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,

Let me know what state you live in, and I will look for laws that

might help.

~ Vicki

> My insurance has just denied my son's OT and speech because they

don't cover " maintenance " therapy (despite weekly progress reports

they were sent by the therapist which showed progress!). I am

planning to appeal but am having a hard time starting from a blank

page. Has anyone fought this battle before who would be willing to

share some letters with me? I talked to Dr. Goldberg's office and

they said he would probably modify and sign something if I draft it.

I just want to explain that this is a medical condition and that he

is getting better, so it is not just maintenance of a developmentally

delayed child (they don't cover " developmental delay " either - of

course!)

> Any help would be greatly appreciated. You can e-mail me privately

if you wish.

> Thanks,

>

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Vicki,

I'm in Illinois. My employer is self-insured - I know that might make a

difference. We have BCBS-PPO. It's frustrating because they have been

covering the OT for a year and then suddenly cut us off. I am still waiting

for a written explanation. " Developmental Delay " and " Maintenance " are the

words they keep throwing at me.

Thanks for your help.

>From: " mm_mommy " <vberrey@...>

>Reply-

>

>Subject: Re: Insurance letter

>Date: Fri, 13 Sep 2002 23:31:28 -0000

>

>,

>

>Let me know what state you live in, and I will look for laws that

>might help.

>

>~ Vicki

>

> > My insurance has just denied my son's OT and speech because they

>don't cover " maintenance " therapy (despite weekly progress reports

>they were sent by the therapist which showed progress!). I am

>planning to appeal but am having a hard time starting from a blank

>page. Has anyone fought this battle before who would be willing to

>share some letters with me? I talked to Dr. Goldberg's office and

>they said he would probably modify and sign something if I draft it.

>I just want to explain that this is a medical condition and that he

>is getting better, so it is not just maintenance of a developmentally

>delayed child (they don't cover " developmental delay " either - of

>course!)

> > Any help would be greatly appreciated. You can e-mail me privately

>if you wish.

> > Thanks,

> >

>

_________________________________________________________________

Chat with friends online, try MSN Messenger: http://messenger.msn.com

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Years ago we got OT extended when my son's doc wrote a letter stating that

his malabsorption caused by a pathogenic bacteria in his digestive tract was

causing him to have motor difficulties and that as he healed from this, he

would need the therapy to regain lost skills. Sorry, I have no idea what I

did with the letter, but it was pretty straight forward. Perhaps Dr. G can

talk about how the immune system problems are leading to motor issues which

is treatable but your child will need to continue therapy to regain skills

that are being affected due to this?

Gaylen

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Sorry for the blank e-mail, my mouse has a mind of its own today. Our OT

approval was an extension of services that insurance was providing before.

Every few months, they would deny and we'd have to come up with a way to get

more. We never go speech through them because the company was " self-insured "

so they didn't have to follow our state's law that says if you cover speech,

you have to cover it for all conditions.

Gaylen

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,

IL does not have a parity law that mandates coverage for

developmental delays, so that won't help you. My suggestion is to

find out what diagnosis code(s) are being used to bill. Make sure the

codes are for a neurological condition rather than developmental.

Then in your letter, explain the services are for the neurological

disorder to help your child be able to do things independently, cope

with noises or whatever his specific issues are. OT can be for

regaining skills lost due to stroke, accident, etc. so in your son's

case they need to know this is a lifetime issue, not an issue or

regaining lost skills.

Hope this is helpful.

> > > My insurance has just denied my son's OT and speech because they

> >don't cover " maintenance " therapy (despite weekly progress reports

> >they were sent by the therapist which showed progress!). I am

> >planning to appeal but am having a hard time starting from a blank

> >page. Has anyone fought this battle before who would be willing to

> >share some letters with me? I talked to Dr. Goldberg's office and

> >they said he would probably modify and sign something if I draft

it.

> >I just want to explain that this is a medical condition and that he

> >is getting better, so it is not just maintenance of a

developmentally

> >delayed child (they don't cover " developmental delay " either - of

> >course!)

> > > Any help would be greatly appreciated. You can e-mail me

privately

> >if you wish.

> > > Thanks,

> > >

> >

>

>

>

>

> _________________________________________________________________

> Chat with friends online, try MSN Messenger:

http://messenger.msn.com

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  • 4 months later...

On the clos website you send in the info and the office prepares the letter

for you. Search for insurance and you should find what you need.

