Guest guest Posted September 8, 2001 Report Share Posted September 8, 2001 >I don't know if these tests are done differently over there, but here there >are 5 (I think) types of test results. " Abnormal " can mean a yeast >infection, or even a problem w/ the test, as in a contamination. It most >often does not mean there is cause for concern. If it is possible, you >might try calling the dr. or the lab and get some more explanations on the >test results and why they are recommending another test. Then you could >choose whether or not another test should be done immediately or not. This happened to me last year. They actually didn't want to test me again for a couple months though. They also said it didn't mean they found anything wrong, but they just couldn't read it well enough. I think someone dropped the slide Anyway, at the next test all was well. Dana ------------------------------------------------------------------ " For I lean on no dead kin, my name in mine for fame or scorn And the world began when I was born and the world is mine to win. " -Badger Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2001 Report Share Posted September 8, 2001 >I don't know if these tests are done differently over there, but here there >are 5 (I think) types of test results. " Abnormal " can mean a yeast >infection, or even a problem w/ the test, as in a contamination. It most >often does not mean there is cause for concern. If it is possible, you >might try calling the dr. or the lab and get some more explanations on the >test results and why they are recommending another test. Then you could >choose whether or not another test should be done immediately or not. This happened to me last year. They actually didn't want to test me again for a couple months though. They also said it didn't mean they found anything wrong, but they just couldn't read it well enough. I think someone dropped the slide Anyway, at the next test all was well. Dana ------------------------------------------------------------------ " For I lean on no dead kin, my name in mine for fame or scorn And the world began when I was born and the world is mine to win. " -Badger Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2001 Report Share Posted September 8, 2001 >I don't know if these tests are done differently over there, but here there >are 5 (I think) types of test results. " Abnormal " can mean a yeast >infection, or even a problem w/ the test, as in a contamination. It most >often does not mean there is cause for concern. If it is possible, you >might try calling the dr. or the lab and get some more explanations on the >test results and why they are recommending another test. Then you could >choose whether or not another test should be done immediately or not. This happened to me last year. They actually didn't want to test me again for a couple months though. They also said it didn't mean they found anything wrong, but they just couldn't read it well enough. I think someone dropped the slide Anyway, at the next test all was well. Dana ------------------------------------------------------------------ " For I lean on no dead kin, my name in mine for fame or scorn And the world began when I was born and the world is mine to win. " -Badger Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Our insurance also does not cover aids. And I have decided that insurance companies make up rules just to confuse us. When Ian was first diagnosed, the ENTs at Columbia thought that there was a chance to restore some of Ian's hearing by replacing the incus bone. From the CT scans and MRIs it looked like it was malformed. They felt it could be replaced. Unfortunately, once in his ear they say differently and the surgery that could repair some hearing was too dangerous, the risks outweighed the gains at that point. Anyway, the insurance company pre-approved the surgery. They had absolutely no issue with anything. One caveat: they would not pay for the actual prosthetic bone to be placed inside Ian's middle ear. Their rationale was that they do not cover prosthetics of any sort. When asked about it they cited potential for loss, wear-and-tear and the need to replace prosthetics as a child grows. I pointed out that this was an itsy bitsy tiny bone that would NOT need replacing ever. A prosthetic that would never be exposed to the light of day or the potential for being lost or broken. Still they wouldn't budge. I called the ENT. He pronounced them idiots and said he would handle it, that they always cover such things and his office knew how to handle them. Can you imagine? They would cover the surgery, the hospital costs, the two surgeons, the consulting surgeon, the anesthesiologist, the MRIs, CT scans and every other thing you can imagine. But not a tiny piece of plastic! Sometimes I think they just make stuff up as they go along. Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Our insurance also does not cover aids. And I have decided that insurance companies make up rules just to confuse us. When Ian was first diagnosed, the ENTs at Columbia thought that there was a chance to restore some of Ian's hearing by replacing the incus bone. From the CT scans and MRIs it looked like it was malformed. They felt it could be replaced. Unfortunately, once in his ear they say differently and the surgery that could repair some hearing was too dangerous, the risks outweighed the gains at that point. Anyway, the insurance company pre-approved the surgery. They had absolutely no issue with anything. One caveat: they would not pay for the actual prosthetic bone to be placed inside Ian's middle ear. Their rationale was that they do not cover prosthetics of any sort. When asked about it they cited potential for loss, wear-and-tear and the need to replace prosthetics as a child grows. I pointed out that this was an itsy bitsy tiny bone that would NOT need replacing ever. A prosthetic that would never be exposed to the light of day or the potential for being lost or broken. Still they wouldn't budge. I called the ENT. He pronounced them idiots and said he would handle it, that they always cover such things and his office knew how to handle them. Can you imagine? They would cover the surgery, the hospital costs, the two surgeons, the consulting surgeon, the anesthesiologist, the MRIs, CT scans and every other thing you can imagine. But not a tiny piece of plastic! Sometimes I think they just make stuff up as they go along. Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Our insurance also does not cover aids. And I have decided that insurance companies make up rules just to confuse us. When Ian was first diagnosed, the ENTs at Columbia thought that there was a chance to restore some of Ian's hearing by replacing the incus bone. From the CT scans and MRIs it looked like it was malformed. They felt it could be replaced. Unfortunately, once in his ear they say differently and the surgery that could repair some hearing was too dangerous, the risks outweighed the gains at that point. Anyway, the insurance company pre-approved the surgery. They had absolutely no issue with anything. One caveat: they would not pay for the actual prosthetic bone to be placed inside Ian's middle ear. Their rationale was that they do not cover prosthetics of any sort. When asked about it they cited potential for loss, wear-and-tear and the need to replace prosthetics as a child grows. I pointed out that this was an itsy bitsy tiny bone that would NOT need replacing ever. A prosthetic that would never be exposed to the light of day or the potential for being lost or broken. Still they wouldn't budge. I called the ENT. He pronounced them idiots and said he would handle it, that they always cover such things and his office knew how to handle them. Can you imagine? They would cover the surgery, the hospital costs, the two surgeons, the consulting surgeon, the anesthesiologist, the MRIs, CT scans and every other thing you can imagine. But not a tiny piece of plastic! Sometimes I think they just make stuff up as they go along. Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 , What a great idea - I say go for it..... > > Our insurance plan also does not cover aids. But, luckily, if my son > ever lost his ear, due to say....... shark attack, I could rest assured > that the insurance company would cover a new, prosthetic ear for him. > > More seriously however, have any of you ever considered writing to Oprah? > We thought about sending her a video of our son. Maybe she'd start some > sort of fund for hearing impaired children, and get the word out about > insurance absurdities. Well, I don't know, I guess that's just wishful > thinking. > > God bless, > > Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM > (thanks to Meme and Papa). > , 8, hearing > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 , What a great idea - I say go for it..... > > Our insurance plan also does not cover aids. But, luckily, if my son > ever lost his ear, due to say....... shark attack, I could rest assured > that the insurance company would cover a new, prosthetic ear for him. > > More seriously however, have any of you ever considered writing to Oprah? > We thought about sending her a video of our son. Maybe she'd start some > sort of fund for hearing impaired children, and get the word out about > insurance absurdities. Well, I don't know, I guess that's just wishful > thinking. > > God bless, > > Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM > (thanks to Meme and Papa). > , 8, hearing > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 , What a great idea - I say go for it..... > > Our insurance plan also does not cover aids. But, luckily, if my son > ever lost his ear, due to say....... shark attack, I could rest assured > that the insurance company would cover a new, prosthetic ear for him. > > More seriously however, have any of you ever considered writing to Oprah? > We thought about sending her a video of our son. Maybe she'd start some > sort of fund for hearing impaired children, and get the word out about > insurance absurdities. Well, I don't know, I guess that's just wishful > thinking. > > God bless, > > Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM > (thanks to Meme and Papa). > , 8, hearing > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 This could go into the Top 10 for families with deaf/HOH kids. My parents live in Ft. Lauderdale so time with Grandparents is often spent at the beach. So we probably