Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 That is awesome news!!! Thanks for sharing. Angie and Jenna > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 That is awesome news!!! Thanks for sharing. Angie and Jenna > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 Congratulations--I hope more BCBS's follow suit. Where did you get your band from, if you don't mind me asking? I have BCBS NC, but have a DOC band. BCBSNC's stated coverage is $600 but I have been hearing that they are paying just about the whole thing from " participating providers, " like UNC Hospital. I am wondering if anyone with a DOC band in NC got more of it paid for than the $600--it is different though because CT does not contract with BCBSNC. Thanks-- Stacey in Charlotte > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 Congratulations--I hope more BCBS's follow suit. Where did you get your band from, if you don't mind me asking? I have BCBS NC, but have a DOC band. BCBSNC's stated coverage is $600 but I have been hearing that they are paying just about the whole thing from " participating providers, " like UNC Hospital. I am wondering if anyone with a DOC band in NC got more of it paid for than the $600--it is different though because CT does not contract with BCBSNC. Thanks-- Stacey in Charlotte > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 Congratulations!!!!! I know you are going to celebrate now. That is wonderful Sandy Willow's mom > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 WOOOOHOOOOO!!! Thanks for sharing your awesome news w/us. > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 Hi Stacey, Noah's band is actually through UNC hospitals, although BCBS never said anything to me about participating providers for STARbands versus DOC bands. If that's the case, then I think I got lucky, because I ended up going with the STARband because of the referral that we got, but I agonized over not going to Charlotte. I don't know what stage you're at with your banding, but I would fight BCBS for more than $600 if you can. I saw that in the benefits guide, too, and I figured that's what they'd try to give us, and I was going to fight it. I don't have any idea if anyone's gotten BCBS of NC to cover a DOC band--I'm sorry. The only thing that BCBS told me to do was to make sure that it was stated in Noah's medical records that the treatment was medically necessary, and I made sure that it was. If there's anything I can do to help, please let me know! -Amy mother to Noah, 7.5 months, STARbanded 3/17/06 > > > > I am AMAZED!! I just checked my insurance web page, and although > they > > only received my claim on 3/29/06, this morning it registered as > > processed. Knowing what I know about insurance and orthoses, I > sat > > there and stared at it for a while before clicking on the link, > > anticipating the denial and what I would have to do to appeal. > But lo > > and behold, they PAID the claim!! Out of $2932, I am only > responsible > > for $175! I am SO relieved! I can't believe they covered it > without > > a fight--maybe there is hope that insurance companies will begin > to > > take treating plagio seriously. *does happy dance* > > > > -Amy > > mother to Noah, 7.5 months, STARbanded 3/17/06 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 We actually got our DOC band in February, but we live much closer to Charlotte, so we didn't really have to decide in that regard. You are the second parent I have talked to that BCBS NC all but fully covered the band through the UNC system. That is great news for all those parents in the Eastern half of our state, at least! > > > > > > I am AMAZED!! I just checked my insurance web page, and > although > > they > > > only received my claim on 3/29/06, this morning it registered as > > > processed. Knowing what I know about insurance and orthoses, I > > sat > > > there and stared at it for a while before clicking on the link, > > > anticipating the denial and what I would have to do to appeal. > > But lo > > > and behold, they PAID the claim!! Out of $2932, I am only > > responsible > > > for $175! I am SO relieved! I can't believe they covered it > > without > > > a fight--maybe there is hope that insurance companies will begin > > to > > > take treating plagio seriously. *does happy dance* > > > > > > -Amy > > > mother to Noah, 7.5 months, STARbanded 3/17/06 > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 I am so happy for you. Now you don't have to worry about it anymore. It must have been a pretty good day after that news. Haylee mom to andre doc band grad > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2006 Report Share Posted April 5, 2006 Woo hoo!!! That is awesome. Good for you. I think this calls for a night out na, DOC Grad X2 Feb 04 Kiersten, DOC Grad 4/4/06, Tort Resolved www.thefilyaws.com/plagio/plagio.html > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2006 Report Share Posted April 6, 2006 Congrats, Amy! I totally empathize with you. We had Oxford Health Plans when Nicolas was casted for his DOC band a few weeks ago and they covered everything. We didn't have to pay a single penny. I'm just keeping my fingers crossed now that he won't need another band since we have switched insurance companies now. Jeanette - mom of Nicolas (DOC band since 3/27) > > I am AMAZED!! I just checked my insurance web page, and although they > only received my claim on 3/29/06, this morning it registered as > processed. Knowing what I know about insurance and orthoses, I sat > there and stared at it for a while before clicking on the link, > anticipating the denial and what I would have to do to appeal. But lo > and behold, they PAID the claim!! Out of $2932, I am only responsible > for $175! I am SO relieved! I can't believe they covered it without > a fight--maybe there is hope that insurance companies will begin to > take treating plagio seriously. *does happy dance* > > -Amy > mother to Noah, 7.5 months, STARbanded 3/17/06 > Quote Link to comment Share on other sites More sharing options...
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