I'm so frustrated right now.
We have been going through Early Intervention for all of Leah's therapy. Our insurance ran out after $3000, and anyone with a child in therapy knows that $3000 is not a lot, so we decided to use the birth-three state program. It has been working out really well for us. Through the state program we are in-clinic once a week and at home twice a week. We pay a minimum fee--which is so helpful!
So, with that said, we have been really getting moving on getting Leah's brace. Our PT assumed that since we had been going through EI, that we would do the same with the brace. UGH, UGH, and UGH! Going through the state to get the brace would mean waiting 3-4 months from NOW! We have been discussing this brace for over a month and I've had the script for well over a month! I had no idea that it was going to take that long, or I would have pushed our PT to get the ball moving a bit sooner! To top it off our EI case worker is as slow as molasses and she does NOT return calls--thankfully she is leaving and I will have a new case worker after the first of the year (pray she's halfway decent!). Ok, so now what? We get Leah casted for the brace, the PT sends off the paper work to the state, waits for the state, sends off the brace information to the company, company makes the brace and sends it back to us. Voila! Uhhh...not so much, the state takes forever to get back to us to authorize the brace! It's so frustrating. I've worked myself up to get this brace and now...we wait?
I asked the PT who came today, how long it would take if we just pay for the brace ourselves? She said 2-3 weeks!! That is a world of difference! How can I knowingly sit and wait 3-4 months when Leah could be wearing it in a matter of weeks? So, the kicker is the price--somewhere in the $350-$400 range. That's a lot of money! Especially, because this brace will only last for about 6-9 months!
I thought about going through the insurance company, so I gave them a call and they said that they would cover 80%, once our deductible is met. Well, we have not met our deductible--so they cover nothing.
I think what we will do, is buy this brace and then in about 6 months go through the state. Depending on what Leah needs, hopefully we can start the process early enough so that there won't be much (if any) time without a brace.
I just don't understand why things like this aren't a little easier? I mean thankfully, Leah doesn't NEED the brace immediately. Yes, she needs it, yes it will definitely help her...but it's not an emergency--know what I mean?
Those of you who have gotten braces for your children, what did you do? Did the state cover it? Insurance? Or did you bite the bullet, like us, and pay out of pocket?
I just can't wait 3-4 months, knowing that we could have had it sooner.
Tuesday, December 23, 2008
I'm so frustrated right now.
Posted by Amanda at 10:57 PM