Monday, February 4, 2013

Insurance and preauthorization :(



FINALLY, There it is a light at the end of my tunnel. For years I have struggled with chiropractors, pain meds, braces, flipping the hot to the cold, anti-inflammatory's, special exercises and many other options to soothe the ever aching BACK. I have grown to hate my back in so many ways.
So, rewind. I went and seen my specialist and he stated that I needed the ALIF surgery and after about a month I would see tremendous results because of my age and excellent health I would be "cured". I could hear the angels sing!! Thank The Lord!! Finally a solid answer.I didn't just get pain meds and sent home like so many times before at the doctors offices or ER. He had a resolution. So a few weeks ago I went and had ECG, blood work met with the doctors at the hospital all kinds of paperwork was filled out and I was cleared for surgery. Last Monday the day before surgery I was very nervous and excited at the same time I had to get fitted for my orthopedic brace and have a pre operative consultation. When I went to the doctors office for the pre-op visit I called and talked to my mom who reminded me, "Because you have 2 discs that are bad remember to ask how long you will be in the hospital". I had to tell her once again that we weren't for sure it was just based on how well I did. As the medical assistant and I were walking back to my room to receive my pre-operative instructions. She turns to me and says "So, you know we are still waiting on your insurance to authorize your surgery, right?" I think I may have turned blue at this point. "WHAT?, its the day before surgery? this is supposed to happen tomorrow at 5 a.m." She opens the door to my room and says in a very ho hum manner,"I know, Doctor will be with you soon."
Okay so wait, the day before surgery this is sprung on me like baby daddy on a Maury show. I feel like they just told me the surgery was not my father and I have nothing left to do other than run back stage hurl in a ball and cry. I could yell obscenities and tell them to try again because I know that the surgery is the daddy. Then they would tell me they are 99.9% positive that its not. Back to reality I couldn't just hurl into a ball and cry, at least not in public anyway. In meeting with my doctor he told me insurance company's sometimes just like to give us a hard time and he was going to meet with them, have a peer to peer review and try to get'er done. Okay so maybe not in those exact words. But you get the point. To be honest I didn't feel to confident when I left the dr.s office. Even though he did say he'd try.
I waited for a phone call later that afternoon from my doctor. When they finally did call they said the peer to peer had been put off by the insurance company until Wednesday. I felt that my angels had stopped singing and the light slip through my hands. The surgery was cancelled. I still had hope for Wednesday though, I thought that will come I will have good news and just get everything rescheduled. WRONG! A big slap in the face was coming but I didn't know it.
I got the call Wednesday afternoon. "doctor wants to set up some pain management appointments". And that folks is where I am at currently...stuck between a rock and a hard place.
Will update soon :) for now peace out Girl Scouts!

2 comments:

  1. Hi Jennifer, I started to read some of your post today and a lot I can relate to. Im 22yr old female with DDD & a few other problems on top of it all. I too ran into this problem with insurance 2 days before my TLIF was scheduled. Have you heard anything else on the situation? What insurance do you have? Email me if you'd like. Thank youuu! (: stephedwards1226@gmail.com

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    1. I have not heard anything else. I have just been in pain management since.

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