Guest guest Posted July 25, 2005 Report Share Posted July 25, 2005 Hi Marsha, Thankfully our insurance covers 100% but we get a statement for what they cover and its around $127 for the bar and the shoes. About $60 for each. Elijah is 16 months old and just got his third pr of shoes about a month ago. Lori Elijah 16 months atypical RCF DBB nights only Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2005 Report Share Posted July 25, 2005 I think I'm going to duct tape Darbi's feet to a bar and take a picture so y'all can send that to your insurance companies who won't pay for shoes. You can tell them this is the only other option for you if they won't accept that the shoes MUST be used with the bar and they should cover it. Y'all can tell them that there is an option for special adhesive tape which won't cost much and you will send them the bill for the special tape. I will be charging $90 for the adhesive tape plus shipping. hummm... maybe I should just take pictures of how to screw her feet to the bar and charge $200 for at home surgical screws? grrrr.... At 12:51 PM 7/25/2005, you wrote: >How much do you guys pay for these? Just talked with my insurance >co. and they will cover the bar, but not the shoes (so what am I >supposed to do with the bar - UGH - idiots). We also have a $200 >deductable and the purchase of the shoes does not go toward the >deductable. How many pairs do kids usually go thru in a year (dd is >4 months)? How much do they usually cost? Hanger orthotics is the >local company we purchased them thru and they charged $120. I have >appeal paperwork on its way so I can file an appeal. But trying to >figure this out, just in case. I know she's going to need another >pair before the year is up as her toes are already just past the end >of the shoes (and she's only had them a month). > >Thanks! >Marcia > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 O.k. That helps. Good to know he's only on pair #3. I guess with the open toe they last a while. I know my dd's toes are past the end on her shoes already though. I hope we don't need another pair today when we go to the ortho....still have to pay for the first pair. UGH. This sucks. Insurance companies are idiots sometimes. Cracks me up too that we have to pay a $30 copay every time we see the dr./get a cast/etc. So her treatment thus far has cost us probably around $300 (add $30 to that because we have another appt. today), but we could have had surgery done and there would have been a $100 copay for the hospital visit and follow-up visits would have been free (since they would be surgical follow ups). I hate dealing with this stuff...... Thanks for the info though! Marcia Re: Markell question... Hi Marsha, Thankfully our insurance covers 100% but we get a statement for what they cover and its around $127 for the bar and the shoes. About $60 for each. Elijah is 16 months old and just got his third pr of shoes about a month ago. Lori Elijah 16 months atypical RCF DBB nights only Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 There you go. I asked the lady on the phone what I was supposed to do with the bar if there were no shoes to screw it to. Like you say, screw it to her feet? WTH? It's too bad it can't be sold as a single unit - not the bar and shoes seperately, know what I mean? Then I'm sure it'd be covered....Anyone else on here deal with Cigna insurance? Any special person I can talk to who has maybe helped you to get this approved? Marcia Re: Markell question... I think I'm going to duct tape Darbi's feet to a bar and take a picture so y'all can send that to your insurance companies who won't pay for shoes. You can tell them this is the only other option for you if they won't accept that the shoes MUST be used with the bar and they should cover it. Y'all can tell them that there is an option for special adhesive tape which won't cost much and you will send them the bill for the special tape. I will be charging $90 for the adhesive tape plus shipping. hummm... maybe I should just take pictures of how to screw her feet to the bar and charge $200 for at home surgical screws? grrrr.... At 12:51 PM 7/25/2005, you wrote: >How much do you guys pay for these? Just talked with my insurance >co. and they will cover the bar, but not the shoes (so what am I >supposed to do with the bar - UGH - idiots). We also have a $200 >deductable and the purchase of the shoes does not go toward the >deductable. How many pairs do kids usually go thru in a year (dd is >4 months)? How much do they usually cost? Hanger orthotics is the >local company we purchased them thru and they charged $120. I have >appeal paperwork on its way so I can file an appeal. But trying to >figure this out, just in case. I know she's going to need another >pair before the year is up as her toes are already just past the end >of the shoes (and she's only had them a month). > >Thanks! >Marcia > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 There you go. I asked the lady on the phone what I was supposed to do with the bar if there were no shoes to screw it to. Like you say, screw it to her feet? WTH? It's too bad it can't be sold as a single unit - not the bar and shoes seperately, know what I mean? Then I'm sure it'd be covered....Anyone else on here deal with Cigna insurance? Any special person I can talk to who has maybe helped you to get this approved? Marcia Re: Markell question... I think I'm going to duct tape Darbi's feet