Re: Seeking help with insurance appeals for seat elevator

[Guest guest]

You can say you need adjustable seat heights for save transfesr for various

kinds of transfers  (i.e. to bed, to shower chair, etc.) to prevent injury and

falls.

Good luck.  Let me know how it goes. <3

 

Lori

________________________________

From: a B. <kristina45231@...>

Sent: Monday, June 20, 2011 11:00 PM

Subject: Seeking help with insurance appeals for seat elevator

 

Hi, everyone,

My current power chair (Permobil) has the seat elevator which was covered for by

my insurance nearly 11 years ago. Now they are denying coverage for the seat

elevation on my new Permobil. I have Humana POS insurance and was told by a

sweet friend on this list (thanks, Lori!) that Humana doesn't pay for seat

elevation. I am going to appeal but need to submit a letter as to why this is a

" medical need " . For those of you who have written letters of appeal--what have

you included or made known to the insurance as reasons why this is a

" necessity " .

Thanks, a

[Guest guest]

My chair doesnt have that but it is a tilt & recline which i was told Medicaid

wouldn't pay for both tilt and recline - just one or the other - My MDA Dr.

wrote it up and they approved both in less than 2 months - I was also told it

could take 4 - 6 months - the medical supply place i use said they never seen a

chair get approved that quick. - so i would suggest ask your MDA dr.

>

> Hi, everyone,

>

> My current power chair (Permobil) has the seat elevator which was covered for

by

> my insurance nearly 11 years ago. Now they are denying coverage for the seat

> elevation on my new Permobil. I have Humana POS insurance and was told by a

> sweet friend on this list (thanks, Lori!) that Humana doesn't pay for seat

> elevation. I am going to appeal but need to submit a letter as to why this is

a

> " medical need " . For those of you who have written letters of appeal--what have

> you included or made known to the insurance as reasons why this is a

> " necessity " .

>

> Thanks, a

>

[Guest guest]

I don't have a MDA Dr. , the occupational therapist from a local hospital

evaluated me for the fitting and she is the one who wrote it.

________________________________

From: WildFlower63 <wildflower63@...>

Sent: Tue, June 21, 2011 11:22:23 PM

Subject: Re: Seeking help with insurance appeals for seat elevator

My chair doesnt have that but it is a tilt & recline which i was told Medicaid

wouldn't pay for both tilt and recline - just one or the other - My MDA Dr.

wrote it up and they approved both in less than 2 months - I was also told it

could take 4 - 6 months - the medical supply place i use said they never seen a

chair get approved that quick. - so i would suggest ask your MDA dr.

>

> Hi, everyone,

>

> My current power chair (Permobil) has the seat elevator which was covered for

>by

>

> my insurance nearly 11 years ago. Now they are denying coverage for the seat

> elevation on my new Permobil. I have Humana POS insurance and was told by a

> sweet friend on this list (thanks, Lori!) that Humana doesn't pay for seat

> elevation. I am going to appeal but need to submit a letter as to why this is

a

>

> " medical need " . For those of you who have written letters of appeal--what have

> you included or made known to the insurance as reasons why this is a

> " necessity " .

>

> Thanks, a

>

[Guest guest]

Do you have MD? if so is there not a local office that you can be seen at?

********************************

Never mistake MOTION for ACTION

********************************

http://www.myspace.com/kayspalace

http://www.angelfire.com/sd/LP35/home.html

From: a B. <kristina45231@...>

Subject: Re: Re: Seeking help with insurance appeals for seat

elevator

Date: Tuesday, June 21, 2011, 10:08 PM

 

I don't have a MDA Dr. , the occupational therapist from a local hospital

evaluated me for the fitting and she is the one who wrote it.

________________________________

From: WildFlower63 <wildflower63@...>

Sent: Tue, June 21, 2011 11:22:23 PM

Subject: Re: Seeking help with insurance appeals for seat elevator

My chair doesnt have that but it is a tilt & recline which i was told Medicaid

wouldn't pay for both tilt and recline - just one or the other - My MDA Dr.

wrote it up and they approved both in less than 2 months - I was also told it

could take 4 - 6 months - the medical supply place i use said they never seen a

chair get approved that quick. - so i would suggest ask your MDA dr.

