mamasbabygirl Posted January 25, 2006 Share Posted January 25, 2006 Dealing with the damn insurance company/rehab case manager, the House Doctor!!! Mom's neurosurgeon told us before surgery that mom's condition would worsen for at least 2-3 months after surgery and then, and only then, would she see any improvement. Our impression pre-surgery was that she would be in rehab for 2-3 months or until she got better. This is not the case... I know some of you have had to go through something similar, so here goes: Rehab has already determined that mom will be at wheelchair level upon leaving on 2-15. We have a case manager who works with her insurance company and a "House Dr." is what I call him that approves or does not approve her rehab stay. He would not even fill out her LTD paperwork for her job bc "he won't be her Dr. when she leaves". The oncologist did it, thankfully. I got a call from the case manager today who said mom will be at wheelchair level and be needing 50-75% help with transfers once she does home. So, she was calling with the phone #s for a ramp service and a stairlift company. I asked about insurance and she said they consider the stairlift/ramp a convenience item!! My parents live in a tri-level. Main floor has no potty and 5 stairs outside. Full bath is up with the bedrooms and a family room and half bath downstairs. When we push the case manager to defy the norm with the insurance company considering her Dr. told us 2-3 months before she would make improvements, she starts talking about assisted living or adult daycare. SF did not realize assisted living is a nursing home, so he was all game. He is not ready to do this again, she is far worse off, believe me. She has no movement in her leg now. God, I am so angry!!! Help me please come up with some solutions to deal with this lady and the insurance company. The policy has no lifetime limit. This house Dr. is the rehab's Dr., that's where he works every day. I bet he is getting fat!! Help! Quote Link to comment Share on other sites More sharing options...
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