DME coverage in 04' and 05'???

[Guest guest]

Hi everyone. I have a question. We are only allowed 1k per year

for DME with our policy. Which we have been allowed for 04'. My

question is this... Since my son will still be receiving treatment

in 05' are we allowed to ask for that 1k also? You'd think so

because he is still receiving treatment, right? But then i can also

see how that wouldn't be allowed. We have only paid $1200 towards

his band so far (i havn't given CT my 1k check from insurance yet)

so it's not as if we paid it all in 04'. Let me know what you think!

Mommy to 9 1/2 months, DOC Band 11/17, Brachy/mild tort

Ashburn, VA

[Guest guest]

It will depend on the coding used on your bill. If the code is a code

that includes the helmet and all follow ups inclusive then I dont

think you can. If they bill is per visit then you can. I think will

all orthodic treatments the DME code is a one time code for all

visits. I used to be a medical biller but it was 8 years ago and I

dont have a up to date coder book to see what the exsplanation is of

the code your ortho uses. They should tell you.

Lorraine.

>

> Hi everyone. I have a question. We are only allowed 1k per year

> for DME with our policy. Which we have been allowed for 04'. My

> question is this... Since my son will still be receiving treatment

> in 05' are we allowed to ask for that 1k also? You'd think so

> because he is still receiving treatment, right? But then i can

also

> see how that wouldn't be allowed. We have only paid $1200 towards

> his band so far (i havn't given CT my 1k check from insurance yet)

> so it's not as if we paid it all in 04'. Let me know what you

think!

>

>

> Mommy to 9 1/2 months, DOC Band 11/17, Brachy/mild tort

> Ashburn, VA

[Guest guest]

Hi

That is really a good question to ask. If I were you, I'd call

's case worker. See what they say. I'm sure they would have

to have something in writting saying yeah, or neah. Let us know

what comes out of that, and good luck.

Sandy Willow's Mom

Tort resolved

Cranio Germany Grad

www.geocities.com/samipa74/Willow_Lanette.html

>

> Hi everyone. I have a question. We are only allowed 1k per year

> for DME with our policy. Which we have been allowed for 04'. My

> question is this... Since my son will still be receiving

treatment

> in 05' are we allowed to ask for that 1k also? You'd think so

> because he is still receiving treatment, right? But then i can

also

> see how that wouldn't be allowed. We have only paid $1200 towards

> his band so far (i havn't given CT my 1k check from insurance yet)

> so it's not as if we paid it all in 04'. Let me know what you

think!

>

>

> Mommy to 9 1/2 months, DOC Band 11/17, Brachy/mild tort

> Ashburn, VA

[Guest guest]

Unlikely, but it never hurts to try! Good luck!

Sue

>

> Hi everyone. I have a question. We are only allowed 1k per year

> for DME with our policy. Which we have been allowed for 04'. My

> question is this... Since my son will still be receiving treatment

> in 05' are we allowed to ask for that 1k also? You'd think so

> because he is still receiving treatment, right? But then i can

also

> see how that wouldn't be allowed. We have only paid $1200 towards

> his band so far (i havn't given CT my 1k check from insurance yet)

> so it's not as if we paid it all in 04'. Let me know what you

think!

>

>

> Mommy to 9 1/2 months, DOC Band 11/17, Brachy/mild tort

> Ashburn, VA