have a higher than the average family's risk of a shark attack. My dad was attacked by a crab and a german lady at the beach once but that is another story. in GA. (PS Our insurance doesn't cover aids or hearing tests or anything. When my daughter had her last hearing fluctuation, they paid for the doctor visits and the medicine but NOT the hearing tests that caused her to see the doc and caused him to order the medication. Go Figure.) Re: insurance > >, > >What a great idea - I say go for it..... > > >> >> Our insurance plan also does not cover aids. But, luckily, if my son >> ever lost his ear, due to say....... shark attack, I could rest assured >> that the insurance company would cover a new, prosthetic ear for him. >> >> More seriously however, have any of you ever considered writing to Oprah? >> We thought about sending her a video of our son. Maybe she'd start some >> sort of fund for hearing impaired children, and get the word out about >> insurance absurdities. Well, I don't know, I guess that's just wishful >> thinking. >> >> God bless, >> >> Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM >> (thanks to Meme and Papa). >> , 8, hearing >> >> >> >> >> >> All messages posted to this list are private and confidential. Each post >> is the intellectual property of the author and therefore subject to >> copyright restrictions. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 This could go into the Top 10 for families with deaf/HOH kids. My parents live in Ft. Lauderdale so time with Grandparents is often spent at the beach. So we probably have a higher than the average family's risk of a shark attack. My dad was attacked by a crab and a german lady at the beach once but that is another story. in GA. (PS Our insurance doesn't cover aids or hearing tests or anything. When my daughter had her last hearing fluctuation, they paid for the doctor visits and the medicine but NOT the hearing tests that caused her to see the doc and caused him to order the medication. Go Figure.) Re: insurance > >, > >What a great idea - I say go for it..... > > >> >> Our insurance plan also does not cover aids. But, luckily, if my son >> ever lost his ear, due to say....... shark attack, I could rest assured >> that the insurance company would cover a new, prosthetic ear for him. >> >> More seriously however, have any of you ever considered writing to Oprah? >> We thought about sending her a video of our son. Maybe she'd start some >> sort of fund for hearing impaired children, and get the word out about >> insurance absurdities. Well, I don't know, I guess that's just wishful >> thinking. >> >> God bless, >> >> Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM >> (thanks to Meme and Papa). >> , 8, hearing >> >> >> >> >> >> All messages posted to this list are private and confidential. Each post >> is the intellectual property of the author and therefore subject to >> copyright restrictions. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 This could go into the Top 10 for families with deaf/HOH kids. My parents live in Ft. Lauderdale so time with Grandparents is often spent at the beach. So we probably have a higher than the average family's risk of a shark attack. My dad was attacked by a crab and a german lady at the beach once but that is another story. in GA. (PS Our insurance doesn't cover aids or hearing tests or anything. When my daughter had her last hearing fluctuation, they paid for the doctor visits and the medicine but NOT the hearing tests that caused her to see the doc and caused him to order the medication. Go Figure.) Re: insurance > >, > >What a great idea - I say go for it..... > > >> >> Our insurance plan also does not cover aids. But, luckily, if my son >> ever lost his ear, due to say....... shark attack, I could rest assured >> that the insurance company would cover a new, prosthetic ear for him. >> >> More seriously however, have any of you ever considered writing to Oprah? >> We thought about sending her a video of our son. Maybe she'd start some >> sort of fund for hearing impaired children, and get the word out about >> insurance absurdities. Well, I don't know, I guess that's just wishful >> thinking. >> >> God bless, >> >> Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM >> (thanks to Meme and Papa). >> , 8, hearing >> >> >> >> >> >> All messages posted to this list are private and confidential. Each post >> is the intellectual property of the author and therefore subject to >> copyright restrictions. