We have entered another battle.
Bryan has been using hyperbaric oxygen therapy (HBOT) to help treat his TBI. The therapy administers high pressure oxygen to help the blood flow in his brain. And, it’s working.
Bryan has better memory function, fewer PTSD episodes, less impulsiveness and better brain function. Still, his improvement does not seem good enough to justify the insurance companies paying for it.
Medicare denied the $9,0000 claim for HBOT. Now, Tricare is denying the claim as well even though they said they would pay once Medicare denied it. The hospital has appealed it as far as they can and they told us that the patient needed to appeal it now.
I’ve mailed his appeal paperwork but we are still receiving bills - $9,000 worth that is due now. We have another $20,000 in outstanding bills from the therapy. We don’t have that kind of money lying around. I know for a fact that Tricare paid for this same treatment for another wounded warrior. Why are they discriminating against my husband? Why are they making us fight? I am so tired.
This is our first appeal with Tricare and luckily another wounded warrior wife who has done this many times before is helping out. We couldn't be more thankful for the guidence.
What I don’t understand though is that even though my husband has three insurance companies covering him not one wants to pay for a therapy that works? The HBOT gives him gains that he has never made with pills or therapy.
I just hope we can get this worked out as soon as possible. I am so stressed over this and it isn’t healthy. I know it is stressing Bryan out too even though he doesn’t really have to deal with the paperwork issues.
I feel that the insurance companies want to cause families stress. I feel that they don’t want these warriors to make gains by thinking outside the normal box for treatment. I feel they want to waste time and money in appeals and make it a difficult trying process for families.
If Tricare does not pay for these services we could be in long term financial ruin. I need prayers, hope, the will to keep pushing, and patience. Luckily, I don’t give up so easily. So now, I will put on my proverbial boxing gloves and get this taken care of.