Monday, October 20, 2008

Gracie's test results

I heard back from Dr. Conger today. She has diagnosed Gracie with Grade 3 VUR (on a scale of 1-4, with Grade 4 being worst/most severe). Gracie will now need to be seen by a pediatric urologist, and Dr. Conger emailed me a list of several in the DFW area. Most of them do not accept Medicaid, but I found out that the Pediatric Urologists at Children's Medical Center in Dallas accept it. So I called them to make an appointment, and the soonest they can get Gracie in is December 18th, to see one of the urologists, Dr. Warren Snodgrass. Upon further research, this Dr. Snodgrass just happens to be the chief urologist at Children's, as well as a professor of urology at UT Southwestern. So Gracie is going to be seen by the very best! Here is the website for Children's Urology: http://www.childrens.com/Specialties/template.cfm?groupid=4&pageid=12

Now we just need to work out some insurance headaches. Apparently Medicaid will only cover a visit to a specialist if the referral is made by the primary care physician listed on the insurance, which is Gracie's former pediatrician, Dr. Len. However, the tests and diagnosis have been made by Dr. Conger, who is not a Medicaid doctor. I'm now hearing that Medicaid can be suspended if a non-Medicaid doctor orders tests performed, which I asked over and over at the hospital registration before Gracie's tests Friday and was told that it was all covered. So now I am stressing big time and am at the mercy of the Medicaid caseworker to understand my situation. She was supposed to call me back, but I guess didn't get around to it today, so I will call her again tomorrow (and sit on hold for another 45 minutes, ugh). Pray for me, this financial insurance stuff is so chaotic and I just wish they would all put Gracie's best interests first and let her be seen without all these minute details.

1 comment:

Amber said...

Ugh . . . I hate all that insurance stuff too :( I'll keep you and Gracie in my prayers.
I love all the new pictures! Gracie just keeps getting cutter everyday!!!