Re: Casting delays for Amy

[Guest guest]

Ellen:

Wow, I can see why you are totally frustrated! What is the problem

with your ped. getting the information to CT?? Good grief. I suggest

calling your ped's office every hour to drive them totally crazy, so

they'll just get CT your information to get you off their back!!!

That's ridiculous!

A lot of members do go ahead & get their child casted before

insurance approval or denial to avoid delays. Cranial Tech will

often take payment plans, talk that over with them!

I really hope your ped. gets his butt in gear & gets the information

to CT ASAP! Otherwise, I really suggest driving him crazy with phone

calls! hehe.

Let us know when he gets the info. out. Good luck.

Debbie Abby' smom DOCGrad

MI

> Newbie Amy, awaiting casting

>

> I'm getting very frustrated by what seemed to be a simple process.

We

> are still waiting for the prescrip. and letter of medical necessity

from

> our ped. We saw him on Mon. and by Fri. still no letter. He is

willing

> to do it, but seems cautious of the proper wording and suspicious

that

> Cranial Tech. wants all the info. sent directly to them. He is

used to

> going to the ins. co. directly for pre-auth. I even had CT call his

> office on Fri. to explain that things would go quickly with less

> coordination if sent to them.

>

> Now CT says that if they don't get the letter by noon on Mon. we

may have

> to postpone our 5/29 casting date! They've advised us to wait for

> approval since AEtna may deny the claim completely or " fine " us

$500.00

> plus for not waiting for pre-auth! (AEtna should pay 80%-

remember, we

> are talking 2 bands here)

>

> I am convinced that we should proceed and keep our 5/29 casting

date with

> or without insurance. My thought is we can always fight them

later. Is

> this normal to have things move so slowly? Amy will be 13 mo. by

the

> time she actually gets her band. I would also like to see if we

can pay

> extra to CT for rush service.

>

> Ellen, mom to Amy

> Bridgeton, NJ

>

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[Guest guest]

Ellen,

If you can possibly wait for the letters it would be best, however, if you

feel you can simply not wait any longer then go for it. It is true that your

benefits could be lowered if you proceed without the proper authorization.

Good luck with your decision and keep us posted!

Marci (mom to )

Oklahoma

[Guest guest]

Ellen,

If your calls to your ped to get that referral moving doesn't work- I would

ask for his hours and schedule an appt. to see him in person. I would

explain that time is of the essence and he is jeopardizing the care of your

child by possibly having you lose that casting date appt. Make this as

urgent as you can to your Doc and let him know that this is very important.

Good luck and I hope the squeaky wheel gets the referral

' Mom