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Definitely!!!! I'm so infuriated about all of this. This is the first time i''ve gotten into it all and it is a huge slap in the face. How can they " go by what Medicaid pays " but not give me the information that they have? Don't I have a right to see whatever affects my medical treatment? Isn't that due process? Alisa Oliver wrote: , What a great idea - I say go for it..... > > Our insurance plan also does not cover aids. But, luckily, if my son > ever lost his ear, due to say....... shark attack, I could rest assured > that the insurance company would cover a new, prosthetic ear for him. > > More seriously however, have any of you ever considered writing to Oprah? > We thought about sending her a video of our son. Maybe she'd start some > sort of fund for hearing impaired children, and get the word out about > insurance absurdities. Well, I don't know, I guess that's just wishful > thinking. > > God bless, > > Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM > (thanks to Meme and Papa). > , 8, hearing > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Definitely!!!! I'm so infuriated about all of this. This is the first time i''ve gotten into it all and it is a huge slap in the face. How can they " go by what Medicaid pays " but not give me the information that they have? Don't I have a right to see whatever affects my medical treatment? Isn't that due process? Alisa Oliver wrote: , What a great idea - I say go for it..... > > Our insurance plan also does not cover aids. But, luckily, if my son > ever lost his ear, due to say....... shark attack, I could rest assured > that the insurance company would cover a new, prosthetic ear for him. > > More seriously however, have any of you ever considered writing to Oprah? > We thought about sending her a video of our son. Maybe she'd start some > sort of fund for hearing impaired children, and get the word out about > insurance absurdities. Well, I don't know, I guess that's just wishful > thinking. > > God bless, > > Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM > (thanks to Meme and Papa). > , 8, hearing > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Definitely!!!! I'm so infuriated about all of this. This is the first time i''ve gotten into it all and it is a huge slap in the face. How can they " go by what Medicaid pays " but not give me the information that they have? Don't I have a right to see whatever affects my medical treatment? Isn't that due process? Alisa Oliver wrote: , What a great idea - I say go for it..... > > Our insurance plan also does not cover aids. But, luckily, if my son > ever lost his ear, due to say....... shark attack, I could rest assured > that the insurance company would cover a new, prosthetic ear for him. > > More seriously however, have any of you ever considered writing to Oprah? > We thought about sending her a video of our son. Maybe she'd start some > sort of fund for hearing impaired children, and get the word out about > insurance absurdities. Well, I don't know, I guess that's just wishful > thinking. > > God bless, > > Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM > (thanks to Meme and Papa). > , 8, hearing > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 My audi tells me the story about the CEO of a large corportation that had this particular surgery done. He did get preapproval for the surgery and everything. However, it still took a year of fighting AFTER the surgery for them to repay it. And the man was their boss!!!! JillcWood@... wrote: Our insurance also does not cover aids. And I have decided that insurance companies make up rules just to confuse us. When Ian was first diagnosed, the ENTs at Columbia thought that there was a chance to restore some of Ian's hearing by replacing the incus bone. From the CT scans and MRIs it looked like it was malformed. They felt it could be replaced. Unfortunately, once in his ear they say differently and the surgery that could repair some hearing was too dangerous, the risks outweighed the gains at that point. Anyway, the insurance company pre-approved the surgery. They had absolutely no issue with anything. One caveat: they would not pay for the actual prosthetic bone to be placed inside Ian's middle ear. Their rationale was that they do not cover prosthetics of any sort. When asked about it they cited potential for loss, wear-and-tear and the need to replace prosthetics as a child grows. I pointed out that this was an itsy bitsy tiny bone that would NOT need replacing ever. A prosthetic that would never be exposed to the light of day or the potential for being lost or broken. Still they wouldn't budge. I called the ENT. He pronounced them idiots and said he would handle it, that they always cover such things and his office knew how to handle them. Can you imagine? They would cover the surgery, the hospital costs, the two surgeons, the consulting surgeon, the anesthesiologist, the MRIs, CT scans and every other thing you can imagine. But not a tiny piece of plastic! Sometimes I think they just make stuff up as they go along. Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 My audi tells me the story about the CEO of a large corportation that had this particular surgery done. He did get preapproval for the surgery and everything. However, it still took a year of fighting AFTER the surgery for them to repay it. And the man was their boss!!!! JillcWood@... wrote: Our insurance also does not cover aids. And I have decided that insurance companies make up rules just to confuse us. When Ian was first diagnosed, the ENTs at Columbia thought that there was a chance to restore some of Ian's hearing by replacing the incus bone. From the CT scans and MRIs it looked like it was malformed. They felt it could be replaced. Unfortunately, once in his ear they say differently and the surgery that could repair some hearing was too dangerous, the risks outweighed the gains at that point. Anyway, the