After talking with Renee, I started to call some of the other hospitals that we know accept our insurance company to see if they had facilities that could handle Mia. I spoke with a lady named Kim that works at Dominican Hospital in Santa Cruz and explained the situation and that we had tried for Stanford but Stanford had denied Mia. She explained that Dominican was actually a sister hospital of Stanford and that they work really closely together. I was thinking to myself, oh great, the one other hospital in the bay area that can take Mia and she will probably get denied by the same doctors that denied her at Stanford itself... Kim asked a lot of questions and said that she would look into seeing if she can pull some strings for us.
Later in the day we heard back from Kim who explained to us that she had found out that Stanford had denied Mia because they were of the understanding that TriCare would not fully cover the hospital. Kim then contacted Renee the case manager at TriCare and explained this to her at which point Renee was very surprised and said that was not correct and that TriCare would cover all of Stanford. Armed with this little bit of knowledge, Renee and Kim combined are going to try to get the mess straightened out on Monday and get Stanford on the right page.
So... in essence we are back to working on Stanford. IF they fall through for a third time (knock on wood), our insurance company said that since there are no other options in the San Jose area that we can then look for an out of network provider. In that case, then Mia can go to the Santa Clara Valley Medical Center (that has already accepted her) and we don't have to worry about insurance not paying.
On a different note, Rachael had Mercedes blow her nose yesterday and then she started crying and said her ears hurt, so we got an appointment for Mercedes for today and found out that she has a mild double ear infection. So she is on some antibiotics to clear that up. Please pray that she will get over it quickly. Other than that, she's been her usual cheerful self!
Well, that is about all we know right now. It doesn't look like we will hear anything until Monday but we are hoping that once we get the go ahead then we might be out of here on Tuesday or Wednesday. Thanks again for all of your thoughts and prayers.
Robert
My name is Amy--you don't know me but I'm a friend of Mike Steelman's, and saw your story on his blog and decided to start following your story. Your faith amazes me. Know that you are in the prayers of many that you don't even know.
ReplyDeleteThe steadfast of mind You will keep in perfect peace, because he trusts in You. Trust in the Lord forever, for in God the Lord, we have an everlasting Rock. Isaiah 26: 3-4
ReplyDeleteMay you rest in Him during all this insurance/ hospital jockeying. Thank you for the updates, it gives us direction for our prayers for you all. From Laura McHenry