Friday, October 30, 2009

Focus on the positive

Last year Malachi got the RSV vaccination Synnergis (not sure how to spell it.) Because he was born 2 months early, and weighed only 3lbs (not to mention all of his medical conditions) he was a shoe in for the monthly shot. Because he is a Foster child he gets the state medical card which covers 100% of all his medical. This has been an AMAZING gift to us, as we have not seen 1 single bill for any of the 180 days spent in the hospital in his first year. Not a single one, did you read that correctly? Zilch, nada, zip...NOTHING. Josh and I are so incredibly grateful that this financial stress has been taken care of. All his other medical bills have also been taken care of. Prescriptions, doctors appointments, everything related to medical. Well, this year his peds doc decided she wanted him to have the same RSV shot this year, just in case. So she put in the order to get approved by the sate, a few weeks later I got the denial letter. Ugh, just another thing to add to my plate, another thing to fight for. I have begun the process to appeal, but it is a pain in my rump. Part of the process requires me to get a written letter from the pharmacist stating the cost of the shot if not put through insurance. Haha, listen to this. Because Malachi is 18lbs and the dosage goes by weight, Malachi's monthly shot would be $5,800 for 1 shot! And i believe they give a shot each month for 4 or 5 months! YIKES! So please be praying that we get approved, because i surly cannot afford $5,800 a month for a shot!


3 comments:

Emily said...

Holy Moly! That is outrageous! The never ending medical issues are such a pain in my rear too... We'll pray for ya!

Lacey said...

I know, its totally ridiculous that synagis is that expensive. We were lucky that they gave it to Jax for 3 years in a row, the last year we had to appeal it but we won.

Kristin said...

We can't even find a place in town who has a flu shot available for Max, let alone the H1N1. We haven't even discussed the RSV with our pedi in months. Yikes.