Guest guest Posted September 6, 2002 Report Share Posted September 6, 2002 HOORAY! That sounds like terrific news! Let us know when you get the written approval! Debbie Abby'smom DOCGrad MI > Hi... > > I just got word from the insurance company....they are paying!! Yay..no > fighting (yet). She wrote to me that the case manager approved it and is > sending it for processing....and that it appears (kind of worries me here to > say it appears) that they are paying in full subject to the deductible and > coinsurance. Which means they will pay i think 70% or 80% (since it's out of > network)..but it sounds like they are paying that percentage on the full > amount. So i'm so happy..b/c when i talked to someone at cranial tech > headquarters..she said usually guardian tends to pay on what they think is > reasonable which usually isn't the full amount. So we'll see what > happens....but she said that they should be paying in full. So i've already > paid $1200 so i should be getting some money back. > > I'm so happy that we decided to go with the new insurance company (guardian) > and not try to fight Anthem..b/c we didn't even have to fight Guardian at all > to pay. Yay! > > Now i'm happy....we should be getting the explanation of benefits in about 2 > weeks...so we'll see for sure how much they are paying...but just the fact > they are paying without fighting is such a relief!! > > > Mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2002 Report Share Posted September 7, 2002 , That is so awesome!! Its so nice to hear a good insurance story once in awhile!!! Congrats! Niki Kaylie & Danny (STAR grads) Phila., PA > Hi... > > I just got word from the insurance company....they are paying!! Yay..no > fighting (yet). She wrote to me that the case manager approved it and is > sending it for processing....and that it appears (kind of worries me here to > say it appears) that they are paying in full subject to the deductible and > coinsurance. Which means they will pay i think 70% or 80% (since it's out of > network)..but it sounds like they are paying that percentage on the full > amount. So i'm so happy..b/c when i talked to someone at cranial tech > headquarters..she said usually guardian tends to pay on what they think is > reasonable which usually isn't the full amount. So we'll see what > happens....but she said that they should be paying in full. So i've already > paid $1200 so i should be getting some money back. > > I'm so happy that we decided to go with the new insurance company (guardian) > and not try to fight Anthem..b/c we didn't even have to fight Guardian at all > to pay. Yay! > > Now i'm happy....we should be getting the explanation of benefits in about 2 > weeks...so we'll see for sure how much they are paying...but just the fact > they are paying without fighting is such a relief!! > > > Mom to Quote Link to comment Share on other sites More sharing options...
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