Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Well I just got the formal letter from senator jesse helms office and included was the papers that Tricare faxed to them. WHich had my denial letter which I have yet to recieve. It was dated Feb 14. It was a horrible copy so I have been trying to call Tricare to get them to resend me the denial letter that was supposedly already sent. ANd no one has any idea what I am talking about. I get put on hold for 45 minutes at a time just to be given another number to call. I am getting soo frustrated. Meanwhile the doctor that first diagnosed Mya is working on getting Mya into the Program for persons with Disabilities which if she is approved would cover the band. ANyway my denial letter said that the reason for denialis because it is not a covered benefit and they attatched a copy from the benefits book (which I do not have) which stated orthotics are covered with the exclusionof cranial orthotics (dynamic orthotic cranialplaty band) and other cranial molding helmets. I thought they were considered durable medical equipment or am I just confused. ANy suggestions on how I should go about the appeal with this denial reason since I now know what the exact reasonis. Thanks for your help Christi mom to MYA Quote Link to comment Share on other sites More sharing options...
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