Guest guest Posted July 11, 2002 Report Share Posted July 11, 2002 Hi... I have some questions.. First of all... is getting his helmet soon which i wrote yesterday...but the dr had said it would probably be close to a month by the time he gets it...b/c it'll probably take 2 weeks to get an appt with CT and another 10 days to make the helmet. My husband's insurance is changing as of august 1st....which insurance am i supposed to be going with for this? When i called CT...the lady wasn't much of a help. She told me she would call my insurance and see if it will be covered..and when i explained the situation..she said..well tell me which one you want to go with...i can wait..and i'm like..no i want this done as soon as possible. But if she can't get me an appt until a while..and then he won't get his helmet until after August 1st..then wouldn't it have to go under my new insurance??? I'm so confused... And also..when i asked her how long finding out if my insurance would take...she said she didn't have any idea...but i'm in a rush here...so doesn't she realize that? When i called my insurance company..they said to get the billing code and they should be able to tell me if they'll pay or not..but since this lady at CT said she'll call and let me know as soon as possible...i feel bad calling up and asking for the billing code..i don't want her to get mad..like i don't trust her..but i need this done ASAP..and i don't know if she would be more effective in getting the answer and/or getting it paid... Also..i do have a letter of medical necessity from the dr...does that really help?? Thanks, Mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2002 Report Share Posted July 12, 2002 , We changed insurance after began treatment. The former insurance company eventually coverd the cost of the helmet way after we had changed companies and after had finished the treatment. I would think if you got the appointment and the approval from the old company before your initial appointment then they would be obligated to pay. Of course, if they deny the claim then you might give it just a little more time and see if the new company will pay up. You are so close to the change I can see why you are confused. Can you get your husband's HR department to help? (I think you said you were on your husband's insurance). Marci (Mom to ) Oklahoma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2002 Report Share Posted July 12, 2002 Oh, I forgot to say that a letter of medical necessity could be VERY helpful! And don't worry about calling for information even though CT said they would do it. It is your job as a mommy to follow up and do what is necessary. Marci (Mom to ) Oklahoma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2002 Report Share Posted July 12, 2002 , Hmmm, that is a tough one- if you start treatment with the current insurance, would they still cover it once its over, and if you start now and finish with the other, could they say that was a " pre-existing " condition and not pay? I'm sorry I can't offer any good suggestions there, hopefully Marci our insurance guru can help you on that note. I don't think the letter of medical necessity is even an issue until your in the appeals process though. Good luck on everything! ' Mom Quote Link to comment Share on other sites More sharing options...
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