Warning: This post is a venting post....I'm sad, angry, and frustrated right now....I'll post it for now, but may delete it when I gain my composure!!
We just received a notice in the mail telling us the insurance is now approving 200 test strips and 200 syringes. This is still 100 less than my doctor is prescribing and at least 50 less than what we actually use in a month. I am frustrated with our insurance. How do they decide what is "medically necessary" for my son? Are they just sitting in some office thinking "Well, they're asking for 300, we only want to pay for 100, how about we offer them 200 sounds like a good number." How can they say only 200 is what is "medically necessary"? LIVE WITH ME FOR A MONTH!!! How am I supposed to determine how much of the "medically necessary" insulin I'm to administer to my son without testing his blood? I just looked back at our log for the past 15 days 128 tests!! ALL MEDICALLY NECESSARY!!! Double that number we are looking at around 250-260 a month. I am just trying to understand .we've paid our premium for how many years? Being self-employed is tough enough, and we even contemplated not having health insurance at times to make ends meet, but always thought ."NO, we just don't know what could happen it's good to have." But what good is health insurance if it doesn't pay for what is needed to keep you or your family healthy? TO KEEP THEM ALIVE!???
Well this may seem like a little thing so what? "At least they'll pay for 200" and yes, at least they upped it a little. But what about the insulin pump .we have to go through the same process. It has to be deemed MEDICALLY NECESSARY!!! I just can't see them approving the pump at this point if they aren't willing to see the need to check blood more often in a small child!!! How do I scream on paper?
Wow!!! After crying my eyes out for a bit, and typing this post .I feel some better. I am assured through scripture that "My God will supply all [my] needs according to His riches in glory in Christ Jesus"..(Phil 4:19) I'm may not see HOW He'll supply, but I'm assured that we will be supplied with exactly what we need. As a side praise .yesterday we received a card in the mail with $50 cash in it. No name, no return address, just a note card with the money inserted in it. We put it directly into J.J.'s savings account we set up for his medical needs. That will cover the extra 50 tests we'll need for this month!! Thank-you God and bless the tender heart that sent it!!
Now .I have to compose myself, try my best to put this all aside and get ready for a night out with my husband .our first "date" since the big D-day!! Any advice on covering up puffy, swollen, red eyes??