UniCare Tempe Arizona Review

March 28, 2000 nBadBusinessBureau.comnPO Box 310nTempe, AZ 85280 nRE: Adam Nicholas Mathers, Age 4 nDear Sir: nWe request your assistance in saving our 4-year-old son’s life. nAdam was born June 1, 1995. It was obvious from the beginning that he wasn’t a very healthy child. At 7 months of age, I stopped breastfeeding Adam and he became very ill, first with chronic ear infections, then with chronic sinusitis. X-rays showed his sinuses to be totally occluded. No antibiotic would touch his infection. Then he began having sleep apnea. A CT scan showed his adenoids were swollen to the size of walnuts. 2 surgeries later, he was doing a little better, but far from healthy. With the help of Adam’s pediatrician, Dr. RichardnLaMere, Fort Worth, TX, Adam was referred to an immunologist, Dr. Elisa Lange, in Dallas, TX. Dr. Lange ran extensive tests, which showed Adam to have Primary Immune Deficiency (IgA and IgG Subclass 2 & 4 deficiency). In other words, Adam is lacking important antibodies in his blood and mucosal surfaces to fight off bacteria. nSince December 1996, Adam has been receiving intravenous gamma globulin to replace missing antibodies, but the replacement is temporary, so he must receive these IV’s every 3-4 weeks. The infusions are quite expensive, currently $1265.00 each. Adam must visit his doctors regularly, and he takes prophylactic antibiotics to fight off the bacteria other peoples (your body and my body) bodies fight off without difficulty. He has developed Chronic Reactive Airway Disease as a result of this deficiency, so he also must use inhalers and nebulizer ntreatments for breathing. We live in fear of the day he may receive an infection that he cannot recover from. nOur problem concerns insurance. We were on Harris HMO for several years, without difficulty, but due to the buyout with PacifiCare, we were told that our current benefits could not be guaranteed. We did much research, and chose to switch to UniCare PPO. Little did we know that this would be one of the biggest mistakes of our lives. nUniCare is refusing to cover Adam’s infusions. We have disputed and now have been denied a 3rd time. Adam may die without these treatments, and we are scared to death of losing our son. We don’t understand how UniCare can be allowed to “legally MURDER our child.”” We have filed a complaint with the TX Dept. of Insurance

and the Director of Benefits at Harris Hospital (where my husband works)

but the wheels turn slow

too slow considering what’s at stake — Adam’s life. nIn the meantime

Adam’s home health agency

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