Insurance Companies Usually Don't Cover Expensive Rehab for Brain Injuries
The tragedy that befell U.S. Representative Gabriel Giffords and her family is regretful. Thankfully, she is responding to the intensive rehabilitation program she has been placed on and seems to be recovering. Good for her! She was exercising one of the most sacred freedoms we enjoy in this country and deserves all the care we can give her. Sadly, not every American that suffers a brain injury gets the kind of rehabilitation benefits she is getting. She is among the lucky few that will get the benefit of a full rehabilitation program because as a federal employee injured on the job, the Federal Employee's Compensation Act covers her rehab for as long as needed.
However, according to a USA Today article, insurance companies rarely cover the kind of rehabilitation necessary to recover from brain injuries similar to those recently suffered by Mrs. Giffords.
Scott Hamilton, a motorcycle rider that was involved in a accident a few years ago in San Francisco was another "lucky" case. However, coverage for his full rehabilitation was not automatic...He was covered only after his wife got a VIP family friend to ask another VIP he knew at Scott's insurance company to look into the case. Good for her, their VIP family friend and specially, for Scott.
Unfortunately, the vast majority of Americans that suffer a traumatic brain injury will not be federal employees covered by the Federal Employee's Compensation Act or have a VIP friend that can intercede with a VIP at the insurance company (if they're lucky enough to have medical insurance)...
Unbelievable Numbers
1.7 million Americans suffer traumatic brain injuries each year. These are usually the result of motor vehicle accidents, strokes, assaults, falls, gunshot wounds and sports activities. The total cost of rehabilitation per patient is on average $162,194.00 for initial brain trauma care and $59,862.00 for two weeks of inpatient rehab. This is about as much as is covered by insurance and other medical programs like Medicare and Medicaid, when anything is covered. However, if successful, the medical procedures covered to this point only assure the patient's survival. If we want the patient to have a chance at enjoying any kind of meaningful recovery, the necessary rehabilitation can last for weeks, months or years at a cost between $600.00 and $1,000.00 a day...And that is not covered by most insurance programs.
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