Friday, February 23, 2007

Big owwwwieeeeee

MIL told me jokingly yesterday evening that we shouldn't have any security fears at our house. Between the dobermans and Stef, we'ver covered.

I had to leave work early yesterday to take MIL to the eye doctor because Stef had cut her eyeball with a fingernail. She insists it was an accident. I still want Stef to apologize for hurting her. Poor MIL couldn't even see the phone book to look up the phone # for the eye doctor. My eyes hurt and start watering everytime I think about it. Anyway, the doctor says it's a pretty bad scratch on the cornea. They gave her numbing drops and antibiotics and said she should be able to go to work today if she's up to it. We just feel awful about this. Steve even offered to pay for the doctor visit. I know it was a freak accident, but it's still awful.

Semi-update on the insurance saga....The RE wants another $5k from me by March 6 (or 9th, I can't remember and left all my papers at home today) for the PGD because the main submission ($9975) for the last IVF/PGD is still sitting in limbo at the insurance company. I know the PGD was approved and they said it was just a formality of getting them paid now. So I have someone at the insur co pushing very hard to get it finalized. At least if we have an approved amount to be paid, Anita can go to Jamie (office manager) with that and see what we can do. ***Oh look! It's complete now, except that the $5000 is still undetermined because they are waiting for medical records from the provider to make a final decision. SHIT! That's the part the RE is bitching about. Personally, I think they billed the insurance wrong on that amount. If they billed for the full $5k, but then I submitted the $2200 (see below) separately, but the $2200 was actually part of the $5k, I think we've double billed somehow. Elisa, any thoughts?

I also found out yesterday that the $2200 for Reprogenics (the DNA lab in Jersey) that I appealed was approved. They approved $1665 of the $2200. Of the $1665, $350 went to my deductible (for 2006!! GRRR) and $394.50 was my copay. Whatever the balance of that is, will come back to me. Since the next round is a new year, I'll have a new deductible to meet, so the next one will probably look the same - I'll have to pay about half, but totally worth it to me.

Also, I got confirmation from Mother Merrill's HR dept that the $15k lifetime limit on fertility drugs has been waived since I'm still within my 3 IVF cycles. There's a $2595 bullet dodged. I'd have been stuck with that one because I already have the drugs in my fridge at home. You can't return them once they leave the warehouse.

Meanwhile, back at the ranch, I'm still just sitting around waiting. Waiting for the start of the next IVF cycle, waiting for the RE to submit medical records so that the insurance company can make a decision on the $5k, waiting to see if the RE really really is going to require another $5k deposit from me before they'll proceed with the next cycle, waiting for Stef to start pee'ing in the potty.

2 comments:

Elisa said...

No real thoughts on that but I'd get all my EOBs and check it out. I find it's easier to see things when they are on paper right in front of me.

Well, you've probably already done that. The whole paragraph about the $$$ has my head spinning.

Your poor MIL. Hope her eye heals quickly. :)

Susan said...

Damn yes my eyeball hurting too....... I'm sure it was an accident, probably scared little Stef also. Quite the money story I agree with Elsa my head is spinning also , lol