4/19/24 - Update on My Husband
By LindaOH
@LindaOHio (157050)
United States
April 19, 2024 5:16am CST
Yesterday was not a good day.
I get a call saying that our appeal was denied; and insurance coverage runs out today. I filed an appeal which could take up to 2 weeks. During that time we will be liable for the full cost of the room. Approximately $16,000+.
Then hubby's cousin said we could move him out today with a wheelchair and bring him home. Hubs decided he wants to stay.
Then I get a call from the rehab facility letting us know we have an outstanding bill with them for $200+ per day x 21 days = $4,200.
By this time my stomach was doing flip flops. I hope the second appeal comes back in record time in our favor.
Would appreciate any prayers and thoughts you can muster.
Photo Credit: Pixabay
28 people like this
28 responses
@snowy22315 (170369)
• United States
19 Apr
Did you ever contact the VA to see what kind of facilities they have available? Whether or not he comes home you had better get some home health care set up. He is going to need a lot of help I suspect. I will keep you in my prayers.
4 people like this
@snowy22315 (170369)
• United States
19 Apr
@MarieCoyle There are a variety of services they offer..and I am sure rehab services are offered. My friend with Alzheimers is a vet..but isn't in a facility like that but apparently they have checked some out.
3 people like this
@snowy22315 (170369)
• United States
19 Apr
@MarieCoyle I am sure they could offer some assistance.
2 people like this
@MarieCoyle (28948)
•
19 Apr
I wondered that as well. I know that some vets use the VA regularly.
3 people like this
@FourWalls (62409)
• United States
19 Apr
It makes me sick to my stomach that those insurance morons basically FORCE you to get an attorney (which is more money out of your pocket). 
You know you’re in my prayers.
You know you’re in my prayers.2 people like this
@LadyDuck (458942)
• Switzerland
20 Apr
@LindaOHio A attorney will only waste your money.
2 people like this
@LindaOHio (157050)
• United States
20 Apr
I'm not quite sure how the attorney would help us.
2 people like this
@LadyDuck (458942)
• Switzerland
19 Apr
@LindaOHio That is a lot, we have a copay with our insurance but for no reason it can be more than $ 2,000 per year.
2 people like this
@LindaOHio (157050)
• United States
20 Apr
@LadyDuck The check that is due for Monday is $9,000. Physical therapy will be a separate charge.
1 person likes this
@LindaOHio (157050)
• United States
19 Apr
The $4,200 is our share and we must pay that.
2 people like this
@TheHorse (206304)
• Walnut Creek, California
20 Apr
Honestly, I am tired of sending "kind" thoughts and prayers. Instead I am sending a Warren Zevon song and an end-weighted walking stick, designed for whapping money-takers and lazy workers around the knees and buttocks. @FourWalls will explain if I am not clear in my intentions. You should not have to go through this cr*p.
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2 people like this
@TheHorse (206304)
• Walnut Creek, California
20 Apr
@LindaOHio I'm not sure either. You might call an atty and ask what your options might be. An initial consultation is generally free.
2 people like this
@LindaOHio (157050)
• United States
20 Apr
Thank you. My husband wants me to hire an attorney; but I'm not quite sure what his role would be? Help us what?
2 people like this
@LindaOHio (157050)
• United States
21 Apr
@TheHorse It doesn't hurt to ask I guess. Thanks.
1 person likes this
@just4him (306870)
• Green Bay, Wisconsin
19 Apr
Oh my! I'm praying for a positive answer from the appeal. I also think your hubby's cousin has the right idea to move him out and bring him home.
I'm praying for God's will in your situation and His help to cover the finances. He can do it.
3 people like this
@LindaOHio (157050)
• United States
19 Apr
Thank you, Valerie. It's all very stressful.
2 people like this
@crossbones27 (48444)
• Mojave, California
20 Apr
I do not know how to help with that other than start electing people who are not so greedy.
1 person likes this
@crossbones27 (48444)
• Mojave, California
25 Apr
@LindaOHio I hear you, that supreme court hearing this morning was so depressing. Basically I came out thinking you need to get rich or powerful and preferably both because rules do not apply to them. I was so tired of listening to guy trying to defend no one is above the law, because he has to be respectful to the supreme justices. I am like light those fools up. So many "I agree, but".... I wanted to choke him. 
