Posted by: serenity30 | October 21, 2009

My Battle With My Health Insurance

Last Wednesday I went to get my daughter out of her crib from her nap. As I went to pick her up my back went out. It felt like a pop and then a burning sensation in my lower spine. I just about dropped my daughter back in her crib. I manage to pick her back up and brought her out into the living room. I could not bend down to put her onto the couch. The pain in my back was beyond painful. I am trying to hold it together so I would not scare her. I needed to get her lunch and contact my husband to come home. Moving around was difficult. I have no one around and no one else to call…..

My daughter wanted to be held, and I am trying to calm her. She doesn’t understand why mommy can’t pick her up. I finally get her lunch together and went to pick her up. The pain was so bad that I let out this huge scream. I started crying, she started to cry. I barely managed to get her into her high chair. Well I practically dropped her in it.

My husband comes home about an hour or so after I call. Off the the ER we go. I can barely walk let alone sit down. I got pushed through the fast track. I was in and out in 15 minutes. Asked a few questions, touched my lower back, gave me some pain pills, (the pain pills is another blog all together….and they wonder why people have a problem with them when they hand them out like candy.) and sent me on my way. And gave me another doctor to see.

I called to make an apt with the spinal specialist. I would have to wait two days to see him. Thankfully my husband took time off to help out. When I saw the specialist he was not thrilled with the ER. They did not do any x-rays, or even give me an inflammatory. The specialist did the x-rays right at the office. And nothing showed up. So he put me on a cortisone pill, along with saying lets do an MRI.

Now this starts the battle with my insurance. I made an apt for today to do an MRI. And I would be returning to the specialist on Friday. I got a call yesterday from the doctors office saying my insurance denied me the MRI. I need to do PT before they even consider the MRI. Ummmmm……what gives you the right to make a decision like that? I am beside myself. Not like I haven’t gone through this bullshit before. 5 years ago my back went out. Went through the same thing. Though is was a different insurance company. Did the PT, so on and so forth. Comes to fine out the PT made it worse and finally I get to see a specialist to order the MRI. Turns out I had 3 bulged disc. I ended up having the cortisone shots in my back. And it worked. I did not start having problems with my back till after I gave birth.

The doctors office has been battling with them for two days. My turn to try. I am not sure what luck I will have..but I have to do something. I know my body, and it is not a pulled muscle. My lower spine is pinching and of fire. I know part of the reason is because we had meant our deductable. They will have to foot the bill. I realize that there are people who abused the system..but I am not one of them. I do not understand why they have a right to say what I can and cannot do.

They are going have to pay for the PT and then turn around and still pay for the MRI. The PT can make my back worse. PT is not the answer for everything. They are not doctors….how can the decide?????????????


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