Updates

I talked with my OB's office yesterday (Wednesday) and asked specifically about my August appointment that the insurance was saying wasn't an OB appointment. I was correct. It was and OB appointment. The person at my OB's office I spoke with said that if I needed her to, she would send something to the insurance saying that my August appointment was pregnancy related. I think I have a pretty good shot of winning this one too!

Jeff and I are finally in Denver. We were supposed to get here last night but got involutarily voluntarily bumped - too many people and not enough seats on the plane because they had to downsize. Don't know why. We got put up in a hotel right by the airport last night, were given food vouchers for last night and this morning, two free tickets anywhere in the lower 48, and were on a 6:00 a.m. flight to Denver this morning. For those of you who know me well, you know that I am not a morning person and getting myself out of bed at 3:30 this morning was quite the feat! We are here! On to the cooking and then the eating!

Partial Success!

I heard from the insurance company today. So far they have forgiven(?) my co-pay for my second OB appointment. I am still dealing with them on the first one. They say it was a diagnostic appointment and not an actual OB appointment, since I didn't get my blood test done through the OB (mental note for next time - do the blood test for confirmation through the OB). Once I explained to the gal I've been dealing with that I had my confirmation blood test done in July at my check-up appointment with my GP for my sprained ankle, she said she would take that back to the board and see what she could get done. (I found out by home test the morning of that GP appointment that I was pregnant. Since I was going in anyway, I had them do the blood test. One less place to go, right?)

What do you all think? Who is right here? (If I'm wrong on my interpretation, please let me know. I'm not necessarily asking to be told that I'm right. I'm just not experienced in this.) Was my first OB appointment truely an OB appointment and not a diagnostic appointment even though my OB did a pelvic? The office staff at my OB's office gave me the impression that it was an OB appointment by what they said, ("Insurance companies do things different for OB appointments. Don't worry about the co-pay for now.") Oh ye wise doctors and medical types! (Michele, Kristen...)

Not even the full moon yet

The kids were off today. Really chatty, not themselves. I was about ready to clobber some of them. Especially my older ones. We were watching the program video from last week (Vet's Day) and they couldn't be quiet or calm, or respectful. I finally ended up turning off the video and starting on the next unit - American Musical Theatre. They know more than I though they knew about it. That's good.

It's been a long couple of days for me. One more long one to go, then a little bit of relief. I couldn't get to sleep on Sunday night until 3 a.m. I had loads of things on my mind, some dealing with school, some dealing with Jacob, some dealing with other personal things going on. I left home around 7:30 yesterday morning (Monday) and didn't get home until 9ish last night. After work, I had to go to a reading training (which makes how much sense for a music teacher who doesn't teach reading?) and after that was youth group. Today was 7:45-6:30, there was a music teacher's meeting after school. Tomorrow I have an appointment at 5:00. Won't get home until after 6:00. Get to battle bridge traffic since my appointment's in Gig Harbor. Joy. I'm ready for Thanksgiving. Forget that. I'm ready for Christmas break. Two weeks of no-brainer stuff. I can handle that!

As far as the insurance bit goes, in talking with my sister, who is in med school, she said that there should be no reason for them to make me pay the copays at this point since I didn't elect to end my pregnancy. I guess it makes sense that the insurance companies would have that policy in place for people who choose to end a pregnancy. Still, I'm going to take it as high as I have to or can if they don't grant my appeal at this level.

The Insurance Saga begins

I called the insurance company today and registered a verbal complaint. It has been registered and a decision will be reached in 7-10 days. I told the lady I talked with (who was very nice, btw) that it felt like they are adding insult to injury and that they are saying I was never pregnant. I told her that I saw my son and held him in my hands. I wonder on what grounds the decision will be made. Will they look at if I was doing anything that could have been considered risky or jeopardizing the pregnancy? I wasn't. Just one of those things. More on this when I get it.

We had yesterday off from school (Veteran's Day) and then one day back today. I was anticipating the kids to be in all states of chaos since the schedule got disrupted. Nope. One of the best days I've had all year! We weren't even missing that many kids, either. One key girl in my all-day kindergarten class being gone made a world of difference. It was calm in there for a change! LOL

Fighting the Insurance Company

That's what I'm doing now. I got a bill from my OB yesterday saying we owed copays for the two monthly check-ups I had, which while I was pregnant didn't have a co-pay. Since I miscarried and therefore didn't carry my son to term, I have to pay the co-pays. Granted it's only $30, which isn't much in the big scheme of things but still. It's the principle of the thing. I told the gal at the OB's office that I'm not upset with them, but that I think it is wrong. She agreed 100% and told me that one of their patients fought the insurance company on this same issue and won. I'm calling tomorrow, hopefully they'll be open since it's Veteran's Day. I'll keep everyone posted.

As for how I'm doing, let's just say my body is working like clockwork. Very predictable so far, which is nice. Now if I could just shake this darned cold/cough/sinus thing. The upper left side of my face feels like it's gonna 'splode. Ugh. I just took some sinus medicine so hopefully that will help.

Time for bed. I'm exhausted. Hopefully more tomorrow.