Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 Terry Little Office of the Director Center for Scientific Review Bethesda, MD 20892-7776 301/435-1111 littlet@... -----Original Message----- From: Gretchen Glick [mailto:liliwigg@...] Sent: Tuesday, July 17, 2001 12:25 PM ers at groups Subject: [] AFO wearers question For those of you who wear AFOs, tell me something: 1) How often do you go in for a checkup? Once a year, never, when needed, etc? Rarely, only when I have a problem like they need new padding. 2) Those of you with children wearing AFOs, how often do growing children's AFOs need to be refitted or replaced? A few months, several times a year, etc? NA 3) If you have an HMO for health insurance, how are AFOs treated when it comes to 'payment' for them? My health plan, Kaiser, does not cover anything -- splints, padding, not anything. 4) If you have private health insurance, how are AFOs treated when it comes to 'payment' time? NA 5) If you get your AFOs through MDA, is the 5 year period a too long of a wait to get changes or adjustments made? DEFINITELY Naturally, not being an AFO wearer, I am clueless, so fill me in, please. ~ Gretchen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 ----- Original Message ----- From: Gretchen Glick ers at groups Sent: Tuesday, July 17, 2001 12:25 PM Subject: [] AFO wearers question For those of you who wear AFOs, tell me something: 1) How often do you go in for a checkup? Once a year, never, when needed, etc? When needed 2) Those of you with children wearing AFOs, how often do growing children's AFOs need to be refitted or replaced? A few months, several times a year, etc? N/A but would depend on child's growth. 3) If you have an HMO for health insurance, how are AFOs treated when it comes to 'payment' for them? N/A 4) If you have private health insurance, how are AFOs treated when it comes to 'payment' time? Can't speak for " private " but my group insurance will pay for AFO's , according to a " usual, customary, and reasonable charge " list. They will not pay for REPAIR, but will pay for " modification " , so it depends on how it is listed. Medicare pays according to " schedule " . 5) If you get your AFOs through MDA, is the 5 year period a too long of a wait to get changes or adjustments made? Only assistance MDA gave was for the clinic doctor to order them, I had to pay above Medicare out of my pocket as I had not reached my deductable for insurance. I seem to recall seeing that MDA's policy is very 2 years for AFO's. According to their literature, the max payment is approved yearly. Also according to their site they will ay for repairs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 I JUST GOT OFF THE PHONE WITH MDA -- THE WAIT IS FOR 5 YEARS (UP TO $2,000 IS ALLOWABLE) -- MUCH TOO LONG A TIME! Terry Little littlet@... -----Original Message----- From: Lamar son [mailto:lls@...] Sent: Tuesday, July 17, 2001 1:46 PM Subject: Re: [] AFO wearers question ----- Original Message ----- From: Gretchen Glick ers at groups Sent: Tuesday, July 17, 2001 12:25 PM Subject: [] AFO wearers question For those of you who wear AFOs, tell me something: 1) How often do you go in for a checkup? Once a year, never, when needed, etc? When needed 2) Those of you with children wearing AFOs, how often do growing children's AFOs need to be refitted or replaced? A few months, several times a year, etc? N/A but would depend on child's growth. 3) If you have an HMO for health insurance, how are AFOs treated when it comes to 'payment' for them? N/A 4) If you have private health insurance, how are AFOs treated when it comes to 'payment' time? Can't speak for " private " but my group insurance will pay for AFO's , according to a " usual, customary, and reasonable charge " list. They will not pay for REPAIR, but will pay for " modification " , so it depends on how it is listed. Medicare pays according to " schedule " . 5) If you get your AFOs through MDA, is the 5 year period a too long of a wait to get changes or adjustments made? Only assistance MDA gave was for the clinic doctor to order them, I had to pay above Medicare out of my pocket as I had not reached my deductable for insurance. I seem to recall seeing that MDA's policy is very 2 years for AFO's. According to their literature, the max payment is approved yearly. Also according to their site they will ay for repairs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 Hi Gretchen, Owen here, 1) How often do you go in for a checkup? Once a year, never, when needed, etc? When ever needed. Thats usually 4 or 5 years. 2) Those of you with children wearing AFOs, how often do growing children's AFOs need to be refitted or replaced? A few months, several times a year, etc? N/A 3) If you have an HMO for health insurance, how are AFOs treated when it comes to 'payment' for them? HMO Illinois pays 100% 4) If you have private health insurance, how are AFOs treated when it comes to 'payment' time? N/A 5) If you get your AFOs through MDA, is the 5 year period a too long of a wait to get changes or adjustments made? N/A Naturally, not being an AFO wearer, I am clueless, so fill me in, please. ~ Gretchen Happy Trails Owen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 In a message dated 7/17/2001 11:02:37 AM Pacific Daylight Time, lls@... writes: > For those of you who wear AFOs, tell me something: > > 1) How often do you go in for a checkup? Once a year, never, when > needed, etc? > When needed > > > 2) Those of you with children wearing AFOs, how often do growing > children's AFOs need to be refitted or replaced? A few months, several > times a year, etc? > > Every 6 months unless they break before 6 months. > > 3) If you have an HMO for health insurance, how are AFOs treated when > it comes to 'payment' for them? > > N/A > > 4) If you have private health insurance, how are AFOs treated when it > comes to 'payment' time? > > My insurance company Blue Cross pays for the AFOs 100%. They cover > repairs and modifications. > > 5) If you get your AFOs through MDA, is the 5 year period a too long of > a wait to get changes or adjustments made? > > N/A > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 hi Gretchen, Dee here 1) How often do you go in for a checkup? Once a year, never, when needed, etc? every year 2) Those of you with children wearing AFOs, how often do growing children's AFOs need to be refitted or replaced? A few months, several times a year, etc? my son doesn't wear them. dr feels his is very mild. 3) If you have an HMO for health insurance, how are AFOs treated when it comes to 'payment' for them? n/a 4) If you have private health insurance, how are AFOs treated when it comes to 'payment' time? n/a 5) If you get your AFOs through MDA, is the 5 year period a too long of a wait to get changes or adjustments made? i've had my for eight years. found out this past week at check up can get new pair every five years if need be. adjustments wwhen needed. God bless all Dee Quote Link to comment Share on other sites More sharing options...
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