Banging my head against the wall
Before I tell you about the crummy stuff going on, I first want to say that I am watching two bluejays build a nest in the big tree outside our office window. It's a pretty cool thing to watch on a beautiful sunny morning. I don't know if we'll be able to see it once there are leaves on the trees, but it will be nice to know it is there.
Now for the crap.
We got a call from Children's Institute on Friday, letting us know that our insurance will not pay for further therapy for Evan. We were floored, and Mike right away got on the phone to our insurance company. Apparently they will pay for therapy if Evan has had a stroke or a blow to his windpipe, but not if he is "just developmentally delayed". Boy did that take the wind out of our sails.
So now we have a couple of options. I have to call Ev's pediatrician today to ask him to put the claim under medical review--he'll need to add more information to his report and resubmit it to see if it will help our case (I'm doubtful that it will). I should also get a packet in the mail today to apply for some monetary assistance. One is a fund from the institute itself that, depending on your income, will pay a percentage of your therapy costs and travel expenses while your child is at the Institute. The other is medical assistance (the big MA) that will probably take months and yards of paperwork to apply for--though it is not income based for children with Evan's "disability", said the helpful clerk at Children's.
Yeah, I don't really like thinking of Evan as "disabled", but whatever.
So I'm hoping the institute fund will be able to help, at least some, and that will allow us to get things moving. I will also apply for MA for him, but I have a feeling this is going to be like trying to get SSI for him when he was in the NICU. Lots and lots of paper work and phone calls to end up with big jackie crap. But if we do get approved, I guess MA would pay for everything Ev's insurance does not--even copays and prescriptions. That might be helpful if we end up facing years of therapy and stuff.
I probably won't post for the next few days, I'm going to be drowning in paperwork and banging my head on the desk.