I am waiting for mine.

V

Insurance Letter

Does anyone have a copy of the letter they sent to their insurance

company explaining the benefits and necessity of the WLS? I thought

I saw on the message board where someone had composed a great letter

for the insurance co. and then sent it to the rest of us to adopt to

our personal situations? I can't find the email or the letter. Any

help would be appreciated.

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  • 1 year later...

Hi Tish!

I can't open your attachment (says " not stored " )...can you try again

or forward it to my personal email? I'm curious what it says...they

didn't give me too much of a run-around, but you never know. I

certainly haven't seen any reimbursements yet.

> I am going to call CT today to have them explain and call my

insurance

> company but has anyone gotten a letter like this. Not exactly sure

what it

> means or if I have to do anything to convince them it is medically

> necessary. It says I don't but I am WAY confused. Any insight?

>

> To in Cleveland did you get this letter as I think we have

similar

> insurance.

>

> Tish

> Teagan 4/25/04

> Plagio/Tort/DOC band 11/26/04

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Let's try it again!

Tish

Teagan 4/25/04

Plagio/Tort/DOC band 11/26/04

Re: Insurance Letter

>

>

> Hi Tish!

>

> I can't open your attachment (says " not stored " )...can you try again

> or forward it to my personal email? I'm curious what it says...they

> didn't give me too much of a run-around, but you never know. I

> certainly haven't seen any reimbursements yet.

>

>

>

>

>

> > I am going to call CT today to have them explain and call my

> insurance

> > company but has anyone gotten a letter like this. Not exactly sure

> what it

> > means or if I have to do anything to convince them it is medically

> > necessary. It says I don't but I am WAY confused. Any insight?

> >

> > To in Cleveland did you get this letter as I think we have

> similar

> > insurance.

> >

> > Tish

> > Teagan 4/25/04

> > Plagio/Tort/DOC band 11/26/04

>

>

>

>

>

>

> For more plagio info

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Thanks that is kind of what I thought but wanted to double check. I am

actually on hold right now!

Tish

Teagan 4/25/04

Plagio/Tort/DOC band 11/26/04

Re: Insurance Letter

>

>

> Reading that, I think it's saying that you have been approved based

> on your predetermination report, you cannot be paid yet because no

> services have been rendered (at the time of the letter), there is no

> further medical review necessary. Congrats! It's also warning you

> that if you go out of network (according to karen, CT is out of

> everyone's network) you will be partially financially responsible,

> call customer service to find out how much. I don't know how similar

> our plans are, but we have a $250 deductable and insurance covers

> 70%.

>

> The words were small so I may have mis-read something, but I think

> you're good!

>

>

>

>

>

> > > > I am going to call CT today to have them explain and call my

> > > insurance

> > > > company but has anyone gotten a letter like this. Not exactly

> sure

> > > what it

> > > > means or if I have to do anything to convince them it is

> medically

> > > > necessary. It says I don't but I am WAY confused. Any insight?

> > > >

> > > > To in Cleveland did you get this letter as I think we have

> > > similar

> > > > insurance.

> > > >

> > > > Tish

> > > > Teagan 4/25/04

> > > > Plagio/Tort/DOC band 11/26/04

> > >

> > >

> > >

> > >

> > >

> > >

> > > For more plagio info

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I called and it is COVERED! They said though that we will owe 80% but could

be more if MMOH doesn't agree with the cost of the band. So we will see.

Tish

Teagan 4/25/04

Plagio/Tort/DOC band 11/26/04

Re: Insurance Letter

>

>

> >

> >

> > Reading that, I think it's saying that you have been approved based

> > on your predetermination report, you cannot be paid yet because no

> > services have been rendered (at the time of the letter), there is no

> > further medical review necessary. Congrats! It's also warning you

> > that if you go out of network (according to karen, CT is out of

> > everyone's network) you will be partially financially responsible,

> > call customer service to find out how much. I don't know how similar

> > our plans are, but we have a $250 deductable and insurance covers

> > 70%.

> >

> > The words were small so I may have mis-read something, but I think

> > you're good!

> >

> >

> >

> >

> >

> > > > > I am going to call CT today to have them explain and call my

> > > > insurance

> > > > > company but has anyone gotten a letter like this. Not exactly

> > sure

> > > > what it

> > > > > means or if I have to do anything to convince them it is

> > medically

> > > > > necessary. It says I don't but I am WAY confused. Any insight?