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
I'm at the point where I don't know what to do next.
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
I'm sure we do. I honestly don't know what to do at this point.
1 person likes this
@LindaOHio (157050)
• United States
21 Apr
@rebelann We have paid $9,000 to cover 30 days at the facility and $1,218 to cover our copay for the first 21 days. We will still owe for physical therapy for the 30 days. The woman in the Business Office couldn't tell me how much PT will be, which I don't believe!
1 person likes this
@LeaPea2417 (36494)
• Toccoa, Georgia
20 Apr
@LindaOHio I agree. The way the health care system is in this country, they want to bankrupt people and make them homeless. I am an odd type of Conservative because I think this country needs Universal healthcare like what Bernie Sanders pushed in a past election.
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
I think the whole situation is abysmal.
1 person likes this
@LindaOHio (157050)
• United States
21 Apr
@LeaPea2417 I agree with you on the UHC. Everyone I've ever talked to in the UK and Canada loves it.
1 person likes this
@wolfgirl569 (95593)
• Marion, Ohio
20 Apr
@LindaOHio I wish you could get some home help to bring him home.
1 person likes this
@LindaOHio (157050)
• United States
21 Apr
@wolfgirl569 He can get 2 weeks of home physical therapy if he gets a script from a doctor.
1 person likes this
@1creekgirl (40605)
• United States
19 Apr
Oh, Linda, this is terrible! I can't even imagine how upset both of you must be. I wish I had solutions for your situation, but God Himself does. Try to stay strong in your trust in Him.
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
Thanks, Vicki. I'm not quite sure what our next move is.
1 person likes this
@JudyEv (326094)
• Rockingham, Australia
20 Apr
@LindaOHio I can imagine how difficult it is. Do you have a trusted friend to talk it over with?
1 person likes this
@LindaOHio (157050)
• United States
21 Apr
@JudyEv I have one friend in Minnesota and one in London. I wouldn't bother them with this. I find the most help here.
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
My husband wants me to hire a lawyer; but I'm not sure what he/she would do.
1 person likes this
@dgobucks226 (34405)
•
20 Apr
Wow! Sticker shock, I hope your appeal is eventually upheld. It would be cheaper to have a nursing service come daily to your home to help your husband until he fully recovers.
Binging him home may be a better solution.
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
He wants to stay at the facility and get PT there.
1 person likes this
@dgobucks226 (34405)
•
23 Apr
@LindaOHio I see. In time he will regain his strength and be ready to return home. Hope it is not too costly for you.
1 person likes this
@LindaOHio (157050)
• United States
23 Apr
@dgobucks226 I'm hoping he won't have to stay any longer than a month.
1 person likes this
@sharonelton (25111)
• Lichfield, England
19 Apr
I am sorry to hear this. I hope everything works out. 
2 people like this
@GardenGerty (157652)
• United States
20 Apr
I hope the second appeal is successful. I am so sorry you are going through this right now.
1 person likes this
@LindaOHio (157050)
• United States
20 Apr
Hubby wants to stay at the facility; so we must pay. I doubt that the appeal will be in our favor.
@LindaOHio (157050)
• United States
20 Apr
We dipped into our retirement fund. The check that is due Monday is for $9,000. Physical Therapy will be a separate charge. The $4,000+ bill should be in the mail.
@moffittjc (118544)
• Gainesville, Florida
20 Apr
The last thing you need to worry about at a time like this is medical bills and expenses. I hope this can get resolved quickly. I will be praying for God to intervene in the situation.
1 person likes this
@MommyOfEli2013 (82098)
• Rupert, Idaho
19 Apr
Oh wow, I am sorry to hear that, sorry things have taken that turn with insurance and everything. Hopefully you'll get it back soon and it will be good news.
1 person likes this
@MommyOfEli2013 (82098)
• Rupert, Idaho
21 Apr
@LindaOHio Understandable...it's a lot
1 person likes this
