We had to take Noella to a Pediatric Urologist. Since there are none in West Virginia, we went to Pittsburgh. Because it is out of state, I had to request permission from the insurance company to take her there. IT WAS DENIED! They want us to instead take her to Charlottesville, VA or Columbus,OH. Because these hospitals work better with the insurance company than Pittsburgh. OK lets think about this. Pittsburgh is 1.5 hours away, Charlottesville is 4.5 hours away and Columbus is 3.5 hours away. The denial letter stated that if there were facilities within a reasonable geographic location you need to go to those facilities. So, according to our wonderful insurance, it is reasonable to travel 9 hours with a six month old baby for a 20 minuet appointment. WTF! Are you kidding me?
So really they are covering it but at the higher, out of network rate. All in all, it isn't that big of a deal. But the principle of it really pisses me off. I pay a ridiculous amount of money to have insurance and then they expect me to do something unhealthy with my child so I can go to the Dr.'s that they prefer? Really fool, really?
So I am writing an appeal letter and get angrier about it every time I think about it. What is wrong with people?
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