Family Fights Health Insurance Company – Part 1
This is no longer an uncommon story. The Hamilton family has a daughter with multiple chronic illnesses and an insurance company reluctant to pay for the services they are requesting.
Mariah, their 13-year-old daughter suffers with a 74-degree curvature of spine. But that’s not all, since birth, she’s had chronic cardiac maladies. Despite all she must bear, she is as happy and normal as any tween her age.
AvMed, the family’s plan, was willing to pay for a spinal fusion surgery costing nearly a quarter of a million dollars. But, the Hamilton’s and several of Mariah’s doctors say the highly intrusive procedure is risky given her weak heart, and at worst could leave her paralyzed.
But, to look at Mariah –and the facility with which she moves given her extreme scoliosis – she and her parents say is attributable to the more hands-on treatment they have discovered, craniosacral therapy. With roots in Eastern medical practices, the massage and acupressure-like treatments came to the U.S. in the seventies.
When the Hamilton’s discovered the alternative, less invasive form of treatment they felt they had nothing to lose. But AvMed and their doctors say otherwise. The insurance company –the largest of state employees in Florida— call the treatment experimental and the results of Mariah’s physical improvement inconclusive.
Mariah has already had 14 surgeries in her lifetime and was refusing to have another.
The Hamilton’s want a chance to plead their case before the insurance company, and have been repeatedly denied.
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January 8th, 2010 at 4:06 pm
It’s a shame that “fight” and “health insurance company” even have to be in the same sentence together. I sincerely hope Mariah gets the care she deserves and needs as a human being. The right to health care should be a basic, inalienable right!