> > > > >

> > > > > To in Cleveland did you get this letter as I think we have

> > > > similar

> > > > > insurance.

> > > > >

> > > > > Tish

> > > > > Teagan 4/25/04

> > > > > Plagio/Tort/DOC band 11/26/04

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > For more plagio info

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Tish,

It doesn't sound like you were denied. It sounds like they are saying you don't need anymore paperwork but they aren't telling you it's covered. It's very strange. I've never seen anything like it. Hopefully CT can help.

mom to na

DOC Grad 2/20/04

Tort Resolved

SCJ & J <baz@...> wrote:

I am going to call CT today to have them explain and call my insurancecompany but has anyone gotten a letter like this. Not exactly sure what itmeans or if I have to do anything to convince them it is medicallynecessary. It says I don't but I am WAY confused. Any insight?To in Cleveland did you get this letter as I think we have similarinsurance.TishTeagan 4/25/04Plagio/Tort/DOC band 11/26/04For more plagio info

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I called the insurance company and they said that it is covered but that they may not agree to the price. So I may still have to appeal as I know my brother went though this with their insurance company. Said they would cover it then sent them a check for $300. So my fight may not be over but atleast they "say" they will cover it!

TishTeagan 4/25/04Plagio/Tort/DOC band 11/26/04

Re: Insurance Letter

Tish,

It doesn't sound like you were denied. It sounds like they are saying you don't need anymore paperwork but they aren't telling you it's covered. It's very strange. I've never seen anything like it. Hopefully CT can help.

mom to na

DOC Grad 2/20/04

Tort Resolved

SCJ & J <baz@...> wrote:

I am going to call CT today to have them explain and call my insurancecompany but has anyone gotten a letter like this. Not exactly sure what itmeans or if I have to do anything to convince them it is medicallynecessary. It says I don't but I am WAY confused. Any insight?To in Cleveland did you get this letter as I think we have similarinsurance.TishTeagan 4/25/04Plagio/Tort/DOC band 11/26/04For more plagio info

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  • 3 years later...
Guest guest

Not sure if everyone else got this from their insurance companies or

not.. but I got a letter stating the following from Aetna yesterday

in the mail. Now why the law was passed last June and we are just

not receiving the information is beyond me.. but I know I'm going to

be appealing some claims that were denied and using this letter as my

rason for why..

Take care all!

J

Re: New Washington DC legislation - Children's Habilitative Sevices

Dear Member:

This is to notify you that Washington DC has passed a law effective

June 1, 2007, which provides coverage for Children's Habilitative

Serices.

With the exception of early intervention or school programs,

habilitative services means services, including occupational therapy,

physical therapy, and speech therapy, for the treatment of a child

under the age of 21 with a congenital or genetic birth defect to

enhance the child's ability to function. These defects are existing

at or from birth, including a hereditary defect. The

term " congenital or genetic birth defect " includes autism or an

autism spectrum disorder and cerebral palsy.

These Habilitative services may need to be precertified by Aetna.

If you have any questions, please call Member Services at the toll-

free number on your ID card.

Sincerely,

Aetna

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Guest guest

I have Aetna and have never received anything like this. In fact,

last time I checked into my policy, I still had an exclusion for

speech and occupational therapy resulting from developmental delay,

including autism.

>

> Not sure if everyone else got this from their insurance companies

or

> not.. but I got a letter stating the following from Aetna yesterday

> in the mail. Now why the law was passed last June and we are just

> not receiving the information is beyond me.. but I know I'm going

to

> be appealing some claims that were denied and using this letter as

my

> rason for why..

>

> Take care all!

>

> J

>

> Re: New Washington DC legislation - Children's Habilitative Sevices

>

> Dear Member:

>

> This is to notify you that Washington DC has passed a law effective

> June 1, 2007, which provides coverage for Children's Habilitative

> Serices.

>

> With the exception of early intervention or school programs,

> habilitative services means services, including occupational

therapy,

> physical therapy, and speech therapy, for the treatment of a child

> under the age of 21 with a congenital or genetic birth defect to

> enhance the child's ability to function. These defects are

existing

> at or from birth, including a hereditary defect. The

> term " congenital or genetic birth defect " includes autism or an

> autism spectrum disorder and cerebral palsy.

>

> These Habilitative services may need to be precertified by Aetna.

