Re: UHC Orthotic Exclusion-Sec G (Denial)

September 24, 2005

,

I'm going to jump in,here, because I think you might be asking

me. I'm .

Your insurance story makes my hackles rise. I think UHC

covered our 1rst band, despite Section G, because of my

daughter's severity but I don't know for sure. I think it should be

considered durable medical equipment, as Aetna has on its

website.

Let's not let them get away with denying coverage of critical

treatment for children! I have written my legislators and am

prepared to fight.

in Atlanta

> ,

> Does the Explanation of Benefits pay the Band as Durable

Medical

> Equipment or an orthotic?

>

> When we were denied by UHC 3.5 years ago we were told they

don't

> consider it to be DME. I did find a couple moms in other states

whose

> claims were coded DME rather than orthotic. I was told by

UHC that I

> needed to get a copy of someone's EOB to prove this

discrepancy. I

> couldn't get anyone to send me their EOB for fear they would

be asked

> for the money back.

>

> My mom's cousin is actually a doctor for UHC in Phoenix who

approves

> (errr denies) claims. I always wondered if her hand was in this

> cookie jar.

>

> Good luck!

>

> Mom to Dane (DOC Grad 02) and Cece DOC 9/05

September 24, 2005

,