Guest guest Posted September 6, 2002 Report Share Posted September 6, 2002 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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