The Musings of Ruth

Main Entry: muse
Function: verb
Pronunciation: 'myüz
Form(s): mused ; mus·ing
1 : to become absorbed in thought ; especially : to turn something over in the mind meditatively and often inconclusively
2 : to think or say reflectively synonym : PONDER

Tuesday, August 07, 2007

I'm mad at the world!

Well, not the world, just the system here in Michigan right now. As many of you know, our daughter has had some special needs since birth. We've been fortunate enough to have fairly good insurance coverage with the employers that Matt has worked for since Kirsten's been along. Since she was an infant, we were given the opportunity to apply for an additional type of insurance for kids with special needs - Children's Special Health Care Services (CSHCS). I always decided against it, knowing that there are plenty of families out there without any coverage that need the help more than us.

A few years back when Kirsten had one of her surgeries, we had an insurance that didn't cover the full amount, and we had a bill. It took us a long time to pay off our balance. If we had CSHCS, they would've covered what our insurance didn't. So, being a bit proactive on planning this time around, I applied for CSHCS recently. The letter came back today... stating Kirsten's denied. (And actually, they misspelled her name as Kristen, all 4 times in the letter.) It said, "The medical reports suggest that Kristen have tests and a follow-up exam at Dr. Madgy's office when needed." It went on to say if we have problems paying for such tests or follow-up exams, contact them and they can help us make arrangements. Well, you can bet I'll be on the phone tomorrow with Dr. Madgy's office, asking to speak to the person that sent in the medical reports to the Mich. Dept. of Comm. Health. I'm guessing they failed to mention the numerous surgeries she's had so far which have been unsuccessful... meaning she'll be needing more. I'll remind them how Kirsten's got another one planned for next week. And if that doesn't work, she'll have another someday most likely. I think it's a major factor overlooked here!

So yes, I "do not agree with this decision" and will use my "right to ask for a departmental review" on this matter!!!

Grrr!!! Time for some chocolate!!!

1 Comments:

Anonymous Anonymous said...

My heart goes out to you, Ruth. I loathe dealing with insurance companies, doctors offices, etc.

Aug 7, 2007, 11:52:00 PM  

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