I am still waiting on a call from Dr. Hunt to explain the PET scan results and see what other tests/scans need to be ordered so I can start my insurance appeal yet again. Please pray specifically for communication within her office as it seems they thought the nurse practitioner went over the results with me yesterday. She did tell me the doctor would probably order some other tests so pray we can request those tomorrow so we can get them done next week while we are in Houston.
I have been on the phone with my insurance carrier, Scott & White Health Plan for five of the last six hours trying to persuade them as to why I must be operated on by a specialist for a better chance of survival. We will need you tomorrow to help persuade them to give me the care I deserve. (This is also the care you deserve if, heaven forbid, you would ever find yourself in a similar place.) Please stay tuned for that.
Scott & White Health Plan has once again approved out of contract, out of network coverage which is 50%. MD Anderson requires insurance to pay 60%. This is the political, red tape, beastish way to say, "Yes, you can go where you want...But we won't really let you." I am still very thankful that I live in a country where I have the freedom to fight the beastish institution of our health care system; however, I am battle-weary and worn down tonight.
We have, once again, begun the appeals process, which takes up to 30 days, to have the segmental mastectomy and breast lymphoscintigraphy plus any other testing the doctor has yet to order based on the PET scan covered as in contract, in network coverage. We are making headway as we actually got to the medical director today. Finally. A person who is willing to take responsibility for my health and future well being. Please pray for this doctor.
Also the insurance carrier has said that if Dr. Hunt or a treating doctor from MDA will write a detailed letter and make a phone call using strong language that it would greatly help my case. Please pray that can happen tomorrow. Please pray hard on this issue. Many reinforcements have been called in to make this happen.
I thank you for standing in the gap for me today. It has been a dark, dark afternoon yet in the darkness, the Light has shone.
I will give you the treasures of darkness, riches stored in secret places, so that you may know that I am the LORD, the God of Israel, who summons you by name.
or as The Message puts it
I'll lead you to buried treasures, secret caches of valuables—
Confirmations that it is, in fact, I, God, the God of Israel, who calls you by your name.