Thursday, November 20, 2008

Happy 18 month birthday, Abbie!

Today is also Abbie's 18 month birthday. It literally feels like last week that we celebrated her 1-year birthday! Here's what she can do these days:

~Run
~Go to sleep at night without a pacifier (we're still working on the nap...)
~Dance to any song she hears (swaying her upper body from side to side or spinning in a circle)
~Use a fork and spoon, as long as Matt or I load it with food first
~Walk across a parking lot holding my hand
~Put big Legos together and take them apart
~Fit some shapes into her shape-sorter (but gives up quickly if she can't find the right space!)
~Say mama, dada, puppy, baby, breakfast, juice, ball, that, Amen, up, and bed. She also has words for banana, Elmo, and Lucy
~Follow simple directions (like getting her ball, picking up her book, going to her couch, and handing something to me that she's not supposed to have
~Play with a baby doll--patting it, kissing it, hugging it
~Use sign language for drink, food, thank you, please, and all done.
~Give real kisses and hugs


Happy 18 months, Abbie!

My accomplishments today

have been many!

--FINALLY got my mop of hair that was engulfing my face cut and layered. It's still just as thick (and will be until probably 6 months postpartum), but finally managable. I do plan to get it permed again after Karis is born.
--Bought mineral make-up from my hair stylist who mixes all-natural cosmetics here in Wilmore. What can I say, I am addicted to supporting local business.
--Made chicken salad for lunch. I desperately need the protein, but I've been putting off making it since Monday.
--Enjoyed Abbie's 3 hour nap. These are becoming more and more common. Thank the Lord!
--Got the dog's nails cut.
--Went to WalMart to buy the last few supplies we need for our homebirth; all that's left on the list is a drinking water-quality garden hose. Hmm...
--And most impressively: I won a war against Anthem to cover my midwife as an in-network provider!!!!!!! This feat entailed being on the phone for a solid 3 hours (yes, that's what I did during naptime), talking to six different people at Anthem, calling all seven nurse-midwives within a 30 mile radius of my home that would be covered by Anthem to confirm that they do not in fact attend homebirths, and confirming with Anthem that, as far as my benefits are concerned, birthing at home is covered no differently from birthing in a hospital. To quote Batman Begins:

Bruce Wayne: "I'm supposed to understand all that?!"
Lucus Fox: "No. I just wanted you to know how hard it was."

Ahhh...a victorius day!

Tuesday, November 18, 2008

Thursday, November 13, 2008

Diagnosis: Pregnancy!

As could have been expected, I've been having a very difficult time getting my insurance company to cover my unconventional maternity care. When I started the authorization process back in July (when I first started seeing Candace), the information I received from BCBS seemed too good to be true: midwives are completely covered as in-network providers! Yipee! It seemed to cut-and-dried...I should have been suspicious.

Just yesterday I found out that because Candace is not a CNM, I have to request an exception for my care from her to be covered. This will be considered out-of-network, which I've deduced means that we'll be paying more and our insurance will be paying less. Between yesterday and today (in all my copious end-of-semester spare time) I've talked to about eight different employees who have all passed the buck to someone else. After all these conversations, I'm still not sure that the authorization process has officially begun. What's worse is that because I've been seeing Candace since July, I have to obtain retroactive authorization as well as authorization for future care. Gah! Obviously, they want to discourage me and make this process impossible so I just give up and pay the full amount (which will still be less than if we were to have Karis in the hospital).

Is it just me, or have you experienced major frustration when it comes to communicating with insurance companies? Don't get me wrong; I'd rather experience this kind of frustration with a private insurance company of my own choosing than have to jump through bureaucratic hoops of the sort I'm sure our new president-elect will establish in the coming years....but that's beside the point. I'm an educated person! Yet somehow the insurance jargon confounds me. I feel like I should know far more than I do, but am prevented from even understanding the basics of my coverage.

Plus, the insurance world simply doesn't appreciate unconventional maternity care. Although my plan covers CNM's, three people I spoke with required education regarding the difference between CNM's and CPM's (Candace's certification), nor will they accept the fact that there ARE no CNM's within a 30 mile radius who will attend homebirths, even if I wanted to be cared by one!

Anyway, I wanted to share a disturbing but hilariously ironic conversational interchange I had with one of the BCBS employees yesterday afternoon. This came after a long explanation of my situation and desire for my maternity care to be covered:

Employee: "Ma'ma, what is your diagnosis? Pregnancy?"
Me: (Taken-aback laugh) "Uhh...yes. That's a funny question."
Employee: (Embarrassed chuckle) "Well, I just assumed..."

Regardless of whether or not our insurance pays us back, I wouldn't have traded Candace's midwifery care for a traditional ob's "care" for anything. I've felt so confident and calm throughout this pregnancy because I have been cared for by a professional who is accessible, knows me, has taken the time to listen to my dreams for this birth, and has exceptional expertise and experience. This is worth almost any price...although I'm still hoping that BCBS comes through for us!!!