Just when things were looking up!!

[Guest guest]

Okay, first the good news........my son is up to 118 lbs. now and is still

eating well, so that is awesome news. He's continuing to make progress as far as

participating in more activities and programming at 's and is turning some

corners in other areas.

Now for the bad news.......got a call from 's today that Blue Cross is

denying further coverage for my son to stay there. I can not begin to tell you

how devastated I was to get that call! There is NO WAY he is anywhere remotely

close to being able to be discharged and there are so many compelling reasons

why that I can not believe the Blue Cross doctor would argue this.

They're saying he's ready to go down to PHP (Partial hospitalization) but due to

his bathroom issues and other factors, there is no way a PHP would even take

him, not to mention the fact that that type of upheaval for him at this juncture

would completely do him in and send him right back to square one, or even worse.

I am so beyond livid about this I don't even know what to say. We have an

" expedited appeal, " which is a 24 hour turnaround, so we'll know by tomorrow

whether they overturn it, but even if they do approve him, it's only for 7 days

at a time. Once they put up a denial, then moving forward they'll do everything

they can to push the patient out on a weekly basis,

Bottom line, I will live in a tent if that's what it will take to keep my son at

's until he's ready to be discharged. Insurance companies are just flat out

disgusting how they could put a child's life at risk like this is completely

beyond me!!

If anyone might have suggestions on dealing with this type of situation with

insurance companies, please let me know.

Please cross your fingers, and prayers are warmly welcomed....