Getting over an underbite

blogging my way through double jaw surgery

Archive for the month “April, 2013”

Working through options

I’m feeling better than I did last week this time. Not that the situation has improved, I’m just dealing with it better. Here’s what I’m doing:

  • The surgeon is filing an appeal with the insurance but it is doubtful it will be approved.
  • My husband tried talking to his HR dept, which directed him to his Benefits dept, which directed him back to the insurance company. Full circle, dead end.
  • I’m checking into my work’s insurance for next year (instead of my husband’s), but I don’t think they cover it either.  And that wouldn’t start til January if it did.
  • We got a letter from the surgeon breaking down the costs if we paid out of pocket. While it is less than I expected, still more than I want to pay.
  • Praying about it too, mostly to handle this well and to figure out what to do next.

In the meantime I have another ortho appt in 5 weeks. I’ll just keep going for now, to do those last little tweaks.

Not really a good day

Last year I waited to get braces on until I was pre-approved from my surgery. I didn’t want to risk it, the expense, the trouble unless I knew I’d be able to do the surgery. I hoped I could have the surgery before the year was out just in case my insurance changed again. My teeth didn’t cooperate, whatever, and didn’t get ready til March. And our insurance changed.

So a new request was filed, twice, by the surgeon’s office, with no response. As I said in my last post, I got nowhere last week with them. The ortho’s office had the same result. The surgeon’s office called today and a rep told them that my kind of surgery is plainly excluded in our policy. 

19 years ago I had been in braces for four years (stretched out a little long since I worked out of state each summer of college). I was hoping that I could do the surgery then found out I had no way to cover it. It was so much cheaper back then but it might as well have been the moon, it was that unreachable. I cried after I left the surgeon’s office that day, disappointed, and went back to the orthodontist to settle for having my teeth fit ‘the best they could’.

I’ve come to terms with it over the years. I wished and wished, and tried later in my twenties but the insurance wouldn’t approve. I have learned to be happy in my own skin so to speak, not worrying about how I looked, and making do with how it worked. Then last year my hopes were raised again, and I let myself think I would finally get to do it!

So here I am today, discouraged again. I left work early after hearing the news and just came home, and cried on the way home. I trusted that it would work out and it hasn’t, yet.

I’m to call the surgeon’s office tomorrow and talk to them directly and see what they have to say. I don’t have many options. My insurance is through my husband, who works for a very large corporation. Their HR won’t care, I don’t see any recourse there. He tried to go online today and just find out exactly what our policy does say, and can’t find a thing. I am not impressed with this insurance at all.  Super unhelpful website, at least 2 reps that didn’t know what they were talking about (one actually said you don’t need any pre-authorization for this kind of surgery, just do it!). 

Sorry for the long post today, just getting this out there helps me a little. I’m praying about the next steps and for God to open doors that are shut, if he would. Just trying to keep trusting and hope that the last year in braces hasn’t been in vain.

 

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