Thursday, June 4, 2009

Take That, Red Tape!

I scoff in the direction of retarded insurance policies designed to deter us from our medical goals! After a week of calling the ENT's office every day to see if anyone had cancelled so I could get in as early as possible (as opposed to waiting until July 18th, pssht) I came home after a day of late work to find two letters from my medical provider. Now, normally, these envelopes come about a week after I have seen my doctor and they're usually a questionnaire about how the service was and, normally, I throw them away because really who has the time? Well, the first of the two says, "Based upon information provided, Sharp-Rees-Stealy Medical Grp (sic) has approved a referral to the following: The Chainsaw, D.D.S., blah-blah-blah."
Sweet! I don't even have to go to the ENT! It's ridiculous that I'd have to waste his time and mine for him to look at me for the same thing again, seriously.
So I go on to the second envelope expecting it to be an accidental second copy of the first. It says, "This letter confirms that Sharp-Rees Stealy Medical Grp has been notified of a proposed treatment plan for you and has reviewed the plan for medical necessity and health plan coverage. The information obtained concerning the treatment plan indicates a hospital admission has been approved to the following: Leforte without* bone graft."
Yay! I didn't really have any worries about the surgery being covered because the first was handled without me ever seeing a shred of paperwork. My boys and girls in the offices are earning theirs for sure.
* I really do need, and am getting, a bone graft for my missing tooth/implant-to-be during my Leforte procedure, but I always knew it wouldn't be covered. But, by doing it at the same time, things like hospital stay and anesthesia will already be paid for. I did the same thing by having my wisdom teeth extracted during the SARPE. Just being efficient!
So it's great to get these letters. I'll set up an appointment to see The Chainsaw tomorrow morning and see how much steam we can get going here. In a perfect world, the first week of July would be best for surgery, but anytime before September can work.

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