Sunday, July 8, 2012

Denied!


July 3rd

Denied!! I was at work about to make my next call when my phone rang.  It was my oncologist office, Tameka explained that she had just got word that my request to see a specialist in TX was denied.  I am thinking “excuse me”! I just talked to BCBS yesterday and was given a confirmation code, approved travel times, and co-pays.  I had even setup the appointment in TX.  I called my contact Felicia at MD Anderson immediately!  I explained to her what I had just heard.  She told me that this couldn’t be the truth and she would call on three-way to get this all figured out.  So we called.  We must have been this representative’s last call of the day because she was really rude.  Felicia explained to her she had received all the information that I had from a representative yesterday and well she cut her off and explained that what we were given was confirmation of receipt of prior approval but not approval.  As Felicia started back to explain more, the lady said “IT WAS DENIED, ANYTHING ELSE”? I guess not at this point.  She explained that I would need to be seen at Kansas University (KU) Hospital first.  It took a while to agree that this might be the best option for me.  It is close to home, I would be able to get to know the doctor’s responsible for my care, and very little out-of-pocket expenses.  But I would still like a hospital with more experience.  In the meantime, KU was recognized as one of the leading hospitals in cancer care.  But what about pregnant cancer care? We will see. I guess now I could plan a real vacation. Maybe I could get some money together and take a cruise.

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