Fuquay-Varina parents desperate after insurer denies treatment for their daughter
A Fuquay-Varina mother and father say they are desperate, trying to get treatment for their daughter who has a debilitating disease. But their insurer, Anthem Blue Cross Blue Shield, declined to cover the intravenous treatment that doctors prescribedPosted — Updated
Jimmy and Lauren Hill first noticed symptoms in 11-year-old Claire last year – tiredness, then headaches, then vertigo.
"Previously she was happy, healthy, rarely a sick kid," Jimmy Hill said.
After two months of steroid treatments, the family sought a second opinion.
"We were at a loss, scrambling," he said.
Claire's dad says his daughter has been confined to her bedroom since February and suffers delusions.
"We're at a point where my daughter's symptoms are getting a lot worse," he said.
"Everybody reviewed pretty much all the paperwork we had," Jimmy Hill said of the doctors. "They agreed that IVIG was the next step."
It's expensive, costing in the tens of thousands of dollars. The family's insurance provider, Anthem Blue Cross Blue Shield, denied the Hills claim. Not once, Claire's dad says, but three times.
"This isn't the news you want to hear, but we can't approve your request. The review showed that what you've requested is Not Medically Necessary," the insurer wrote to the Hills.
The letter said, "There is no proof or not enough proof that it improves health."
Ellen's father, Brian Whittington, said she is now doing very well.
It's an outcome Jimmy Hill wants for his daughter.
"We're ready to get her healthy," he said. "We're exhausted, but we're gonna keep on pushing."
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