Thank you to everyone in this community. I've found previous posts helpful as I've had a loved one (LO) experience a critical illness recently. I won't go into the complete history of the case, but I want to share a bit of my current situation to see if anyone can give some advice.
Basically a LO was in the ICU for about 7 weeks. During that time they were sedated for 5 weeks, trached & PEG'd. (Also suffered a collapsed lung and a UTI, but those issues have resolved.)
I now have the challenge of finding a rehab facility. My ideal choice is out of my LO's insurance network. I know that the insurance can negotiate a one time contract with this rehab facility, but they want my LO to go a place in their network. They even said via the social worker that they would "consider" negotiating a one time contract only if all of the in-network places rejected my LO. Some rehab facilities in their network have accepted my LO, but these facilities don't have good reputations (online) & they aren't easily accessible for people in my LO's support network.
Does anyone have any ideas as to how I can persuade the insurance company to negotiate a one time contract with the rehab that is my leading choice. Also I want to note that my leading choice has said that they can handle the medical complexity of my LO, while some of the better reviewed places in my LO's insurance network denied my LO due to complexity of care (mainly suctioning & oxygen needs).
Thanks in advance.