THE SHADDOX BOYS

Jacob and Elijah Shaddox are brothers. They live with their mom, Mary, who is the writer of this blog. Jacob is 19 and is now four inches taller than his mom! He also has ADHD and gorgeous red hair. He is a freshman at a technical college studying computer maintenance. Elijah is 15! He is in 9th grade and he is not in ROTC at his high school. He also had red hair, but it is lighter and not as thick as his brother's hair. He is hearing impaired(auditory neuropathy) and wears two cochlear implants. He also has tourette syndrome, ADHD, OCD and anxiety! Mary just started her 25th year as a teacher of the deaf. She is also in her last semester of graduate school to be a diagnostician! She will graduate in December of 2015!





Wednesday, June 22, 2016

Playing the Insurance Game

I have talked to my health insurance company four times since yesterday to try to figure out this rechargeable battery issue. I have talked to the audiologist twice (once by email and once in person). First I was told the doctor's office would need to get this all precertified and check a website...this was after I PROVIDED the insurance code for the batteries! After several more phone calls, and being transferred over to the pharmacy department when one of the customer service reps didn't listen very well, I think I know what to do. The audiologist will write a letter of medical necessity  for Elijah to get the batteries. I will fax it to the claims department of the health insurance company. I will then receive a letter stating if the batteries are covered. If they are covered, then I will order the batteries and file a claim...keeping the letter of approval from them in a VERY SAFE PLACE! I have played this game before and had to wait six months to get $600 back from the insurance company, but it is worth it in the end.

Elijah has $300 left before reaching his deductible, but if he goes to the pulmonologist before I order them (he goes on July 14th) then that will put another $200 towards his deductible. His pulmonologist is considered out of network, but we didn't want to switch doctors. My "insurance year" starts on September 1st, so I want to get this all done and ordered before that date! Hopefully, I will get around $400-$500 to go towards the $800 total for four rechargeable batteries!

No comments:

Post a Comment