insurance company pre-approved the surgery. They had absolutely no issue with anything. One caveat: they would not pay for the actual prosthetic bone to be placed inside Ian's middle ear. Their rationale was that they do not cover prosthetics of any sort. When asked about it they cited potential for loss, wear-and-tear and the need to replace prosthetics as a child grows. I pointed out that this was an itsy bitsy tiny bone that would NOT need replacing ever. A prosthetic that would never be exposed to the light of day or the potential for being lost or broken. Still they wouldn't budge. I called the ENT. He pronounced them idiots and said he would handle it, that they always cover such things and his office knew how to handle them. Can you imagine? They would cover the surgery, the hospital costs, the two surgeons, the consulting surgeon, the anesthesiologist, the MRIs, CT scans and every other thing you can imagine. But not a tiny piece of plastic! Sometimes I think they just make stuff up as they go along. Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 We have Aetna and our aids weren't covered. I started calling around the local news and our fox station picked up our story. They interviewed us as well as interviewing one of the assemblymen who sponsors Grace's Law, which would mandate that insurance companies in NJ pay for hearing aids for children. At the time, it looked like all 3 of our kids might end up aided. After the story ran, I had a couple of calls from people wanting to buy the aids for us. It was a burden for us to afford the aids, but I felt their money could've gone to needier families and turned them down. I also had Bill's former boss advocate for us with the insurance company as well as writing many grievance letters. The scary thing was, we got a call from Aetna at one point offering to forgo the requirements for CI and they would pay for those instead of the hearing aids. Long story short, about a year after got his aids, we received a check from the hospital for the cost of the aids. Apparently, the insurance company paid for them. Whether it was an oversight on their part or because of the work I had done, I'll never know...I won't look a gift horse in the mouth. And I figure we won't be lucky the next time around. will need new aids in another year or so and I was hoping Grace's Law would pass by then, but it has been stalled for so long. Cherie Emery wrote: Our insurance plan also does not cover aids. But, luckily, if my son ever lost his ear, due to say....... shark attack, I could rest assured that the insurance company would cover a new, prosthetic ear for him. More seriously however, have any of you ever considered writing to Oprah? We thought about sending her a video of our son. Maybe she'd start some sort of fund for hearing impaired children, and get the word out about insurance absurdities. Well, I don't know, I guess that's just wishful thinking. God bless, Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM (thanks to Meme and Papa). , 8, hearing All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 We have Aetna and our aids weren't covered. I started calling around the local news and our fox station picked up our story. They interviewed us as well as interviewing one of the assemblymen who sponsors Grace's Law, which would mandate that insurance companies in NJ pay for hearing aids for children. At the time, it looked like all 3 of our kids might end up aided. After the story ran, I had a couple of calls from people wanting to buy the aids for us. It was a burden for us to afford the aids, but I felt their money could've gone to needier families and turned them down. I also had Bill's former boss advocate for us with the insurance company as well as writing many grievance letters. The scary thing was, we got a call from Aetna at one point offering to forgo the requirements for CI and they would pay for those instead of the hearing aids. Long story short, about a year after got his aids, we received a check from the hospital for the cost of the aids. Apparently, the insurance company paid for them. Whether it was an oversight on their part or because of the work I had done, I'll never know...I won't look a gift horse in the mouth. And I figure we won't be lucky the next time around. will need new aids in another year or so and I was hoping Grace's Law would pass by then, but it has been stalled for so long. Cherie Emery wrote: Our insurance plan also does not cover aids. But, luckily, if my son ever lost his ear, due to say....... shark attack, I could rest assured that the insurance company would cover a new, prosthetic ear for him. More seriously however, have any of you ever considered writing to Oprah? We thought about sending her a video of our son. Maybe she'd start some sort of fund for hearing impaired children, and get the word out about insurance absurdities. Well, I don't know, I guess that's just wishful thinking. God bless, Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM (thanks to Meme and Papa). , 8, hearing All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 We have Aetna and our aids weren't covered. I started calling around the local news and our fox station picked up our story. They interviewed