Monday, January 3, 2011


Upon the advice of Jacob's Nana, I sent the following correspondence to our health insurance provider. The alternative is a 20% copay per visit and I was told to expect a pretty big bill.

I called this morning to determine if my son Jacob was eligible for "physical therapy following admission" and learned that he was not because he would receive rehabilitation services from Hasbro Children's Hospital rather than Children's Hospital Boston where he underwent a left functional hemispherectomy on December 22, 2010. I would like a supervisor to please put in writing why rehabilitation services are not covered 100% simply because I am choosing a children's hospital closer to home. The services provided would be the same, as Jacob's prescription is for 3 hours per week over the course of a month. Hasbro Children's Hospital does not perform Epilepsy Surgery, otherwise we would have gone there. Again, please have a supervisor put an explanation in writing. Thank you.

Bethany Borgueta

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