I'm flippin tired but I had to post...
I received my letter from the 2nd level appeals committee (which is as high as I can go) and they wrote...
After reviewing the case, the Committee determined the Bone Anchored Hearing Aid (BAHA) is covered under your Hearing Aid benefit. (heart sinks but kept reading) However, the decision was to make a one-time exception and allow coverage for your BAHA under your Prosthetic benefit. Under the Prosthetic benefit your responsibility will be 20% of the Allowed Amount when utilizing a Network Provider.
I'm ecstatic! That is the best news I've gotten in days. Heck, in weeks.
Makes up for the fact that Ron is full of "sheet." Not "bull sheet" as that is my job (hehehe!). So not only is he full of p*s* and vinegar, he now gets to have lots of laxatives pushed his way. To get rid of the sheet. They're already getting rid of the excess fluid. Dr. D isn't too sure how long he'll be there but I expect through the weekend.
(So glad he's in the hospital! I wasn't cut out to be a "toilet attendant" and I greatly admire those who can do so.)
Funny thing at the hospital today... Dr. D (he kind of looks like a cross between a stoner and a rocker, but way cooler) is in the room talking to us when the CNA comes in to check Ron's sugar. The doctor had to actually look away. Said the sight of blood and finger sticks gave him the heebee-jeebies. True story. Too funny!
Speaking of Dr. D, he's a really nice guy but doesn't have private practice. He's strictly on-staff at the hospital. Great bedside manner and great compassion. As he was listening to Ron, he was rubbing his leg and looking Ron straight in the eye. Great traits for a doctor.
9 comments:
Teresa...I'm so flippin happy for you I could do a cartwheel (believe that about the cartwheel and I'll tell ya another) haha. Seriously, I'm so proud of you for toughing it out and fighting it. Save that letter because I'll be willing to bet you get the full bill and told you're not covered because billing doesn't talk to appeals etc. etc.
So glad Ron is being taken good care of. Get some great rest tonight. Hugs sweetie and again I'm so happy for you!
Yay! I'm so glad that things are looking up:) Sending you a hug from NC. The doctor story cracks me up. I guess he probably is not a surgeon. Hope Ron is feeling better soon.
There is nothing as good as being listened to! Great news for you and Ron will be a different man when he comes home .... all cleaned out!
I just did a happy dance for you I am stoked that you will be able to hear again about bloody time someone saw sense.......I was also thinking the same as Barb you have to make copies of the letter and keep it safe so you can prove you are covered when they send you the bill.........
absolutely brilliant news! Hope Ron feels better soon.
I agree with the others Teresa - that's fantastic news, and we're all so delighted for you my friend. Yep, Ron is definitely in the right place at the moment!! Hope it all gets sorted out soon for him. See if you can get a bit of rest yourself whilst he's in hospital.
God Bless Dr. B!! So happy to hear he is treating Ron! congrats on the news!! YOU DESERVE IT!
I'm SO GLAD that company came through for you! Answered prayer!
GREAT NEWS! YES!
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