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My son James, born at 27 weeks,we sepent a total of 17 month in various hospitals. He received his shots until he was 4. He does have chronic lung trouble but still we had to fight after his 2nd birthday. When he got to the weight that needed 2 viles it got a little pricey for the insurance company. I did get help from my pulmonoligist, she had told me about the fund at Children's Hospital but I believe that is for severe cases. My speech therapist who had premi twins argued her case for one more round on the basis that she worked around imnio suppresent kids who could give HER the virus before they even showed signs of being sick. Could you try a route like that in your appeal?
You will get very good at arguing your case with people very soon! People hear my name and groan, I take it as a compliment!
-----Original Message-----
From: alm25wk@...
To: Parents_As_Partners@yahoogroups.com
Sent: Tue, 25 Jul 2006 7:51 PM
Subject: [Parents_As_Partners] synergis shots
Hello to all members. My name is Christine and my daughter, Audrey, was born on April 24, 2005 at 25 weeks. She spent 97 days in the NICU and is doing incredibly well. She was only on the ventilator for 10 days and is just about walking. (Her corrected date of birth is August 6.) She received the synergis shots last year without any problem however, at her 15 month check up her pediatrician indicated that she would probably be denied since she is healthy. I know I should be happy that she is healthy, has had no respiratory issues or chronic lung disease but I feel that she should be entitled to the shot for at least one more year to be on the safe side.
Is there anyone out there who has run into this problem who could offer some suggestions or advice on how to proceed with the insurance company to get the approval for the shots? My pediatrician is going to try to get her approved but he is not very encouraging.
Thanks.
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