my blog too: electric boogaloo

the blog that wishes it were


Blog For Free!


Archives
Home
2009 October
2008 November
2008 October
2008 July
2008 June
2008 May
2008 April
2008 March
2008 February
2008 January
2007 December
2007 November
2007 October
2007 September
2007 August
2007 July
2007 June
2007 May
2007 April
2007 March
2007 February
2007 January
2006 December
2006 November
2006 October
2006 September
2006 August
2006 July
2006 June
2006 May
2006 April
2006 March
2006 February
2006 January
2005 December
2005 November
2005 October
2005 September
2005 August
2005 July
2005 June
2005 May
2005 April
2005 March
2005 February
2005 January
2004 December
2004 November
2004 October
2004 September
2004 August
2004 July
2004 June
2004 April
2004 March
2004 January
2003 December

My Links
yirmlog
One Good Thing
Orange Tangerine
Mimi Smartypants
Jennifer Weiner's Blog (Author of In Her Shoes & Good In Bed)
Almsthvn's Blog
Aliciarose's Blog
Puplife's DogBlog
Gaper's Block: Chicago Blog
ChicagoBlogs Web Ring
What She Said!
Veiled Conceit
Blogs By Women
Radio show captained by Mike Keneally and Rich Pike.
Katy's Skary Kids
Ask Liz Ryan Community

tBlog
My Profile
Send tMail
My tFriends
My Images


Sponsored
Blog










worldwit_logo



follow JTX at http://twitter.com

the universe does provide
07.22.08 (8:13 am)   [edit]

I had a hellish day at work yesterday but I'm bouncy this morning. I'm not sure if it's the Coke ZERO (for goodness sake), but I think it's utter and total gratitude.

 DH and I have been battling Blue Cross for over a year now, trying to get them to cover Danny's occupational therapy. We racked up quite a bill with the OT while I went back and forth, getting denied for various reasons (most of them bullshit), and finally had to stop his therapy because we were so behind on the bills.

In total and utter frustration, I scheduled a meeting with the head of HR here, and DH and I went in loaded for bear. We talked for nearly an hour. I brought with me a stack of paperwork, from Danny's medical records, hospital record from his birth, school forms and report cards, and leading up to his neurology report. The diagnosis from his neurologist is mild static encephalopathy, which is a fancy way to say our kid has brain damage.

What, now? What's that you say?

As far as we know, it's not horrible. I mean, he's not mentally incapacitated (in fact, he's pretty bright), and as long as we don't see regression, the neurologist just wants to check him every year or so and make sure he stays active and in OT. So, scary words aside, our kid will probably be okay, but he needs him some OT!

The turning point in the meeting with Mr. HR was when DH pulled up the policy on his computer and showed Mr. HR all of the inconsistencies in it. They constantly refer to OT as being considered like speech therapy, but for ST they'd cover "congenital anomalies" and they said nothing about them with reference to OT. At that point, Mr. HR really started to sit up and take notice. He tried to find some paperwork in his office actually defining both ST and OT, and was unable.

Mr. HR wrapped up the meeting by essentially focus-grouping us about other benefits here at ****, which I took to be a good sign. I mean, why would he care what we thought if he was going to blow us off? So we left that meeting in early May, cautiously optimistic.

Flash-forward two months. I've heard jack shit from Mr. HR, despite a decent number of emails and phone calls politely requesting a status update. Last week, I got pissy and just walked into his office, sweaty and nasty on my way to pick up the boys from camp.

He was downtown in meetings, his secretary said. Could she take a message? It took every ounce of restraint I had to very calmly and politely express my position. I was having a terrible time reaching Mr. HR; perhaps she could help? I was very sure he was super-busy, but wow, I was just so darned worried about my little, brain-damaged son. I left my business card with my cell phone and "please call me!" written on it, and left.

Color me shocked when Mr. HR called me an hour later, leaving a message for me to call him back.

And imagine my surprise when he informed me that the upcoming year's policy was being rewritten, to classify all speech and occupational therapy as medical events, not subject to any restrictions except an MD's prescription. Holy. Shit.

"Dare I ask if there might be consideration for the therapy we've already completed?" I asked timidly.

Mr. HR took down the date we started therapy and the OT's contact info and said he was instructing Blue Cross to pay all of the claims.

That's right. We fought the law, and we fucking won. I literally got off the phone and screamed "VICTORY IS MINE!" And promptly ran home to find DH and crack open a frosty adult beverage with him.

Because my fight was for my little boy, but I saw it as more than that. How many people know they can fight things like this, or even how? How many people wouldn't or couldn't pursue it just because some company representative says "no?" And now, anybody who works here won't have to. I'm just so very, very pleased. And I can't wait to see my boy doing the monkey bars in therapy, with a big ol' triumphant grin on his sweet face.

 

Google
The Breast Cancer Site

Web jt.tblog.com

Subscribe to this blog:
 
Blog Updates by Bot A Blog

Support This Site


chicago blogs

Blogarama - The Blog Directory

Who Links Here