us as well as interviewing one of the assemblymen who sponsors Grace's Law, which would mandate that insurance companies in NJ pay for hearing aids for children. At the time, it looked like all 3 of our kids might end up aided. After the story ran, I had a couple of calls from people wanting to buy the aids for us. It was a burden for us to afford the aids, but I felt their money could've gone to needier families and turned them down. I also had Bill's former boss advocate for us with the insurance company as well as writing many grievance letters. The scary thing was, we got a call from Aetna at one point offering to forgo the requirements for CI and they would pay for those instead of the hearing aids. Long story short, about a year after got his aids, we received a check from the hospital for the cost of the aids. Apparently, the insurance company paid for them. Whether it was an oversight on their part or because of the work I had done, I'll never know...I won't look a gift horse in the mouth. And I figure we won't be lucky the next time around. will need new aids in another year or so and I was hoping Grace's Law would pass by then, but it has been stalled for so long. Cherie Emery wrote: Our insurance plan also does not cover aids. But, luckily, if my son ever lost his ear, due to say....... shark attack, I could rest assured that the insurance company would cover a new, prosthetic ear for him. More seriously however, have any of you ever considered writing to Oprah? We thought about sending her a video of our son. Maybe she'd start some sort of fund for hearing impaired children, and get the word out about insurance absurdities. Well, I don't know, I guess that's just wishful thinking. God bless, Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM (thanks to Meme and Papa). , 8, hearing All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Okay, I have to ask....what is a german lady? Or did you really mean a german lady??? Cherie pcknott@... wrote: This could go into the Top 10 for families with deaf/HOH kids. My parents live in Ft. Lauderdale so time with Grandparents is often spent at the beach. So we probably have a higher than the average family's risk of a shark attack. My dad was attacked by a crab and a german lady at the beach once but that is another story. in GA. >> >> >> >> >> >> >> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Okay, I have to ask....what is a german lady? Or did you really mean a german lady??? Cherie pcknott@... wrote: This could go into the Top 10 for families with deaf/HOH kids. My parents live in Ft. Lauderdale so time with Grandparents is often spent at the beach. So we probably have a higher than the average family's risk of a shark attack. My dad was attacked by a crab and a german lady at the beach once but that is another story. in GA. >> >> >> >> >> >> >> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Okay, I have to ask....what is a german lady? Or did you really mean a german lady??? Cherie pcknott@... wrote: This could go into the Top 10 for families with deaf/HOH kids. My parents live in Ft. Lauderdale so time with Grandparents is often spent at the beach. So we probably have a higher than the average family's risk of a shark attack. My dad was attacked by a crab and a german lady at the beach once but that is another story. in GA. >> >> >> >> >> >> >> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Louisiana has that law - unfortunately it doesn't cover Aetna since they are a self financed insurance company. A major loophole - there has to be a way of closing it. Aetna originally told me that they weren't covered - so I called the corporate headquarters and argued with it. They told me it was an oversight on Aetna's part and that hearing aids were covered. At one point we were told they were covered 100% with a 10,000 cap and then at another point I was told they were covered 80% but with no cap limit. Unfortunately, I didn't realize that they meant 100% was for 450 PER AID!!!!!! SO yes, they are covering it....just not a fair amount. Plus they are using Medicaid as a guidline when it has nothing to do with me. Besides the fact that Medicaid is federally funded with more limitations than what the corporation can impose on ITSELF!!!!!! It really gets to me that they will cover a CI but not aids - and they will cover aids for a CI candidate but not for a noncandidate. I think it is prejudice and I think if it is pushed hard enough by enough people then it can be changed. I was taught that there is very little in life that can't be done. I going into this thinking that. And I don't care how hard it is to fight it or who I have to contact but I'm doing it. Give me 5 to 10 years. Also, PFChangs and Aetna is refusing to give me the information that they have from Medicaid that they based their decision off of. Isn't that a violation of Due Process? Cherie Myers wrote: We have Aetna and our aids weren't covered. I started calling around the local news and our fox station picked up our story. They interviewed us as well as interviewing one of the assemblymen who sponsors Grace's Law, which would mandate that insurance companies in NJ pay for hearing aids for children. At the time, it looked like all 3 of