaving a witty hello.. So hello and I hope you win your battle, sounds like you've got the grit to do it!

Pleasure stopping by..

[Rachel]

Hi, Carmen! Michele sent me.

I have just browsed through some of your posts, and you sound like one busy lady! I'll be back to read more about your battle over We Suck! Keep up the good work!

[Jean-Luc Picard]

Maybe We Suck Insurance DOES cover voodoo dances. It never hurts to find out.

Here via Michele.

[holli]

I think the We Suck Insurance is working in conjunction with my Nickel and Dime apartments. BEAT DOWN!!

Maybe I should have saved the bag of blood Nana asked me to dispose of 2 weeks ago for the voodoo dance.

[chatty]

Carmen, I hope it works out for you. Sometimes you have to stalk insurance companies.

Michele sent me.

[Jamie]

Carmen, when you need a distraction from insurance hassles, how 'bout a post on those cool cool texts you put on your walls? How did you do it?

[Theresa]

You go girl!

[Michelle]

Hi Carmen, Michele sent me.

One piece of advice from personal experience: when you receive the copies of your file from We Suck Insurance, make sure everything is there. When We Suck Insurance #2 turned down my disability claim for spinal fusion surgery, all the relevant letters that supported my case "mysteriously" disappeared from the file and the copies I received were only random bits of info and letters that weren't related. Make sure you document everything and keep copies yourself. I guarantee that We Suck Insurance is hoping you won't.

Good Luck!!