BLAIR, Okla. – A military widow says she’s desperate for treatment for her severely disabled son.
She says military insurance is failing her son.
She asked our “In Your Corner” team to intervene.
Silas Franco was born with a rare birth defect.
The 14-year-old has severe medical and developmental issues.
Mom, Medina, says he’s both a blessing and a challenge.
“He’ll throw fits,” Medina said. “He’s been known to break a door.”
Silas needs constant supervision.
His father, a Navy seaman, passed away from cancer five years ago.
Medina also proudly served her country as a navy machinist.
The family receives health benefits through Tricare, the military’s health insurance provider.
Medina says she tried placing Silas at Rose Rock Academy, an in-patient special needs treatment facility in Oklahoma City.
The one caveat, Tricare won’t foot the bill since the facility doesn’t meet Tricare standards.
Tricare did however approve Silas for in-patient care at another facility in Florida.
“And he was doing real good, but after two months Tricare said no more,” Medina said. “[They said] he’s not smart enough to be there, his cognitive skills, they didn’t feel he was making enough progress.”
We asked Tricare to review Silas’ file.
So far Tricare is refusing to comment because of privacy laws.
Oklahoma Congressman Frank Lucas’ office is looking into the matter.
Plus we’ve put Medina in touch with several advocacy groups.
The best case scenario is Tricare changes its mind and approves Silas for placement at Rose Rock Academy in Oklahoma City.
That’s still a long shot.
“There are times when I run and cry and I hide somewhere, ‘cause it’s hard,” Medina said. “He didn’t ask for everything to happen to him. What are we supposed to do.”
We’re checking to confirm whether or not Silas qualifies for medicaid as a secondary insurance.
That’s important because Rose Rock accepts Medicaid.
If Silas qualifies for Medicaid, then he could receive treatment in Oklahoma City much closer to Medina and his family in Southwest Oklahoma.