Cynthia, RE Physical Therapy

Cris Coffey (CCOFFEY@rugs.bry.indiana.edu)
Wed, 27 Mar 1996 14:03:29 EST5


Cynthia,

We were lucky in a sense.  My husband had a low-paying job at the 
time, but we could make ends meet and afford a baby with both of us 
working.  When deciding to have a baby, we didn't consider the 
possibility of complications.  Since I couldn't work for all those 
months, we qualified for both Medicaid and WIC.  I was humiliated at 
first to accept this assistance and "sponge off the tax payers", but 
my mother quickly pointed out that I have been one of those tax 
payers, and would be again once I returned to work.  She eased my 
mind by making me believe that I was just collecting what I had 
already paid in to the system and that it was a drop in the bucket 
compared to what I would contribute in my lifetime of employment.  

It still humiliated me to some point.  Anyway, we received Medicaid 
benefits to supplement my employer's insurance.  It was a special 
benefit for expectant mothers with complications, which would cover 
the baby until its first birthday (they anticipate problems for the 
first year if the mother has problems during pregnancy).  It was the 
Medicaid that saved our hides.  We received the best physical therapy 
our son could receive (through the  Bloomington Hospital Children's 
Therapy Clinic) and never paid a penny.  My insurance paid most of 
it, and Medicaid pick up the rest.

A financial word to all on the list--aren't these babies expensive?!  
But worth every penny and then some!  We were one of the fortunate 
families in the way of medical financing.  I saved all of my  Blue 
Cross and Medicaid statements that explained what they had paid to 
whom.  After his birth, I added them all up.  Drumroll, 
please.....$70,000!  And that was with only the statements I could 
find--several were missing.  I estimate that from my 19th week of 
pregnancy until the day Brandon was born (36th week), about $100,000 was spent on 
my weekly OB/GYN check-ups, the many hospitalizations we went 
through, the medications, the home monitor, terbutaline pump, and 
home health care that was required in connection with the home health 
equipment.  And that amount was what was PAID, not the excessive 
amount that was charged before insurance write-offs.

I have no record of the cost AFTER his birth, but I can 
just imagine with all the physical therapy along with test after test 
after test with pediatric neurologists.  We never had to pay a dime 
because my insurance coverage was so good and then was supplemented 
with Medicaid.

After my experience, I can just imagine how hard it is for all of you 
who had extensive hospitalization in NICU--especially if you've had 
to foot any of the bill.  I just hope all of you were able to cope.  
It's enough just to cope with seeing your child so helpless and 
struggline, but then to have to worry about what it's costing you 
must be a real burden.  I hope you have been fortunate enough to 
receive assistance to allow you to focus on the most important 
things--your children!

Cris