After a week of calling my medical group to report the incident, I finally got in touch with a head nurse. I explained to her the disappointing situation with our current neuropsychologist. For clarification, the neuropsychogist does not work for my son’s medical group, instead she has her own private clinic. The reason we saw her for the assessment was because our insurance company puts “autism” under behavior health and not under medical, so we were not allowed to have the assessment done with the medical group.
As I explained to the head nurse that I wanted to look into appealing my insurance company to see someone out of my network because I had a bad experience with the current neuropsuchologist, she seemed to listen intently, then she said, “Let me look into this—I’ll get back to you.”
After a week of unreturned calls, I was prepared for another dead end, but later that day the nurse called me back. She said, “I contacted the appeal department and I have some bad news and good news. The bad news is that it would be a very long process to make an appeal to the insurance company and the results would most likely be disappointing. However, the good news is that I spoke at length with our top doctor who does our assessments here at the medical group and he has decided to do your son’s assessment.”
Oh my gosh... I know exactly who this doctor is! He comes highly recommended and his waiting list is over a year long!
As the excitement sunk in, the nurse continued, “We called your insurance company and they told us that they would NOT cover the costs for the assessment since this doctor is out of your network. However, we wanted to do the right thing here so we’re offering to do your son’s assessment at no cost. We promise he will get a fair and complete assessment.”
Through giggles, I asked the nurse, “So you’re telling me that you’re not billing the insurance company and you’re not billing me? So you’re doing this for free?” She replied, “We want to give you the best care you deserve.” Then she continued, “this doctor typically has a waiting list of about 1 year, but the doctor has agreed to get your son in as soon as possible. Let me transfer you to the appointment department.” After a few seconds a woman picked up the line and schedule all three required appointments for my son’s assessment with the first appointment in just over 1 week and the last one at the end of next month!
As I got off the phone I began laughing and crying all at the same time. The boys called out, “What’s wrong mommy, are you upset?” I laughed more and said, “No boys, these are tears of joy!”
I could hardly believe this unexpected turn of events. But what makes it more spectacular is that for the last two weeks I’ve been praying specifically that God would “fix” this situation. This was following a devotion where I was encouraged to once again “let go” of things and give them to God, so in an effort to do this, I gave this over to God and prayed that He would somehow get us approved to see someone out of our network, knowing full well that this was very unlikely. And just as God promises, He gave me more than I ever imagined. Not only did he give me someone highly recommended, but he gave it to me for free AND he gave it to me immediately.
I wish I could say that I had complete faith that this was going to be the outcome. But honestly, I struggled with this whole “give it to God” prayer. It was a rough two weeks that were filled with a lot of raw emotion. But thankfully God doesn’t need my help, He just needs me to have a mustard seed of faith and he can move mountains. Boy did he move some mountains!
...Truly I tell you, if you have faith as small as a mustard seed, you can say to this mountain, “Move from here to there,” and it will move. Nothing will be impossible for you. (Matthew 17:20)