our kids might end up aided. After the story ran, I had a couple of calls from people wanting to buy the aids for us. It was a burden for us to afford the aids, but I felt their money could've gone to needier families and turned them down. I also had Bill's former boss advocate for us with the insurance company as well as writing many grievance letters. The scary thing was, we got a call from Aetna at one point offering to forgo the requirements for CI and they would pay for those instead of the hearing aids. Long story short, about a year after got his aids, we received a check from the hospital for the cost of the aids. Apparently, the insurance company paid for them. Whether it was an oversight on their part or because of the work I had done, I'll never know...I won't look a gift horse in the mouth. And I figure we won't be lucky the next time around. will need new aids in another year or so and I was hoping Grace's Law would pass by then, but it has been stalled for so long. Cherie Emery wrote: Our insurance plan also does not cover aids. But, luckily, if my son ever lost his ear, due to say....... shark attack, I could rest assured that the insurance company would cover a new, prosthetic ear for him. More seriously however, have any of you ever considered writing to Oprah? We thought about sending her a video of our son. Maybe she'd start some sort of fund for hearing impaired children, and get the word out about insurance absurdities. Well, I don't know, I guess that's just wishful thinking. God bless, Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM (thanks to Meme and Papa). , 8, hearing All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Louisiana has that law - unfortunately it doesn't cover Aetna since they are a self financed insurance company. A major loophole - there has to be a way of closing it. Aetna originally told me that they weren't covered - so I called the corporate headquarters and argued with it. They told me it was an oversight on Aetna's part and that hearing aids were covered. At one point we were told they were covered 100% with a 10,000 cap and then at another point I was told they were covered 80% but with no cap limit. Unfortunately, I didn't realize that they meant 100% was for 450 PER AID!!!!!! SO yes, they are covering it....just not a fair amount. Plus they are using Medicaid as a guidline when it has nothing to do with me. Besides the fact that Medicaid is federally funded with more limitations than what the corporation can impose on ITSELF!!!!!! It really gets to me that they will cover a CI but not aids - and they will cover aids for a CI candidate but not for a noncandidate. I think it is prejudice and I think if it is pushed hard enough by enough people then it can be changed. I was taught that there is very little in life that can't be done. I going into this thinking that. And I don't care how hard it is to fight it or who I have to contact but I'm doing it. Give me 5 to 10 years. Also, PFChangs and Aetna is refusing to give me the information that they have from Medicaid that they based their decision off of. Isn't that a violation of Due Process? Cherie Myers wrote: We have Aetna and our aids weren't covered. I started calling around the local news and our fox station picked up our story. They interviewed us as well as interviewing one of the assemblymen who sponsors Grace's Law, which would mandate that insurance companies in NJ pay for hearing aids for children. At the time, it looked like all 3 of our kids might end up aided. After the story ran, I had a couple of calls from people wanting to buy the aids for us. It was a burden for us to afford the aids, but I felt their money could've gone to needier families and turned them down. I also had Bill's former boss advocate for us with the insurance company as well as writing many grievance letters. The scary thing was, we got a call from Aetna at one point offering to forgo the requirements for CI and they would pay for those instead of the hearing aids. Long story short, about a year after got his aids, we received a check from the hospital for the cost of the aids. Apparently, the insurance company paid for them. Whether it was an oversight on their part or because of the work I had done, I'll never know...I won't look a gift horse in the mouth. And I figure we won't be lucky the next time around. will need new aids in another year or so and I was hoping Grace's Law would pass by then, but it has been stalled for so long. Cherie Emery wrote: Our insurance plan also does not cover aids. But, luckily, if my son ever lost his ear, due to say....... shark attack, I could rest assured that the insurance company would cover a new, prosthetic ear for him. More seriously however, have any of you ever considered writing to Oprah? We thought about sending her a video of our son. Maybe she'd start some sort of fund for hearing impaired children, and get the word out about insurance absurdities. Well, I don't know, I guess that's just wishful thinking. God bless, Caleb, 6, bilateral SNHL, aided (thanks to Gramma and Gramps), FM (thanks to Meme and Papa). , 8, hearing All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
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