Wednesday, December 10, 2014

Bad News Be Gone!

We haven’t had to call our insurance company in quite some time.  I’m very grateful for that.  But I knew that I had to call them this week.  With our Christmas shopping on hold, I couldn’t let another day go by without getting more information about the denial letter we got right after Thanksgiving.  

The letter we received was very straightforward:

Ronan recently had a medical procedure.

We (the insurance company) disagree with the need for that procedure.

We’re not paying for it.

I was, of course, livid.

Ronan has seizures.  They are increasing.  Meds are not keeping seizures at bay.  Ronan’s doc was perplexed at what else we could do.  So our doctor ordered testing that we believe will help us understand the seizures better and that will help us create a better treatment plan.  Testing commenced.  Guess what?  We did learn more about the seizures Ronan has been having.  And we did create a new treatment plan that seems to be working.  Seizures, from what I can tell, have not been as bad as before.  Yay! 

The non-medically trained Just A Mom that I am saw the logic in that thought process. 

The insurance company did not. 

All of last week, I mulled over that denial letter.  And when I say mulled, I mean I stewed.  I grumbled.  I growled.  I was very, very upset.  And I wore my angry eyebrows all week long and to let everyone else know how resentful I was.

Being upset isn’t a bad thing.  But carrying that negative feeling e-v-e-r-y-w-h-e-r-e that I went and letting it get in the way of e-v-e-r-y-t-h-i-n-g that I was doing was bad.  I let a situation take over my thoughts and my feelings for days and days.  I was so focused on being angry that I let anger get the best of me.  It was time to take off my cranky pants and to refocus my energy on something else.  So I mustered the energy and called the insurance company today. 

It was a long call and included information that I wasn’t prepared to hear.  I had to ask for more details.  For clarifications.  For things to be broken down.  And for things to be repeated.  Then I asked for things to be calculated, recalculated, clarified and verified.  I held my breath throughout most of the call, but right before hanging up, I let out a huge sigh of relief.  

After going over several EOBs line by line by line with the representative, and after going over new calculations and more clarifications, I was assured of something that I absolutely didn't expect.  I didn't expect it, but I very much welcomed it.  Because it was so unexpected, I ask the representative to repeat herself one more time just so I could hear it again, “Mrs. Jameson, you have a zero balance.” 
Alleluia!  And Merry Christmas to us!

I’m happy to say that there was no bad news today.  No bad news!  In fact, I think I'll go out to celebrate.  Maybe I’ll go do a little bit of shopping.  Hey, I can go do some Christmas shopping now!  I'll hit up all the stores and get those hundreds of presents my kids were imagining that they would receive.  Presents for me, for you, for everyone!  The kids will be SO excited!  I'll be the best.mom.ever!

Just kidding.   I am still a mean ol' Mom, and I still want to stick to the Baby Jesus 3 presents idea this year.  I actually would like to stick with that idea for many years to come.  With five kids, it will help keep gift giving manageable.  I think it will also help keep focus on Someone else during this blessed season--Baby Jesus.  Three gifts it is. Three gifts it will be. 

What a gift it was to get that good news today.  We really needed to hear some good news.  Ten thousand thank yous to those who helped to make it happen.

xo, Cat






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