We Won!

Now I am not talking about the Tigers game on Thursday to advance to the World Series or the UofM win over State earlier, which both happened. No, we won our appeal to get the feeding program covered by our insurance! We are so excited!!!!

It was a bit of a roller coaster this week to get here. On Wednesday morning we got a phone call from the claim supervisor handling our claim that we would get reimbursed. We were so happy and called and texted many. Then three short hours later she called again because the senior VP and chief medical officer of our insurance wanted to review the appeal. I get it. I am sure he was questioning why the program was approved in the first place. I made it clear that it was unacceptable to indicate that we won our appeal and then to take it back. They promised a decision by the end if the week and we got it. Our insurance wanted to point out to us that this program is not a covered benefit but because they looked at the bigger picture, they covered it just for this instance. I am quite confident that it was the 100 pages we submitted - a 14 page memo with references and attachments. We hammered home our point that if we did not do this program, we would have done surgery for a G-tube at a cost nearly 10 times the program cost. So they agreed to cover it "this time".

We are feeling pretty pleased. Everyone is doing well. Audra is already 7 months old! She hasn't been eating a ton lately but she is getting another tooth. She still isn't the best sleeper either.

Time to sleep - I am doing the shortest leg of the relay for the Detroit Marathon in the morning. It is just under a 5k. Hopefully it goes well.

All the best!