The problem is that it takes a long time to go through the process of insurance approving it, ordering it, shipping it, etc. So, sometime in the middle of April we started that process. First, our Occupational Therapist had to write a letter to Dr. Wendy explaining why Sadie needed this chair and how she would benefit from it. Then Dr. Wendy had to write a prescription for this chair. Finally, it is submitted to our private insurance as well as Sadie state health plan for long term care. And somewhere in there, a company called Preferred Home Care got involved. They are like a broker between us and the insurance company. The insurance company won't deal with us directly, so they go through Preferred, who then takes care of the ordering and delivering of whatever item it is we're getting. Once all that was taken care of and we properly crossed our t's and dotted our i's, then we waited.
And waited some more.
Finally we got a letter stating that the insurance company believed it to be in Sadie's best interest to take an extra two weeks to see if they couldn't find a cheaper alternative that would still meet Sadie's needs. In the letter there was a fax number where we could send additional information pertaining to the case. I was a little upset. I felt like if I could just bring them to my house for an hour, or send a video, they'd understand and be rushing to sign the approval...but that's not the way it works.
Instead, I typed up a letter clearly giving my reasons why Sadie needs this specific chair and no other one will work (we looked already for an alternative that we could purchase and not have to deal with the insurance company!). Then I sent a copy of that letter to Dr. Wendy and Jessice, the OT, and asked them to craft something similar to also send to the insurance company. I also called Jason at Preferred Home Care and explained to him the situation and he called the insurance company to explain further why this chair was required. He encouraged me to build a strong case, one they can't ignore, so I did.
And it worked, because I got the call last Friday from Jason telling me the Chillout Chair had been approved!!
One more victory for Sadie.