I mentioned yesterday that Bossy's GI doctor no longer takes our insurance. It is absolutely crazy.
It started a few months ago when the Children's Hospital (where GI is, and where all of Bossy's records of everything....NICU, GI, Neuro, etc...all reside), sent out a letter stating that they were in negotiations with the insurance company (Blue Cross/Blue Shield!), and if they couldn't reach an agreement, the contract would expire April 15.
Now, this has happened before, and it has never been an issue. Both sides puff up their chests to show how big and bad they are....but in the end they reach an agreement. This time....not so much.
Believe it or not....the contract expired. The hospital is the only dedicated Children's hospital in the state, and they no longer accept one of the largest insurance plans in the country. The hospital wanted to be reimbursed at a higher rate than the insurance company was willing to do, even though the rate was lower than what all the other insurance companies were paying. I really think that everyone figured at the 11th hour it would work out. Not so much.
So, for 90 days (mid July), the hospital will work with the insurance company to get things covered, but after that, no. They will be out of network, and the patient is responsible for the balance.
The problem for us...Bossy's feeding tube. We HAVE to have a GI doctor. And to find a pediatric GI....ugh. Never mind that he has been going to this office for 10 years. But we can't pay for everything out of pocket. He needs an endoscopy next summer....that is $2000. No way we can pay that out of pocket.
I will talk to the GI office when we go in June, and see what the deal is. But I have a feeling we are going to have to start over with a new doctor. UGH.