I wanted to write about how insurance companies (and in this case MVP Insurance in New York) are taking less interest in their patients and instead putting the patient in a dangerous position.
My son has acholasia, an abnormality in the esophogus that creates the sense of a heart attack and prevents food from fully passing through to the stomach. The Cleveland Clinic was the hospital who had the doctor who was most familiar with the surgery and best able to repair this condition. This doctor spent time on the road mentoring and helping other doctors to learn the process. But, in several visits and eventual scheduling of surgery, my family was certain of one thing. The best doctor needed to perform this surgery was at the Cleveland Clinic. We heard many horror stories of the failed surgeries having to come to Cleveland to repair the damage from the initial surgery at other hospitals.
So, there we were ready to go and leave for Cleveland to have the surgery completed. But wait, the MVP insurance company is changing their tune and is denying coverage because they believe the surgery should be done in state. We now have to revisit doctors and find that the one who will do the surgery is relatively new at this. The delay creates much pain and anxiety for my son.My son had the surgery at a NY hospital. However, to this day, he continues to have issues and we believe the surgery (and follow up care) was less than what we would have received with the best.
We can hope the government will do their best to help the insurance process. But can we prevent companies like MVP from denying coverage for the patient going to the best possible doctor as we did just to save a few dollars keeping the patient in state?