And while this is generally the time of year that we shout out, "Ho, ho, ho!" I am at the point of "Woe, woe, woe!"
Because he is considered disabled, Ammon qualifies for Medicaid. Medicaid absolutely WILL NOT approve the expensive MEG test of Ammie. The insurance we have will NOT approve the MEG test for him without a full blown appeal. An appeal will take at least 2 months from past experience.
Well, yesterday my husband called from work to share that his company is CHANGING insurance providers on January 1st. So, even an appeal is useless because in two more weeks we will no longer have insurance with the provider we are currently battling with.
Good news? Yes, there is some. The new insurance provider WILL cover the test without any appeal. We are tentatively scheduled for the test on 1/5/10 just needing our new policy number to confirm. However, this new provider will cover NOTHING...no copays, no ER visits, NOTHING until we pay the first $5,000 OUT OF POCKET. Then they will cover everything. So here we are back to worrying about money once again. I was so confident we had this problem solved and it is looking us in the face again. Once we get the $5,000 paid then he can have his brain surgery or the VNS and that will all be paid for.
My Chip-in is still up on his blog so if those of you who couldn't help before want a chance to help now, you can. His blog is:
http://www.ammonsadventures.blogspot.com
We are back to needing a Christmas miracle yet again. We had so many people come forward to help at our last request for help. We are extremely grateful!!
Stefani
