Wednesday, June 27, 2018

Frustrated...

I get that insurance companies rule the world. I really do. But, I'm sick of it. I've been trying for over a month to get a referral to an "out of network" provider (Dr. B) and it's just not going to happen. I was told that even if I managed to get Tricare to accept the referral, it will only be for a second opinion as they had to code Dr. B as an RE and not an RI. IF I get it, it will only be good for one appointment as an evaluation. THEN, if I want to do treatment with Dr. B, I have to re-submit the claim and the Lt Col I've been working with on this said they most likely won't approve it since I have an RE here already. Basically, I either do the endo surgery with the doc out of Birmingham, or I pay 100% of it out of pocket to have it done the way I want.  I also asked her if I could see a doc in Chicago that is also an RE/RI that IS in network and she said Tricare will still say no because I'm not located there. I'm frustrated.  I feel like I'm out of options.

I've had endo surgery twice. Once with a doctor in AZ and I was able to get pregnant with Skittle six weeks later. I did the surgery again in TX and I was unable to get pregnant. I believe the way I had it done in AZ is the way that Dr. B recommends it be done. The doctors here in AL and the ones I saw in TX do it the way he doesn't recommend (for those with autoimmune issues).  If I do the surgery in NY, the cash discount price (low end) starts at $20,000. (!!!!)

The only hope I have left for this is that my current RE said she would be willing to work with Dr. B...would she learn to do the surgery for how he wants it done? She's willing to do the protocol he recommends as well as order the blood work.

God is bigger than insurance companies. He's bigger than my fears about money and surgery.  I just need to continue resting in His promises. He is faithful and just. Always.

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