Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 Thats great ! I hope you can get it for in network now too. Keep us posted! , mom to Hannah, DOCgrad Cape Cod, Ma > > Hi everyone! I just wanted to share that I just spoke with my > insurance company (BCBS- Capital Care, HMO) and they are approving > my appeal and providing $1,000 for 's DOC Band since CT is out- > of-network. I'm glad about that but i'm going to also get in touch > with their utliziation dept. and seek in-network coverage as they > don't even had an ortho in-network in their provider book for MD, > VA, DC, and WV! Keep your fingers crossed for us but i'm very happy > with knowing my appeal was successful. : D > > & 9 months (DOC Band 11/17, brachy/mild tort) > Ashburn, VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 What a great idea! I hadn't thought of that...we got 70% coverage out of network, but had it been in it would have been 100%...and like you, there is no in-network option! Good point, I'm going to call my insurance co right now. Thank you, , mom to Emma 6 mo. tort/plagio/docband 10/25 Cleveland, OH > > Hi everyone! I just wanted to share that I just spoke with my > insurance company (BCBS- Capital Care, HMO) and they are approving > my appeal and providing $1,000 for 's DOC Band since CT is out- > of-network. I'm glad about that but i'm going to also get in touch > with their utliziation dept. and seek in-network coverage as they > don't even had an ortho in-network in their provider book for MD, > VA, DC, and WV! Keep your fingers crossed for us but i'm very happy > with knowing my appeal was successful. : D > > & 9 months (DOC Band 11/17, brachy/mild tort) > Ashburn, VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 Yeah, great news. Congrats Sandy Willow's Mom > > Hi everyone! I just wanted to share that I just spoke with my > insurance company (BCBS- Capital Care, HMO) and they are approving > my appeal and providing $1,000 for 's DOC Band since CT is out- > of-network. I'm glad about that but i'm going to also get in touch > with their utliziation dept. and seek in-network coverage as they > don't even had an ortho in-network in their provider book for MD, > VA, DC, and WV! Keep your fingers crossed for us but i'm very happy > with knowing my appeal was successful. : D > > & 9 months (DOC Band 11/17, brachy/mild tort) > Ashburn, VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 CONGRATULATIONS! What a relief! Sue Colin F., 14 mos. STARband grad > > Hi everyone! I just wanted to share that I just spoke with my > insurance company (BCBS- Capital Care, HMO) and they are approving > my appeal and providing $1,000 for 's DOC Band since CT is out- > of-network. I'm glad about that but i'm going to also get in touch > with their utliziation dept. and seek in-network coverage as they > don't even had an ortho in-network in their provider book for MD, > VA, DC, and WV! Keep your fingers crossed for us but i'm very happy > with knowing my appeal was successful. : D > > & 9 months (DOC Band 11/17, brachy/mild tort) > Ashburn, VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2004 Report Share Posted December 7, 2004 That is great !! Maybe you can help me out. CT is out of network for us too. There are other places that we could've gone to that were in network, but we chose to go to CT. Problem is that through my insurance we dont have any out of network benefits for orthotics, prosthetics, or DME. So they wont cover any of the band. is in his 2nd band. Any ideas of what I can write in the appeal letter? It is getting late now and I need to send it out. I may onlu have another few weeks to work on it. Thanks! Marcy and (7 1/2 months) in New Jersey 2 months in DOC band # 1 to correct mild assymetry Now in Doc band #2 to correct Brachycephaly > > Hi everyone! I just wanted to share that I just spoke with my > insurance company (BCBS- Capital Care, HMO) and they are approving > my appeal and providing $1,000 for 's DOC Band since CT is out- > of-network. I'm glad about that but i'm going to also get in touch > with their utliziation dept. and seek in-network coverage as they > don't even had an ortho in-network in their provider book for MD, > VA, DC, and WV! Keep your fingers crossed for us but i'm very happy > with knowing my appeal was successful. : D > > & 9 months (DOC Band 11/17, brachy/mild tort) > Ashburn, VA Quote Link to comment Share on other sites More sharing options...
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