Guest guest Posted March 1, 2005 Report Share Posted March 1, 2005 Hello everyone, Wanted to let you know that we got our DOC band approved by Cigna PPO in Florida, we didn't have to appeal! Here I was gathering the information for my letter to appeal and they approved it on the first try. Some insurance companies are doing the right thing! Cranial Technologies also informed me that Cigna does have a negotiated rate and members of Cigna Healthcare, even if they are denied coverage, can only be charged $2,500 not the normal $3,000. At least this is some savings. I posted the info under the Insurance folder. -Tammy, mom to Jake/Brachy/Tort/Doc Band/Doing Great Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2005 Report Share Posted March 1, 2005 Hello everyone, Wanted to let you know that we got our DOC band approved by Cigna PPO in Florida, we didn't have to appeal! Here I was gathering the information for my letter to appeal and they approved it on the first try. Some insurance companies are doing the right thing! Cranial Technologies also informed me that Cigna does have a negotiated rate and members of Cigna Healthcare, even if they are denied coverage, can only be charged $2,500 not the normal $3,000. At least this is some savings. I posted the info under the Insurance folder. -Tammy, mom to Jake/Brachy/Tort/Doc Band/Doing Great Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2005 Report Share Posted March 1, 2005 Tammy, That is great and thanks for the info!!! I'll have to add it to the insurance 1st steps file. mom to na DOC Grad South Carolina www.thefilyaws.comflmom42kids <tammyedrich@...> wrote: Hello everyone,Wanted to let you know that we got our DOC band approved by Cigna PPO in Florida, we didn't have to appeal! Here I was gathering the information for my letter to appeal and they approved it on the first try. Some insurance companies are doing the right thing! Cranial Technologies also informed me that Cigna does have a negotiated rate and members of Cigna Healthcare, even if they are denied coverage, can only be charged $2,500 not the normal $3,000. At least this is some savings. I posted the info under the Insurance folder.-Tammy, mom to Jake/Brachy/Tort/Doc Band/Doing GreatFor more plagio info Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2005 Report Share Posted March 1, 2005 Tammy, That is great and thanks for the info!!! I'll have to add it to the insurance 1st steps file. mom to na DOC Grad South Carolina www.thefilyaws.comflmom42kids <tammyedrich@...> wrote: Hello everyone,Wanted to let you know that we got our DOC band approved by Cigna PPO in Florida, we didn't have to appeal! Here I was gathering the information for my letter to appeal and they approved it on the first try. Some insurance companies are doing the right thing! Cranial Technologies also informed me that Cigna does have a negotiated rate and members of Cigna Healthcare, even if they are denied coverage, can only be charged $2,500 not the normal $3,000. At least this is some savings. I posted the info under the Insurance folder.-Tammy, mom to Jake/Brachy/Tort/Doc Band/Doing GreatFor more plagio info Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2005 Report Share Posted November 9, 2005 Wow... I don't know anything about Cigna, however, with your other insurance...an Apraxia diagnosis and no speech therapy??? That makes absolutely no sense! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2005 Report Share Posted November 9, 2005 I have a 9 year old daughter dx'd with apraxia at age 3. Highmark bc/bs has found several ways to not pay for her speech. I am in the process of appealling currently. In the past, they would eventually pay when I would bring their continued errors and oversights to their attention. This time - they are being dishonest. Since when do the insurance companies get to play doctor and decide what and how much treatment an individual should have. I am very frustrated and just about at the end of the appeal process and wondering if I take it the next step to involve legal counsel. Any insight would be appreciated. Racinnuts@... wrote:Wow... I don't know anything about Cigna, however, with your other insurance...an Apraxia diagnosis and no speech therapy??? That makes absolutely no sense! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2005 Report Share Posted November 10, 2005 Wow! A lot of people are getting 60 sessions on here! Everywhere we go, people tell us we're really lucky to get 25 sessions (with Highmark Keystone Blue - an HMO that really doesn't seem like one). During open enrollment period I looked into the other plans offered at my husband's company, and I can tell you that Aetna looks like they won't pay for anything but speech loss due to injury or stroke. Keystone was the best plan for speech that they had to offer. Unfortunately, we use 100 sessions per year, plus 50 OT. So we got a medical assistance card to help out with the rest. Hopefully that will always work for us - I really don't feel like fighting with the insurance company AND the school district! Kerri > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2005 Report Share Posted November 10, 2005 we get bc/bs and they pay 1000 dollars a year for ot and 1000 for st, we tried to apeal it twice but had no luck- charlotte Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2005 Report Share Posted November 10, 2005 We have Cigna through IBM so you would think with a big company like that we'd get speech but it's not covered either. Amy D Steve & Daphne Hardison <5hardison@...> wrote: We have Cigna and get 60 visits paid a year PPO. We pay $11 of the visit. We switched from United HealthCare but they wouldn't pay, we fought back and forth over the past few years and only would get 20 visits, then would still have to argue about that. All the plans within the same companies are not the same. It depends on what your HR has chosen to be covered. Good luck Daphne Quote Link to comment Share on other sites More sharing options...
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