Re: need help with insurance-blue cross-

[Guest guest]

Hi -

You first need to call the members number on the bottom front or back

of your healthcare card and request a claim form and instructions on

how to fill it out. Fill out the claim form and submit it to the

address tbey give you. They will deny it and then you will need to file

an appeal. When they deny the claim they give you an address to send a

letter of appeal. You then need to type a letter (we can help you with

that) explaining the importance of the Shoe and Brace. You

then will get a letter accepting your appeal and a check. It is about a

3 month process to payment. It is a hassle but worth it. Once it is

approved it won't be such a hassle to keep getting reimbursed.

-- In nosurgery4clubfoot , " rita221068 "

wrote:

>

> Hi All,

>

> I heard lately that blue crooss insurance company pays for the

> shoes. I am new in USA and it is my first time to deal with

> insurance companies. So could anyone help me or guide me how to start

> contacting them and what documents are needed, specially that we have

> paid all medical treatment from our own pockets.

>

> regards,

> RCF 5/1/04

[Guest guest]

First you need to get a claim form from the ins. co. and fill it out

then you need to get a " letter of medical necessity " from

. He should include the codes needed for the shoes and bar on

it. If not the codes we used were Shoes-L3252, Bar-L3150. Then submit

both forms to the insurance company. Make sure you make a copy for

yourself. You might have a deductible to meet before you get reimburst.

I recommend you submit it anyway. HTH

KK

>

> Hi All,

>

> I heard lately that blue crooss insurance company pays for the

> shoes. I am new in USA and it is my first time to deal with

> insurance companies. So could anyone help me or guide me how to start

> contacting them and what documents are needed, specially that we have

> paid all medical treatment from our own pockets.

>

> regards,

> RCF 5/1/04

[Guest guest]

We have Medica, and our clinic bills them directly and they pay their

portion, then the clinic sends me the bill for the rest. I haven't

had to fill out forms for anything either, but we've only gotten the

bill for the Markell's so far.

I'm looking into what I have to do for the s. I contacted

, and they indicated that insurance hasn't approved

their shoes yet, so there may be a different process for getting them

paid for.

I would call your insurance company and find out what they say.

They'll likely tell you to get the code for the shoes, and who will

be billing them for the shoes. My insurance has 'approved suppliers'

and if you can rig it so your approved supplier is the one who

actually bills for the shoes, it may help.

> >

> > Hi All,

> >

> > I heard lately that blue crooss insurance company pays for the

> > shoes. I am new in USA and it is my first time to deal

with

> > insurance companies. So could anyone help me or guide me how to

start

> > contacting them and what documents are needed, specially that

we have

> > paid all medical treatment from our own pockets.

> >

> > regards,

> > RCF 5/1/04

>

>

>

>

>

>

>

[Guest guest]

Hi ,

We have battled a few insurance companies to pay for Collin's

treatment at the hospital we choose and for items such as straight

last boots for day time, DBB/FAB, etc. Over the last few years what

has helped the most is for us to request only 1 person to deal

with. Collin has a case manager over at Aetna. It helps because

they get to learn about the needs without having to keep on stating

your case. Also even when my husband switched jobs, and changed

types of coverage, we choose Aetna again just a different type and

his case manager stayed with us (I had to request this and beg a

little). I remember the 1st year of Collin's life was the hardest

battling with them for a qualified doctor, etc. It was really

emotionally draining, but it really does get easier over time. A

few times I would have the doctors office call them and tell them

that what he needs is a medical neccessity, etc. If I can help you

in any way please feel free to email me at chele323232@...

Michele

Collin's story at http://www.geocities.com/chele323232

[Guest guest]

Hello! We have blue cross also, but programs can be different, so I don't know

how yours works. I have not dealt with the shoes, but all we needed

was to pick up our shoes after having a prescription for them. The ortho.

office sent in the necessary paperwork. If your place does not accept insurance

and you have to send it in on your own, I am not really able to help because we

don't have to do this.

need help with insurance-blue cross-

Hi All,

I heard lately that blue crooss insurance company pays for the

shoes. I am new in USA and it is my first time to deal with

insurance companies. So could anyone help me or guide me how to start

contacting them and what documents are needed, specially that we have

paid all medical treatment from our own pockets.

regards,

RCF 5/1/04

[Guest guest]

I was going to ask about the shoes next time I went to the dr. Do you

always have to fill out a claim form for them. We didn't have to do anything

for the Markells, and we only pay 10%. Has anyone's insurance done this, and

knows if it is just a easy for the shoes?

Re: need help with insurance-blue cross-

First you need to get a claim form from the ins. co. and fill it out

then you need to get a " letter of medical necessity " from

. He should include the codes needed for the shoes and bar on

it. If not the codes we used were Shoes-L3252, Bar-L3150. Then submit

both forms to the insurance company. Make sure you make a copy for

yourself. You might have a deductible to meet before you get reimburst.

