Sometimes doctors do amazing things that have nothing to do with curing this or repairing that. A couple months ago, we went to see yet another doctor about Hope’s hemangioma condition and the surgery she needs. As a refresher, this is a malformation she was born with that we’ve seen at least half a dozen different doctors about, and all conclude the same thing: she needs surgery, and Mayo Clinic is the best place on Earth to do it. We had everything scheduled about a year ago in Rochester, and had made a couple trips there to meet with the vascular and plastic surgeons. Then insurance happened.
Our health insurer, Blue Cross Blue Shield of SD, called it an “experimental procedure” and refused to pay anything for it. Our doctor at Mayo argued with them, as did our pediatrician and our pediatric dermatologist in Sioux Falls. To no avail. It became a waiting game.
Then this summer, Dr Kooima (our pediatrician) said maybe we should go see another doctor, right here in Sioux Falls, to have a look. We went to see Dr. Miller, and now we call him superman. Dr. Miller told us the same things we’ve heard many times: she needs the procedure, and Mayo is the only place to go. Then he did something magic. As we where leaving, he mentioned that he’d send a letter to BCBS on our behalf, telling them what he told us, and that he’d be sure to check that the other three doctors involved did the same thing.
Voila! Within a couple weeks we had a letter in our hand from BCBS letting us know we were now fulling covered. Jaim called to be sure it really meant we had a green light. We’re scheduled for the first in a series of 4-5 surgeries on November 4 at Mayo. Thanks Superman.