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Shove It, BCBS!

Cade's doctors and I went through hell with Blue Cross trying to get the vaccine to prevent RSV approved. He had it last year, but this year criteria wasn't met.



Hi Aimee, I know it was not your call to deny my son, Cade of the Synagis but I have your contact info. I would really like this to make its way to the doctor I spoke with regarding his decision to "follow guidelines" and deny Cade. Cade didn't "meet criteria" yet now we are in the ICU because he is in Respiratory Distress due to, yep you guessed it...RSV! As a Mom of a child with Special Needs it is my duty to fight for my child to get whatever he can to help prevent situations like this. Knowing there is a vaccine that could have prevented this battle we are facing infuriates me! We PAY insurance for a reason and to be denied something that is so critical to my child is nonsense. Underlying respiratory issues, history, Prader-Willi Syndrome( educate yourself on this syndrome, you may not have been so quick to deny Cade 3 times.), narrow airways, low muscle tone...Hello...Criteria is MET in my opinion!

If it were your child I bet you would think twice.

(Here is where I inserted a pic of Cade all hooked up in the hospital but I can't post it here for some reason.)






Sincerely,
Maegan Richard
Mom to Cade Richard
985.860.4080

Comments

  1. Ali Foley ShenkJanuary 17, 2012 at 10:32 AM

    Maegan, I'm furious for you. Dean was denied it as well (under United HealthCare) despite FOUR appeals and fortunately, he did not get RSV, but poor Cade!!! Praying for a quick turn-around for your little man. :( The respiratory stuff sucks.

    ReplyDelete
  2. Janet GulleyJanuary 17, 2012 at 7:06 PM

    I love the idea of attaching a picture. Speaks those 1000 words.

    ReplyDelete
  3. UnknownFebruary 3, 2012 at 4:16 PM

    It is an infuriating battle fighting with insurance companies & pharmaceutical companies for Synagis. When I worked for a pediatrician, I watched babies get denied time after time & just like Cade end up with RSV and a hospital stay. It's sad that the insurance companies control so much especially when parents pay so much to get the things like this that their children truly need. Sorry to hear the same story coming from you, but glad to know Cade is recovering.

    ReplyDelete

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