Re: insurance woes and wins and to

[Guest guest]

We just got the news last night that our treatment using the Ponseti

Method will be fully covered! We did not wait to treat Christian as we

beleived that it was crucial to start the Ponseti treatment right away.

Christian had two casts with another physician before we switched. A

few hints, write down everything! We have pages and pages of every

phone call including the date, time and the person we spoke with. We

simply hung in there. Check the contract your company has with the

insurance company, Ed works for a school district as a teacher and they

had an insurance broker that also helped us. For instance, the review

Dr. who denied our review did not speak with our practing physician, as

was stipulated in the insuance company's contract with the school. We

made sure that the insuance company followed procedure and the contract

to the letter, dotting every i and crossing every t!

I also wanted to comment that we had three physicians who claimed to

practice the method when they did not. I would like to think that these

physicians are simply misinformed. Some seem to think that they can use

parts of the method and that that is sufficient, however this is more

like baking a cake and leaving out the baking soda or skipping the egg!

Good Luck and give the insurance compamy a good fight! I'm so

glad to hear you're going to Iowa. If we had waited for our insurance

company we wouldn't have begun until Chrisitan was already three months

old.

Donna Blevins

> dan & lisa wrote:

>

>

>

> Hi ,

>

> As callous as this may sound, perhaps you could approach this with

> your insurance company from a dollars & cents perspective. It would be

> a great deal cheaper for them to pay for a few casts and very minor

> surgery with Ponseti than many months of casts and extensive surgery

> with anyone else. Any relapse would again be much cheaper to correct

> with Dr. Ponseti than anyone else. I know that we can't put a $ value

> on children but that's what insurance companies do so you may have to

> " speak their language " in order to get results.

> Would you be able to start the procedure while this is being disputed

> with your insurance company?

> If nothing works then there is help from grants as mentioned.

>

> Dan

> ----------------------------------------------------------------------

>

>

>

>

>

> ----------------------------------------------------------------------

>

[Guest guest]

Ed & Donna,

That's great to hear that the insurance realized what was right for

Christian!!!

Blevins wrote:

>

>

> We just got the news last night that our treatment using the Ponseti

> Method will be fully covered! We did not wait to treat Christian as

> we

> beleived that it was crucial to start the Ponseti treatment right

> away.

> Christian had two casts with another physician before we switched. A

> few hints, write down everything! We have pages and pages of every

> phone call including the date, time and the person we spoke with. We

> simply hung in there. Check the contract your company has with the

> insurance company, Ed works for a school district as a teacher and

> they

> had an insurance broker that also helped us. For instance, the review

>

> Dr. who denied our review did not speak with our practing physician,

> as

> was stipulated in the insuance company's contract with the school. We

> made sure that the insuance company followed procedure and the

> contract

> to the letter, dotting every i and crossing every t!

> I also wanted to comment that we had three physicians who

> claimed to

> practice the method when they did not. I would like to think that

> these

> physicians are simply misinformed. Some seem to think that they can

> use

> parts of the method and that that is sufficient, however this is more

> like baking a cake and leaving out the baking soda or skipping the

> egg!

> Good Luck and give the insurance compamy a good fight! I'm so

>

> glad to hear you're going to Iowa. If we had waited for our insurance

>

> company we wouldn't have begun until Chrisitan was already three

> months

> old.

>

> Donna Blevins

>

> > dan & lisa wrote:

> >

> >

> >

> > Hi ,

> >

> > As callous as this may sound, perhaps you could approach this with

> > your insurance company from a dollars & cents perspective. It would

> be

> > a great deal cheaper for them to pay for a few casts and very minor

> > surgery with Ponseti than many months of casts and extensive surgery

>

> > with anyone else. Any relapse would again be much cheaper to correct

>

> > with Dr. Ponseti than anyone else. I know that we can't put a $

> value

> > on children but that's what insurance companies do so you may have

> to

> > " speak their language " in order to get results.

> > Would you be able to start the procedure while this is being

> disputed

> > with your insurance company?

> > If nothing works then there is help from grants as mentioned.

>

> >

> > Dan

> >

> ----------------------------------------------------------------------

>

> >

> >

> >

> >

> >

> >

> ----------------------------------------------------------------------

>

> >

[Guest guest]

Ed and Donna,

I am so excited that the insurance is covering!! I'm sorry you had to

have such a hassle, but it sounds llike it is working out for the good.

Thank you for sharing your experience.

Joy

http://community.webtv.net/joybelle15/ROSESCLUBFOOTPAGE