I recommend you submit it anyway. HTH

KK

>

> Hi All,

>

> I heard lately that blue crooss insurance company pays for the

> shoes. I am new in USA and it is my first time to deal with

> insurance companies. So could anyone help me or guide me how to start

> contacting them and what documents are needed, specially that we have

> paid all medical treatment from our own pockets.

>

> regards,

> RCF 5/1/04

[Guest guest]

I would suggest a letter of medical necessity from your Dr. NOT .

doesn't prescribe them, he just makes them. Chris

Re: need help with insurance-blue cross-

First you need to get a claim form from the ins. co. and fill it out

then you need to get a " letter of medical necessity " from

. He should include the codes needed for the shoes and bar on

it. If not the codes we used were Shoes-L3252, Bar-L3150. Then submit

both forms to the insurance company. Make sure you make a copy for

yourself. You might have a deductible to meet before you get reimburst.

I recommend you submit it anyway. HTH

KK

>

> Hi All,

>

> I heard lately that blue crooss insurance company pays for the

> shoes. I am new in USA and it is my first time to deal with

> insurance companies. So could anyone help me or guide me how to start

> contacting them and what documents are needed, specially that we have

> paid all medical treatment from our own pockets.

>

> regards,

> RCF 5/1/04

[Guest guest]

We just ordered them the day of our daughter's tenotomy. The foot

impression kit was sent overnight to and our Dr. (Scher in NYC)

sent Blue Cross two letters. One was a letter of medical necessity and

the other was a longer and more detailed letter exlaining the Ponseti

method and how the shoes/bar is a vital part of treatment. I'll let

you know how it goes.

> I would suggest a letter of medical necessity from your Dr. NOT

. doesn't prescribe them, he just makes them. Chris

> ---

[Guest guest]

I believe that you do. isn't " hooked up " with the insurance

companies yet. That is why you also need the letter of medical

necessity. I believe he is in the process of trying to. When we first

started out we had the Markells and the insurance only covered the

bar. We had to pay for the shoes.

KK

> >

> > Hi All,

> >

> > I heard lately that blue crooss insurance company pays for the

> > shoes. I am new in USA and it is my first time to deal

with

> > insurance companies. So could anyone help me or guide me how to

start

> > contacting them and what documents are needed, specially that

we have

> > paid all medical treatment from our own pockets.

> >

> > regards,

> > RCF 5/1/04

>

>

>

>

>

>

>

[Guest guest]

Michele,

You have Aetna? That's what I have, and I'm trying to battle with

them right now because they say they won't cover the shoes & bar.

They say it has to be " an integral part of a leg brace or she has to

be a diabetic " . So did you get them to cover Collin's bar & shoes?

(Or at least a portion? Our DME is 50%)

, mommy of:

Guinevere, on, Ava 8/4/04 RCF ABS DBB 18/7

>

> Hi ,

>

> We have battled a few insurance companies to pay for Collin's

> treatment at the hospital we choose and for items such as straight

> last boots for day time, DBB/FAB, etc. Over the last few years

what

> has helped the most is for us to request only 1 person to deal

> with. Collin has a case manager over at Aetna. It helps because

> they get to learn about the needs without having to keep on

stating

> your case. Also even when my husband switched jobs, and changed

> types of coverage, we choose Aetna again just a different type and

> his case manager stayed with us (I had to request this and beg a

> little). I remember the 1st year of Collin's life was the hardest

> battling with them for a qualified doctor, etc. It was really

> emotionally draining, but it really does get easier over time. A

> few times I would have the doctors office call them and tell them

> that what he needs is a medical neccessity, etc. If I can help

you

> in any way please feel free to email me at chele323232@y...

>

> Michele

> Collin's story at http://www.geocities.com/chele323232

[Guest guest]

From where do i get the letter of medical neccessity. is from her

doctor or what.

please advise

> > >

> > > Hi All,

> > >

> > > I heard lately that blue crooss insurance company pays for the

> > > shoes. I am new in USA and it is my first time to deal

> with

> > > insurance companies. So could anyone help me or guide me how to

> start

> > > contacting them and what documents are needed, specially that

> we have

> > > paid all medical treatment from our own pockets.

> > >

> > > regards,

> > > RCF 5/1/04

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

You would get it from the Dr. treating your child. We got ours from

who filled it out an had Dr. Ponseti sign it. If your

wearing the s perhaps you could check with and see if he

would give you one with the information on it and then just have your

treating Dr. sign it. HTH

KK

> > > >

> > > > Hi All,

> > > >

> > > > I heard lately that blue crooss insurance company pays for

the

> > > > shoes. I am new in USA and it is my first time to

deal

> > with

> > > > insurance companies. So could anyone help me or guide me

how to

> > start

> > > > contacting them and what documents are needed, specially

that

> > we have

> > > > paid all medical treatment from our own pockets.

> > > >

> > > > regards,

> > > > RCF 5/1/04

> > >

> > >

> > >

> > >

> > >

> > >

> > >