Re: Re: Insurance denial- external review process?

[Guest guest]

Darn it! Ours is called a "contract exclusion" as well - although we are insured through UHC. I suppose there's no use in our fighting it either - I don't have the time, money or energy for legal battles!!!

Thanks and good luck to you as well,

Mommy to Wes, 5 months old brachy & plagio, DOCband since 3/10 in Dallas, TX

In a message dated 3/28/2006 3:47:14 P.M. Central Standard Time, jengruber@... writes:

I just talked to the State of Michigan today. They said it doesn't look good for us. Since Humana is simply calling it a "contract exclusion", there is not much we can do. They said we can go to court, but I'm sure I'll end up spending more than the helmet actually costs!Good luck and please let me know if you win!Jen> >> > Hi,> > > > Just wondering if anyone has ever gone through an "external > review" > > after being denied by their insurance for the helmet? We have > been > > twice denied by Humana and now our appeal is in the hands of the > State > > of Michigan. Has anyone dealt with this? Has anyone had a > favorable > > outcome???> > > > Thanks!> > Jen (mom to 10 mos; banded 1/25/06, and Emma 4 yrs.)> >>For more plagio info

[Guest guest]

Darn it! Ours is called a "contract exclusion" as well - although we are insured through UHC. I suppose there's no use in our fighting it either - I don't have the time, money or energy for legal battles!!!

Thanks and good luck to you as well,

Mommy to Wes, 5 months old brachy & plagio, DOCband since 3/10 in Dallas, TX

In a message dated 3/28/2006 3:47:14 P.M. Central Standard Time, jengruber@... writes:

I just talked to the State of Michigan today. They said it doesn't look good for us. Since Humana is simply calling it a "contract exclusion", there is not much we can do. They said we can go to court, but I'm sure I'll end up spending more than the helmet actually costs!Good luck and please let me know if you win!Jen> >> > Hi,> > > > Just wondering if anyone has ever gone through an "external > review" > > after being denied by their insurance for the helmet? We have > been > > twice denied by Humana and now our appeal is in the hands of the > State > > of Michigan. Has anyone dealt with this? Has anyone had a > favorable > > outcome???> > > > Thanks!> > Jen (mom to 10 mos; banded 1/25/06, and Emma 4 yrs.)> >>For more plagio info