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General Parenting
Insurance carrier less than helpful, cruel is more like it..
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<blockquote data-quote="recovering doormat" data-source="post: 230147" data-attributes="member: 5941"><p>My ex-husband spoke with the clinician who did battle with the insurance company on Friday, and our son's status is that he is only certified til Wednesday. This doctor said our carrier is well known for fighting just about every hospital stay tooth-and-nail, even more so than other managed care companies. Great. My ex pays nearly $11K a year out of his pocket for premiums but when it comes time to use 'em, they won't open their fists. </p><p> </p><p>This really gets me down. If we have to pay out of our own pocket, the rate is $750 a day, and the facility doesn't give us a break and charge us what they would get from the insurance carrier, we would be responsible for full freight. And that's only a portion of our son's treatment: he really needs to go to a residential school or program when he's done with the diagnostics. I dread him coming home too soon from this hospital program, we just don't have the supports in place to really help him. I really don't want to live through the past six months all over again. We can certainly pull in the juvenile court to add the threat of law to keep him in line, but I don't know if that will be enough to really change his attitude.</p><p> </p><p>Sigh. I really thought we were going to get him the right help at the right time, for a change. This is so frustrating.</p></blockquote><p></p>
[QUOTE="recovering doormat, post: 230147, member: 5941"] My ex-husband spoke with the clinician who did battle with the insurance company on Friday, and our son's status is that he is only certified til Wednesday. This doctor said our carrier is well known for fighting just about every hospital stay tooth-and-nail, even more so than other managed care companies. Great. My ex pays nearly $11K a year out of his pocket for premiums but when it comes time to use 'em, they won't open their fists. This really gets me down. If we have to pay out of our own pocket, the rate is $750 a day, and the facility doesn't give us a break and charge us what they would get from the insurance carrier, we would be responsible for full freight. And that's only a portion of our son's treatment: he really needs to go to a residential school or program when he's done with the diagnostics. I dread him coming home too soon from this hospital program, we just don't have the supports in place to really help him. I really don't want to live through the past six months all over again. We can certainly pull in the juvenile court to add the threat of law to keep him in line, but I don't know if that will be enough to really change his attitude. Sigh. I really thought we were going to get him the right help at the right time, for a change. This is so frustrating. [/QUOTE]
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Insurance carrier less than helpful, cruel is more like it..
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