>

> If you have any questions, please call Member Services at the toll-

> free number on your ID card.

>

> Sincerely,

> Aetna

>

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Guest guest

You might wanna call Aetna... I called and was able to easily appeal

claims that were denied last fall that they have now paid...

> >

> > Not sure if everyone else got this from their insurance companies

> or

> > not.. but I got a letter stating the following from Aetna

yesterday

> > in the mail. Now why the law was passed last June and we are

just

> > not receiving the information is beyond me.. but I know I'm going

> to

> > be appealing some claims that were denied and using this letter

as

> my

> > rason for why..

> >

> > Take care all!

> >

> > J

> >

> > Re: New Washington DC legislation - Children's Habilitative

Sevices

> >

> > Dear Member:

> >

> > This is to notify you that Washington DC has passed a law

effective

> > June 1, 2007, which provides coverage for Children's Habilitative

> > Serices.

> >

> > With the exception of early intervention or school programs,

> > habilitative services means services, including occupational

> therapy,

> > physical therapy, and speech therapy, for the treatment of a

child

> > under the age of 21 with a congenital or genetic birth defect to

> > enhance the child's ability to function. These defects are

> existing

> > at or from birth, including a hereditary defect. The

> > term " congenital or genetic birth defect " includes autism or an

> > autism spectrum disorder and cerebral palsy.

> >

> > These Habilitative services may need to be precertified by Aetna.

> >

> > If you have any questions, please call Member Services at the

toll-

> > free number on your ID card.

> >

> > Sincerely,

> > Aetna

> >

>

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Guest guest

You live in Ne Ohio right? I wonder if Aetna is headquartered in DC

and that's why they fall under this local legislation???

-- In , " If you want to know.. Ask! "

<mystique2574@...> wrote:

>

> You might wanna call Aetna... I called and was able to easily

appeal

> claims that were denied last fall that they have now paid...

>

>

> > >

> > > Not sure if everyone else got this from their insurance

companies

> > or

> > > not.. but I got a letter stating the following from Aetna

> yesterday

> > > in the mail. Now why the law was passed last June and we are

> just

> > > not receiving the information is beyond me.. but I know I'm

going

> > to

> > > be appealing some claims that were denied and using this

letter

> as

> > my

> > > rason for why..

> > >

> > > Take care all!

> > >

> > > J

> > >

> > > Re: New Washington DC legislation - Children's Habilitative

> Sevices

> > >

> > > Dear Member:

> > >

> > > This is to notify you that Washington DC has passed a law

> effective

> > > June 1, 2007, which provides coverage for Children's

Habilitative

> > > Serices.

> > >

> > > With the exception of early intervention or school programs,

> > > habilitative services means services, including occupational

> > therapy,

> > > physical therapy, and speech therapy, for the treatment of a

> child

> > > under the age of 21 with a congenital or genetic birth defect

to

> > > enhance the child's ability to function. These defects are

> > existing

> > > at or from birth, including a hereditary defect. The

> > > term " congenital or genetic birth defect " includes autism or

an

> > > autism spectrum disorder and cerebral palsy.

> > >

> > > These Habilitative services may need to be precertified by

Aetna.

> > >

> > > If you have any questions, please call Member Services at the

> toll-

> > > free number on your ID card.

> > >

> > > Sincerely,

> > > Aetna

> > >

> >

>

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Guest guest

I live in good old brook park so definately in NE Ohio.. :)

And according to the letter it is federal legislation.. not state..

Hope that helps!

J

> > > >

> > > > Not sure if everyone else got this from their insurance

> companies

> > > or

> > > > not.. but I got a letter stating the following from Aetna

> > yesterday

> > > > in the mail. Now why the law was passed last June and we are

> > just

> > > > not receiving the information is beyond me.. but I know I'm

> going

> > > to

> > > > be appealing some claims that were denied and using this

> letter

> > as

> > > my

> > > > rason for why..

> > > >

> > > > Take care all!

> > > >

> > > > J

> > > >

> > > > Re: New Washington DC legislation - Children's Habilitative

> > Sevices

> > > >

> > > > Dear Member:

> > > >

> > > > This is to notify you that Washington DC has passed a law

> > effective

> > > > June 1, 2007, which provides coverage for Children's

> Habilitative

> > > > Serices.

