Much has happened since my post, “Scoliosis, Miss North Carolina and Emily.” After writing it, I wanted to do more for Emily and her family by getting the word out beyond the confines of this blog. So, I made several media calls and, a few days later, Suzette and Emily were “live” on Raleigh’s radio waves, talking about United Healthcare and its repeated denial of the claims for Emily’s Boston Brace.
Before the scheduled appearance, Suzette and I made certain that our collective Facebook friends knew about it, and WPTF contacted UH. The station offered UH’s representative an opportunity to be on the phone during the show to comment, but the company declined, citing privacy issues related to HIPAA. Suzette volunteered to fax her permission, waiving HIPAA restrictions, but UH maintained they could not comment.
During the show, Suzette did most of the talking, and she rocked! In a calm, articulate voice, she explained the circumstances that had brought the family to this point. You can hear the entire interview here: http://www.wptf.com/goout.asp?u=http://billlumaye.blogspot.com/.
Afterwards, the UH rep did a 180 on the privacy issue. According to Suzette, he emailed WPTF some “thoughts” about Emily’s case, without obtaining consent from Suzette beforehand. Basically, it was a PR-laced regurgitation of UH’s position: that the brace was not eligible for insurance reimbursement because Suzette went to an out-of-network provider to obtain it. He also reiterated that UH had referred Suzette to two in-network providers (Suzette said they only referred her to one), but failed to acknowledge that these INPs were not capable of producing the custom-made Boston Brace that Emily’s orthopedist had prescribed.
Consequently, Suzette was “angry as a fire ant!” She sent an email to the UH rep, correcting his misinformation and berating him for his company’s response – or lack thereof – up until now. To date, she has not heard anything further.
On a lighter note…
I’m happy to report that Emily has gone back to school, stylin’ and profilin’ in her new wardrobe from Peebles. Katherine (Miss North Carolina, pictured right with Emily) joined the family at the company’s Lillington, N.C. store to watch Emily model her new rags, and even let Emily wear her crown (see below).
Peebles donated a $500 gift card to Emily so she could purchase clothing that would fit over her new Boston Brace. Having first-hand knowledge of that dilemma myself, I’m thrilled for her.
I’m hoping to get some additional media coverage for Suzette and Emily soon. In the meantime, if you have any suggestions for this family, please let me know.
4 years ago
Maria,
ReplyDeleteI think you are the Bomb...Your writing abilities and the articulate manner by which you express yourself is simply outstanding. Thank you for donating your time to my family, more importantly my precious little girl...There is no doubt in my mind that you totally "get" what Emily is feeling. Your kind heart and relentless pursuit for our happiness keeps my transmission in the DRIVE position. Thankyou.....Suzette
Maria,
ReplyDeleteMe and Suzette meet only on facebook while playing farmtown and now we are like close friends... i'm really glad to know that people like you, Katherine(Ms Carolina) and her family are still around willing to make people happy... May the Good Lord continue to shower you with blessings... Ruby
You go girl!
ReplyDeleteMom
Maria you are the song writer to Emily's and Suzette Challenges! First of all I'm a Farmtown person also, but a very compassioned person.My determination is like concrete to these issues.I hope in my own way, and your very skilled writing we can help these folks! "The problem with this country, is not the politicians first, It's US, the people." In the old days 50's, 60's we helped each other in this country. That has been lost!If we head back to that direction we can find those older Values rekindle. That's what our country was built on.God Bless you, and Emily, Suzette. Chris Mohr
ReplyDeleteThank you for your kind words, Chris. You're right -- we're all in this together and we need to do what we can, in our own way, to help each other. God's blessings to you as well - Maria
ReplyDeleteChris,
ReplyDeleteOur meeting eachother on FT was meant to be. U inspired me to contact HR and my Congressman. I did both. To date, UH has agreed to pay in-network benefits of 60% of cost of brace...This time. Hopefully it will continue. Something is surely better than nothing. I will keep pressing on, as I am not a quitter, and I NEVER want to have this happen to another family if I can HELP it.....Hugs,
Suzette