Quick update ….
As for the bone stimulator and insurance fiasco, the saga continues. My appeal has now been denied twice and the third level of the appeal process will occur next Thursday, March 15th. A benefits board through my employer will review my case and will make a final ruling. Supposedly, they will look at the opinion of my current Chicago surgeon and the physician that the insurance company has hired and will decide whether the initial two appeals were correct or if there is merit as to the bone stimulator being a medical necessity. I would guess that it would be unusual for them to overturn two appeals, but you never know!
The insurance company wants to go 90 days and see if the natural healing process fails. They believe that since I used a bone stimulator in the past and then additional surgery was needed, the bone stimulator must not have been effective. Wrong! The insurance company is not into being pro-active, as I would like.
The JA “benefits board” is a non-medical board, which is going to rule on the necessity of the bone stimulator in a challenging medical case that has baffled most surgeons. Who dreamed up this process? Not sure, but I question whether or not it is the best process. If they decide to rule in my favor, the device is something I can still use and will aid in the healing process, even after the cast comes off. It is something that I would then own forever and we’d never go through this lengthy process again.
I am headed to central Illinois this weekend to visit with family. We will return home early Sunday evening. My final cast appointment is at 8am on Friday, March 16th. Thankfully, the itching in the cast has been manageable this week. After the cast comes off, it will then probably be a few weeks before we begin physical therapy.
Hope you have a relaxing weekend!
je
1 comment:
Hey, girl--It was good to get caught up on all your happenings, but sad to hear that you are having trouble w/ the incision and with the (explicative) insurance company over the bone stimulator. What a pain! Are you anxiously awaiting a pedicure more than the average woman in the springtime? Probably! No,...most definately! Isaac still prays for Jenny and the owie on her foot. FYI, I think he thinks he's praying for "Jenny" the little girl character from Oliver and Company (Disney's re-make of Oliver Twist w/ dogs and cats)...you shouldn't be insulted, though, because he talks about "Jenny" ALL THE TIME! I think she's his imaginary friend. And now that he has a little brother, I think he yearns for an imaginary friend even more b/c imaginary people don't bother you, yank on you, and take your toys. SOOOOOO...all of that to say: he prays for "Jenny's" foot, even if the Jenny in his head is a cartoon. Cute kid, though! Blessings to you from all of us! Jobacks OUT!
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