Can I go back to yesterday?
I have to call the insurance company today, and I'm so not looking forward to this phone call. (Particularly since Andrew's on Spring Break, which means he'll be underfoot while I do it. Joy.) His speech therapist has been having a horrific time trying to get reimbursed for his therapy sessions - which is weird, because he gets OT at the same location, and those repayments have been coming in just fine. But speech? Nope. For some reason, the requests keep coming back "Denied - not eligible." Which is ridiculous, he's allowed an obscene amount of therapy visits per year which should more than cover both speech and OT, and there were no problems with the coverage in 2013. Just since the new year began. I've called twice now, and the first time the person reading the requests said she couldn't figure out why they'd be denied, and that she'd send the request in for review which would take maybe a day or so to do. And that was two weeks ago - and no one's heard anything since. Including when I called again last week, and was told by a bamboozled (and sympathetic-sounding) person that she didn't know why it was taking so long, but to hold tight.
I wouldn't worry too much, except the appointments in question were four months ago now, and there's a time frame after which we can't get reimbursement no matter what, and I'm not sure what that time frame is.
(The real irony is that about a month ago, the speech therapist and I were both saying how good our insurance was, and that she's never ever had ANY problems with government insurance. (B/c Bill's a federal employee, we get federal insurance, which is actually seriously awesome. I know people have issues with Obamacare but I have no complaints. Well, until now, but that's the insurance company itself, not the government's fault.)
So today I get to call the insurance company, and talk to another person, and if the requests are still in review...I get to start moving up the chain of command. Which thrills me not one bit. Really, I just want someone to tell me WHY the claims are being denied, other than non-eligibility.
Oh, and in the meantime, the downstairs toilet is stopped up completely (no idea what Andrew threw down there; I think half a box of Kleenex and half an hour of plunging didn't do a thing), my kitchen is full of dirty dishes (we had company and I made Indian and that always uses up every dish in the kitchen twice over), the house smells like garlic and ginger (not bad, but exhausting), Cleo is outside playing I Can Totally Take Down A Deer if I Really Wanted To (which is actually kind of funny, especially to the deer), and Andrew is going to spend most of the morning in his PJs and overnight diaper because he has a moral objection to getting dressed in the morning. I can deal with PJs, but the overnight diaper is disgusting.
*sigh* It's just past 7am, and I'm already not looking forward to today.
I wouldn't worry too much, except the appointments in question were four months ago now, and there's a time frame after which we can't get reimbursement no matter what, and I'm not sure what that time frame is.
(The real irony is that about a month ago, the speech therapist and I were both saying how good our insurance was, and that she's never ever had ANY problems with government insurance. (B/c Bill's a federal employee, we get federal insurance, which is actually seriously awesome. I know people have issues with Obamacare but I have no complaints. Well, until now, but that's the insurance company itself, not the government's fault.)
So today I get to call the insurance company, and talk to another person, and if the requests are still in review...I get to start moving up the chain of command. Which thrills me not one bit. Really, I just want someone to tell me WHY the claims are being denied, other than non-eligibility.
Oh, and in the meantime, the downstairs toilet is stopped up completely (no idea what Andrew threw down there; I think half a box of Kleenex and half an hour of plunging didn't do a thing), my kitchen is full of dirty dishes (we had company and I made Indian and that always uses up every dish in the kitchen twice over), the house smells like garlic and ginger (not bad, but exhausting), Cleo is outside playing I Can Totally Take Down A Deer if I Really Wanted To (which is actually kind of funny, especially to the deer), and Andrew is going to spend most of the morning in his PJs and overnight diaper because he has a moral objection to getting dressed in the morning. I can deal with PJs, but the overnight diaper is disgusting.
*sigh* It's just past 7am, and I'm already not looking forward to today.