Norah and Wes

Norah and Wes

Monday, October 13, 2014

Norah- 2 year well appointment

Norah had her two year appointment with Dr. Nau on Wednesday of last week (the 8th). She weighed 26 pounds even and was 33.75 inches tall. I believe she was 32 inches at 18 months. She was around 50th%ile for height ant 40th%ile for weight. She is on track for everything except gross motor, of course. We also got on some meds for her lingering diaper rash and I am happy to report that it already looks better after 4.5 days of antibiotic. Norah had to have one shot (hep A, I believe) and got FluMist. She also had one more blood test- thyroid levels- which came back fine.

We talked more about the MRI and what it would entail. Dr. Nau thought they would call Thursday and tell us what day to plan on for the following week. Of course, that did not happen as Coventry said they needed until Tuesday to decide. Frick. I am so sick of them. Why does everything have to be so difficult with them? It's exhausting. So, we are still waiting. I will call tomorrow during my lunch if I haven't heard by then. I am less than optimistic. I am just ready to get this over with. Dr. Nau did say that we will walk right over to McFarland after her MRI at MGMC and get the results right away, so that's one less wait, I guess.

We have since gotten the notes from Dr. Noble and he advocated for more than the 20 therapy sessions that Coventry wanted to pay for, so we will have his documentation ready for when we have to fight for more therapy. The thing is, our insurance still haven't paid a cent to therapy, it is all doing toward our deductible, but at least they write it down this way. CS bills $135. They wrote it down 10% for us since we were private pay. Now that Coventry accepts a tiny bit of responsibility (remember, they still haven't paid a single cent), it is written down to just under $41 a week. It makes me crazy to think about that!

If they could have just done that in 2013, they still wouldn't have paid a dime as we would not have hit deductible, but it would have saved us several hundred dollars in Nov and Dec. Then, we went January-June 2014 with the same crap. It seriously just makes no sense to me that private pay is that much more than people with insurance. I fought with CS on that, but I lost. We did get a grant that paid some of that, but it wasn't as good as it seemed when we were approved. Something is better than nothing, I suppose.

If anyone is reading this and fighting the same fight, use the code number for difficulty walking (719.7, I believe) with Coventry- for some reason that is not considered developmental delay when every thing else we tried (and we tried many) was and was therefore denied. I figure it is a long shot that anyone reads this and it helps them, but if I can help anyone, I will!


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