Craig Snell had a bilateral pontine stroke and was diagnosed with locked-in syndrome. Over the past 2 1/2 years, Craig has been making remarkable improvements from what was supposed to be a diagnosis of being locked in for a lifetime. Last year our employer, Susquehanna Township School District, switched insurance providers from Capital Blue Cross to Highmark. This change has resulted in Craig's wife, Kerry, spending countless hours on the phone trying to get treatment approved for her husband.
Craig is being treated by a neurologist and a physical therapist, both of whom have completed several assessments and reported that Craig is making improvements in every area but Highmark continues to deny physical therapy saying they don’t see any clinical improvement. The information that is being sent from the physical therapist and neurologist is being reviewed by a doctor of internal medicine.
Each time Craig’s claim for physical therapy is denied by Highmark, Kerry files an appeal, which continues to be denied based on the claim that he is not making clinical improvements—contrary to what is in the medial report from both the physical therapist and neurologist.
If Highmark would simply pay for 30 visits of physical therapy, the supplemental insurance company would cover the remaining physical therapy visits.
The physical therapist who is working with Craig has seen such an improvement in his condition and is not only willing to work with him on a pro bono basis until the insurance mess is figured out, but is also scheduling his physical therapy visits so that he may use part of his personal lunch break to treat Craig. Who would give up personal time if treatment wasn't working?
Until this mess is figured out, the money used from this campaign will help Kerry pay for the therapy and expenses that she has incurred taking care of her husband.
Juliana Mattera wrote a story about this right after it happened. Here’s a link to the story.
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