MARCY] Re: woo-hoo! Appeal approved (as out of network)

[Guest guest]

Thank you . You made some really good points. I will now get

started on my letter....finally!!

> ooo... i'm not sure how i'm able to help.!?! We have no one that

is in

> network so we had no choice but to go out of network with CT. Just

today I

> called and submitted a form to our insurance companies Case Mngt.

Dept. to

> try to get them to help me get this covered as in network. Which

would then

> cover 100%. I would maybe in your letter compare CT with other

companies

> that are in network for your insurance and stress the difference

and pro's

> of CT compared to the other companies (FDA approved, that type of

stuff).

> But this is a tough one. If i think of anything else i'll let you

know.

> Luckily for us we had no one in network...

>

>

>

> >From: " cowtroy8 " <cowtroy8@a...>

> >Reply-Plagiocephaly

> >Plagiocephaly

> >Subject: Re: woo-hoo! Appeal approved (as out of network)

> >Date: Wed, 08 Dec 2004 03:58:05 -0000

> >

> >

> >That is great !! Maybe you can help me out. CT is out of

network

> >for us too. There are other places that we could've gone to that

were

> >in network, but we chose to go to CT. Problem is that through my

> >insurance we dont have any out of network benefits for orthotics,

> >prosthetics, or DME. So they wont cover any of the band. is

in

> >his 2nd band. Any ideas of what I can write in the appeal letter?

It

> >is getting late now and I need to send it out. I may onlu have

> >another few weeks to work on it. Thanks!

> >

> >Marcy and (7 1/2 months) in New Jersey

> >2 months in DOC band # 1 to correct mild assymetry

> >Now in Doc band #2 to correct Brachycephaly

> >

> >

> >--- In Plagiocephaly , " " <mamagill@h...>

wrote:

> > >

> > > Hi everyone! I just wanted to share that I just spoke with my

> > > insurance company (BCBS- Capital Care, HMO) and they are

approving

> > > my appeal and providing $1,000 for 's DOC Band since CT is

> >out-

> > > of-network. I'm glad about that but i'm going to also get in

touch

> > > with their utliziation dept. and seek in-network coverage as

they

> > > don't even had an ortho in-network in their provider book for

MD,

> > > VA, DC, and WV! Keep your fingers crossed for us but i'm very

> >happy

> > > with knowing my appeal was successful. : D

> > >

> > > & 9 months (DOC Band 11/17, brachy/mild tort)

> > > Ashburn, VA

> >

> >

> >

>

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