J-Mom and I over the past 6 months have been fighting to get some testing for Diva-J to identify some behavioral issues that have become more and more concerning. When we started the process it seemed like it would work out fine. My employer provides a very good health plan and due to this, when Diva-J’s pediatrician recommended some testing for Diva-J, we thought, sure, it should be covered, so why not. This was the start of a huge journey in advocacy and fighting back and forth between our insurance company and the places where we wan to take our child.
At first, our insurance company made it seem like we would be able to go to the place where the pediatrician recommended. Once J-Mom had put together all of the paperwork for the office, we came to find out that in fact, they would not cover this location. Instead, our insurance company gave us a list of a number of other places to try and see if they worked with children. After taking a ton of time doing this, we found that none of the locations worked with children or they were not taking new patients. So the insurance company gave us a few more names and we went through the same process. The challenge was that each of these calls would end up taking a very long time due to the fact that J-Mom was retelling the story over and over to each office that she called.
Finally, we found a place that would take Diva-J and help us better understand what we can do to assist with the behavioral issues that we are dealing with. The biggest challenge that J-Mom and I found in this process is how much we had to push our insurance company and the doctor’s offices to get the service that we needed for our daughter… we truly had to become an advocate for Diva-J as we knew that she could not be an advocate for herself. I think this was the first main experience where we both felt that we were parents intervening for the betterment of our daughter.
So right now we are in the midst of having Diva-J go through some testing, so we are waiting to see what comes out of all of this. Wish us luck!