Casting delays for Amy

[Guest guest]

Newbie Amy, awaiting casting

I'm getting very frustrated by what seemed to be a simple process. We

are still waiting for the prescrip. and letter of medical necessity from

our ped. We saw him on Mon. and by Fri. still no letter. He is willing

to do it, but seems cautious of the proper wording and suspicious that

Cranial Tech. wants all the info. sent directly to them. He is used to

going to the ins. co. directly for pre-auth. I even had CT call his

office on Fri. to explain that things would go quickly with less

coordination if sent to them.

Now CT says that if they don't get the letter by noon on Mon. we may have

to postpone our 5/29 casting date! They've advised us to wait for

approval since AEtna may deny the claim completely or " fine " us $500.00

plus for not waiting for pre-auth! (AEtna should pay 80%- remember, we

are talking 2 bands here)

I am convinced that we should proceed and keep our 5/29 casting date with

or without insurance. My thought is we can always fight them later. Is

this normal to have things move so slowly? Amy will be 13 mo. by the

time she actually gets her band. I would also like to see if we can pay

extra to CT for rush service.

Ellen, mom to Amy

Bridgeton, NJ

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