> > > >

> > > > With the exception of early intervention or school programs,

> > > > habilitative services means services, including occupational

> > > therapy,

> > > > physical therapy, and speech therapy, for the treatment of a

> > child

> > > > under the age of 21 with a congenital or genetic birth defect

> to

> > > > enhance the child's ability to function. These defects are

> > > existing

> > > > at or from birth, including a hereditary defect. The

> > > > term " congenital or genetic birth defect " includes autism or

> an

> > > > autism spectrum disorder and cerebral palsy.

> > > >

> > > > These Habilitative services may need to be precertified by

> Aetna.

> > > >

> > > > If you have any questions, please call Member Services at the

> > toll-

> > > > free number on your ID card.

> > > >

> > > > Sincerely,

> > > > Aetna

> > > >

> > >

> >

>

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Guest guest

Where is the federal part? Washington DC has other laws that only

apply to DC, gun control etc.

> > > > >

> > > > > Not sure if everyone else got this from their insurance

> > companies

> > > > or

> > > > > not.. but I got a letter stating the following from Aetna

> > > yesterday

> > > > > in the mail. Now why the law was passed last June and we

are

> > > just

> > > > > not receiving the information is beyond me.. but I know

I'm

> > going

> > > > to

> > > > > be appealing some claims that were denied and using this

> > letter

> > > as

> > > > my

> > > > > rason for why..

> > > > >

> > > > > Take care all!

> > > > >

> > > > > J

> > > > >

> > > > > Re: New Washington DC legislation - Children's

Habilitative

> > > Sevices

> > > > >

> > > > > Dear Member:

> > > > >

> > > > > This is to notify you that Washington DC has passed a law

> > > effective

> > > > > June 1, 2007, which provides coverage for Children's

> > Habilitative

> > > > > Serices.

> > > > >

> > > > > With the exception of early intervention or school

programs,

> > > > > habilitative services means services, including

occupational

> > > > therapy,

> > > > > physical therapy, and speech therapy, for the treatment of

a

> > > child

> > > > > under the age of 21 with a congenital or genetic birth

defect

> > to

> > > > > enhance the child's ability to function. These defects

are

> > > > existing

> > > > > at or from birth, including a hereditary defect. The

> > > > > term " congenital or genetic birth defect " includes autism

or

> > an

> > > > > autism spectrum disorder and cerebral palsy.

> > > > >

> > > > > These Habilitative services may need to be precertified by

> > Aetna.

> > > > >

> > > > > If you have any questions, please call Member Services at

the

> > > toll-

> > > > > free number on your ID card.

> > > > >

> > > > > Sincerely,

> > > > > Aetna

> > > > >

> > > >

> > >

> >

>

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  • 11 months later...
Guest guest

I don't know what they are requiring. They turned me down initially due to no

labs, then when they got them they turned it down anyways. I added a couple

more bullet points for loss of muscle mass and fat redistribution. Hopefully

this will be all I need to do. They let me get a vial while they were deciding

so I'm not out and have time to get this straightened out. If they turn it down

again I can appeal directly to Medicare who should approve it since I've already

been on it.

Thanks!

K. Woolf

--------------------------------------------

,

Do you inject every week or every 2 weeks? You should be low by the day before

your next injection, or, even better, the morning right before it. Would your

doctor be willing to order you a requisition form you could use when you're at

your lowest level of testosterone?

I've also ordered requisition forms for myself when I wanted to test different

times during the week.

~Xian

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Guest guest

>

> I don't know what they are requiring. They turned me down initially due to no

labs, then when they got them they turned it down anyways. I added a couple

more bullet points for loss of muscle mass and fat redistribution. Hopefully

this will be all I need to do. They let me get a vial while they were deciding

so I'm not out and have time to get this straightened out. If they turn it down

again I can appeal directly to Medicare who should approve it since I've already

been on it.

>

> Thanks!

>

> K. Woolf

> --------------------------------------------

> ,

>

> Do you inject every week or every 2 weeks? You should be low by the day

before your next injection, or, even better, the morning right before it. Would

your doctor be willing to order you a requisition form you could use when you're

at your lowest level of testosterone?

> I've also ordered requisition forms for myself when I wanted to test different

times during the week.

>

> ~Xian

>

Hi Xian,

No I inject 40mg 2x a week. I did my labs before an injection that week. It's

all under Medicare, I just switched add-on insurance companies this year. I've

included a copy of last year's approval letter with my appeal...so hopefully..

Thanks

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