Obtaining care out of network

Shelley Hurguy, RN, Holistic Health Coach, shares advice for parents who have a child with a disease or illness on how she was able to overcome the challenges of getting care out of network for her daughter
Advice On How To Obtain Care Out Of Network For Your Child
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Obtaining care out of network

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When it became clear that our healthcare plan had no more suggestions for us, and after I learned that there was a place that could offer her the specialized care that she needed; I requested to go out of network for her care. My doctor agreed that they didn't have the resources that we needed. He approved a one week visit to this facility. After a full diagnostic workup, the surgeon told us that he believed that her quality of life could be greatly improved, and she would require little to no medical intervention afterwards; if he could perform a surgical procedure on her. Obtaining approval for surgery out of network was more challenging. They actually denied us. I had so much passion for what this place could do for my daughter, that I refused to stop. I wrote letters appealing their decision. I wrote more letters. I talked with physicians and surgeons that I knew. I tried to get every bit of support, wherever I could find it, as a nurse and as a parent. I didn't quit, and they, eventually, approved her surgery.

Shelley Hurguy, RN, Holistic Health Coach, shares advice for parents who have a child with a disease or illness on how she was able to overcome the challenges of getting care out of network for her daughter

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Shelley Hurguy, RN, MSN, CRNA, CHHC

Certified Holistic Health Counselor

I am holistic health coach with a certificate from the Institute for Integrative Nutrition. I have a Master’s Degree in Nursing, and worked as a Nurse Anesthetist for over a decade. I have been trained in more than one hundred dietary theories and found my passion for the power of healing through food when I read Paul Pitchford’s Healing With Whole Foods in response to my daughter’s medical challenges.

My daughter was born with a congenital bowel defect and endured several surgeries before her first birthday. After a highly specialized surgery to render her continent at age eight, my daughter was sent home with a list of medications that were intended for use unendingly. The medications contained chemicals and food dyes meant to alter the passage of food through her gastrointestinal tract, and I couldn’t find a natural supplemental alternative. I began to research dietary solutions to her body’s response to food, digestion and elimination.

During this time of navigating my daughter’s medical condition, professionally, I was administering anesthesia to patients undergoing bariatric surgery; a process of shrinking the stomach so the patient is forced to eat less food. I knew there had to be a better way to solve the issue of obesity, and that there was more to being overweight than just eating too much.

I have learned that what we eat and what we don't eat can profoundly affect and heal our bodies. I offer personalized “roadmaps to health,” created to suit each individual’s body, lifestyle, preferences and goals.

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