>

> Hi, everyone,

>

> My current power chair (Permobil) has the seat elevator which was covered for

>by

>

> my insurance nearly 11 years ago. Now they are denying coverage for the seat

> elevation on my new Permobil. I have Humana POS insurance and was told by a

> sweet friend on this list (thanks, Lori!) that Humana doesn't pay for seat

> elevation. I am going to appeal but need to submit a letter as to why this is

a

>

> " medical need " . For those of you who have written letters of appeal--what have

> you included or made known to the insurance as reasons why this is a

> " necessity " .

>

> Thanks, a

>

[Guest guest]

I have SMA. For whatever reason, I only use MDA for help with paying for

wheelchair repairs. Should I have gone through them instead? Is it too late

since my insurance has already been notified of my new power chair request?

________________________________

From: K L <wildflower63@...>

Sent: Wed, June 22, 2011 1:48:58 AM

Subject: Re: Re: Seeking help with insurance appeals for seat

elevator

Do you have MD? if so is there not a local office that you can be seen at?

********************************

Never mistake MOTION for ACTION

********************************

http://www.myspace.com/kayspalace

http://www.angelfire.com/sd/LP35/home.html

From: a B. <kristina45231@...>

Subject: Re: Re: Seeking help with insurance appeals for seat

elevator

Date: Tuesday, June 21, 2011, 10:08 PM

I don't have a MDA Dr. , the occupational therapist from a local hospital

evaluated me for the fitting and she is the one who wrote it.

________________________________

From: WildFlower63 <wildflower63@...>

Sent: Tue, June 21, 2011 11:22:23 PM

Subject: Re: Seeking help with insurance appeals for seat elevator

My chair doesnt have that but it is a tilt & recline which i was told Medicaid

wouldn't pay for both tilt and recline - just one or the other - My MDA Dr.

wrote it up and they approved both in less than 2 months - I was also told it

could take 4 - 6 months - the medical supply place i use said they never seen a

chair get approved that quick. - so i would suggest ask your MDA dr.

>

> Hi, everyone,

>

> My current power chair (Permobil) has the seat elevator which was covered for

>by

>

> my insurance nearly 11 years ago. Now they are denying coverage for the seat

> elevation on my new Permobil. I have Humana POS insurance and was told by a

> sweet friend on this list (thanks, Lori!) that Humana doesn't pay for seat

> elevation. I am going to appeal but need to submit a letter as to why this is

a

>

>

> " medical need " . For those of you who have written letters of appeal--what have

> you included or made known to the insurance as reasons why this is a

> " necessity " .

>

> Thanks, a

>

[Guest guest]

Our son had the same issue, insurance not paying for the seat elevator, which he

has had on his previous 3 Permobil chairs. We contacted our local MDA office and

after she checked our records said he was eligible for MDA's assistance with the

purchase of a new chair. I think it is every 5 years. Even though we already had

the chair, MDA issued a check to the vendor for the amount they allow for a new

one. Hope this works out for you too!

>

> >

>

> > Hi, everyone,

>

> >

>

> > My current power chair (Permobil) has the seat elevator which was covered

for

>

> >by

>

> >

>

> > my insurance nearly 11 years ago. Now they are denying coverage for the seat

>

> > elevation on my new Permobil. I have Humana POS insurance and was told by a

>

> > sweet friend on this list (thanks, Lori!) that Humana doesn't pay for seat

>

> > elevation. I am going to appeal but need to submit a letter as to why this

is a

> >

>

> >

>

> > " medical need " . For those of you who have written letters of appeal--what

have

>

>

> > you included or made known to the insurance as reasons why this is a

>

> > " necessity " .

>

> >

>

> > Thanks, a

>

> >

>

>