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Following months of treatments, tests insurance company won’t cover woman’s lifesaving transplant

A younger mom is in a combat for her life, and a liver transplant is the one factor that may save her.

After months of remedies and checks, she certified for the transplant checklist at Emory College Hospital. However now her insurance coverage supplier refuses to permit the surgical procedure.

Erika Gidituri, 32, has one of the aggressive cancers there’s. It took 5 months for her to undergo all of the pretransplant protocols at Emory.

Now her insurer is demanding she begin that course of once more at an out-of-state hospital.

The life expectancy of the most cancers with out that transplant is simply six to 12 months. That is time she doesn’t have.

Channel 2 investigative reporter Justin Grey stated watching Gidituri enjoying along with her three younger kids, you wouldn’t know the Monroe County lady is even sick.

“My kids, doubtlessly leaving that at such a younger age is frightening. I’m fearful for them my husband, simply leaving them behind,” Gidituri stated.

After 5 months of chemo, radiation, MRIs and different checks simply after Christmas, Gidituri met the protocols.

Her most cancers hasn’t unfold, and she or he may go on the liver transplant checklist at Emory College Hospital, the place she’s been receiving all her remedy.

“I used to be advised that I used to be medically cleared for transplant, however not financially,” Gidituri stated.

Her medical insurance is a self-funded plan by Texas-based Zachry Group, her husband’s employer.

It’s a building firm employed as a contractor by a Georgia energy plant in Juliette.

Zachry advised Gidituri it received’t pay for the transplant at Emory.

Her sister, Alison McCoy, advised Grey that she’s spent hours battling Zachry with out success on the cellphone.

“It’s infuriating scary. Mad is an understatement. I don’t perceive how that is even doable. It’s an not possible state of affairs,” McCoy stated.

Zachry advised Gidituri she will be able to solely have a transplant at a hospital in Jacksonville, Florida — one thing they by no means talked about over the previous 5 months of remedies at Emory.

However that may imply Gidituri has to start out most of the protocols to get on the transplant checklist once more.

That can take months. With out that surgical procedure, Gidituri doesn’t have months.

“It’s not truthful that they’ve the last word say in my medical remedy,” Gidituri stated.

“In the event that they advised us in August, go to Mayo, you might want to transfer to Florida, it might have been finished. However that wasn’t the case,” McCoy stated.

Grey has tried repeatedly by electronic mail and cellphone to contact Zachry Group. They haven’t responded to any of his requests for remark.

Gidituri stated she is heading to Florida for checks on the different hospital this week, however that is weeks and sure months of protocols she already went by way of — and there’s no time to start out over.

If the most cancers spreads within the meantime, she’ll not be a candidate for a liver transplant.

©2022 Cox Media Group

 

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