The ups and downs of being a new nurse is exhausting. Best part: I am learning something new everyday! Hardest part: realizing how much you need to learn. :)
Dh is doing amazingly well. His ortho doc even commented that dh's healing so quickly was amazing. Dh is in physical therapy to help rebuild the strength he lost over the last two months and help him continue healing without surgery. The insurance company is dragging its feet on paying the hospital bills. I was concerned this could be an issue since the ambulance was sent to the only non-ppo hospital in the area.
We are supposed to have coverage for emergent care regardless of provider but you have establish that it was an true emergency. Fair enough. Unfortunately it gets stickier since dh was admitted to said hospital. In that situation how they are going to pay is going to be unknown. I think when all is said and done I have enough documentation to show need and that it was an emergent situation. We will see.
I understand the cost difference for the insurance company so I understand the reasoning for them wanting to make sure that they aren't paying every time someone calls an ambulance and decide to go to a hospital that isn't a ppo. That of course, isn't the case in our situation. Being thrown from a moving motorcycle and having multiple fractures definitely qualifies as emergent. As a nurse I think that the doc's had no choice but to admit him given the level of injury and potential for additional injuries to present (as is often the case where blunt force is involved in a trauma) but will the insurance see that as clearly as I do?
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