"Good day, eh? Welcome to the Great White North. I'm Bob and this is my wife Dina. "
"Good day, eh? "
"And today's topic is, like, why insurance companies suck and how you always, like, get totally *hosed*! "
"Yeah - like they should like, take off, eh? "
"Beauty, eh? "
OK. Insurance companies, in a word, suck. They have stopped paying for Ethan's formula (which was doctor prescribed and cannot be bought retail - this particular formula is only available via prescription) and made some noises that they may request back payment for all the formula back to August.
The frustrating thing is that I've called the insurance company twice and Dina has called them twice and between the 4 phone calls, we've gotten 3 different replies/answers.
We spoke to Children's about this and the doctors are fairly upset about this and they are working to correct this with the insurance company. What sounds particularly suspicious to them is that the insurance company was covering everything up to about about January and then they've stopped covering for the formula (and possibly the pump - but we can't even get a straight answer about that from the insurance company). Because of the way they bill, the issue wasn't actually brought to our attention until about 1-2 weeks ago.
The doctors are putting together all the documentation and are making phone calls to the insurance company to rectify this. The insurance company apparently does not even have a correct diagnosis in their records for Ethan. The last time Dina called them, they asked (to confirm) if he had a cleft palate as the issue. So something is clearly wrong or people are not communicating over there. With Children's working with us on this issue, I hope to have it cleared up within the week.
But then again - it's an insurance company so you never know. They'll do anything to scam you out of more money.
- bob
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