to a bar and take a picture so y'all can send that to your insurance companies who won't pay for shoes. You can tell them this is the only other option for you if they won't accept that the shoes MUST be used with the bar and they should cover it. Y'all can tell them that there is an option for special adhesive tape which won't cost much and you will send them the bill for the special tape. I will be charging $90 for the adhesive tape plus shipping. hummm... maybe I should just take pictures of how to screw her feet to the bar and charge $200 for at home surgical screws? grrrr.... At 12:51 PM 7/25/2005, you wrote: >How much do you guys pay for these? Just talked with my insurance >co. and they will cover the bar, but not the shoes (so what am I >supposed to do with the bar - UGH - idiots). We also have a $200 >deductable and the purchase of the shoes does not go toward the >deductable. How many pairs do kids usually go thru in a year (dd is >4 months)? How much do they usually cost? Hanger orthotics is the >local company we purchased them thru and they charged $120. I have >appeal paperwork on its way so I can file an appeal. But trying to >figure this out, just in case. I know she's going to need another >pair before the year is up as her toes are already just past the end >of the shoes (and she's only had them a month). > >Thanks! >Marcia > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 hehehehehe.... > >How much do you guys pay for these? Just talked with my insurance > >co. and they will cover the bar, but not the shoes (so what am I > >supposed to do with the bar - UGH - idiots). We also have a $200 > >deductable and the purchase of the shoes does not go toward the > >deductable. How many pairs do kids usually go thru in a year (dd is > >4 months)? How much do they usually cost? Hanger orthotics is the > >local company we purchased them thru and they charged $120. I have > >appeal paperwork on its way so I can file an appeal. But trying to > >figure this out, just in case. I know she's going to need another > >pair before the year is up as her toes are already just past the end > >of the shoes (and she's only had them a month). > > > >Thanks! > >Marcia > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 hehehehehe.... > >How much do you guys pay for these? Just talked with my insurance > >co. and they will cover the bar, but not the shoes (so what am I > >supposed to do with the bar - UGH - idiots). We also have a $200 > >deductable and the purchase of the shoes does not go toward the > >deductable. How many pairs do kids usually go thru in a year (dd is > >4 months)? How much do they usually cost? Hanger orthotics is the > >local company we purchased them thru and they charged $120. I have > >appeal paperwork on its way so I can file an appeal. But trying to > >figure this out, just in case. I know she's going to need another > >pair before the year is up as her toes are already just past the end > >of the shoes (and she's only had them a month). > > > >Thanks! > >Marcia > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 hehehe! We've never had to deal with this since we get the shoes and bars from Shriner's (though we have had to deal with getting them to give us the RIGHT sizes...), but I looked it up in our insurance booklet. They will not pay for any orthotic shoes *unless* they are attached to a bar. Also, they will not pay for more than one set of AFOs per calendar year, if we needed the s then , we'd have to have Jonah take up smoking and coffee drinking to stunt his growth. Folks can buy the high-precision abduction-measuring device (a protractor) from me for, oh, $50. Instructional course on using it is extra. Naomi The Family Naomi Hannah(02/21/01) Jonah(06/20/03, corrected bilateral clubfoot, FAB 14/7) frogabog wrote: I think I'm going to duct tape Darbi's feet to a bar and take a picture so y'all can send that to your insurance companies who won't pay for shoes. You can tell them this is the only other option for you if they won't accept that the shoes MUST be used with the bar and they should cover it. Y'all can tell them that there is an option for special adhesive tape which won't cost much and you will send them the bill for the special tape. I will be charging $90 for the adhesive tape plus shipping. hummm... maybe I should just take pictures of how to screw her feet to the bar and charge $200 for at home surgical screws? grrrr.... At 12:51 PM 7/25/2005, you wrote: >How much do you guys pay for these? Just talked with my insurance >co. and they will cover the bar, but not the shoes (so what am I >supposed to do with the bar - UGH - idiots). We also have a $200 >deductable and the purchase of the shoes does not go toward the >deductable. How many pairs do kids usually go thru in a year (dd is >4 months)? How much do they usually cost? Hanger orthotics is the >local company we purchased them thru and they charged $120. I have >appeal paperwork on its way so I can file an appeal. But trying to >figure this out, just in case. I know she's going to need another >pair before the year is up as her toes are already just past the end >of the shoes (and she's only had them a month). > >Thanks! >Marcia > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 hehehe! We've never had to deal with this since we get the shoes and bars from Shriner's (though we have had to deal with getting them to give us the RIGHT sizes...), but I looked it up in our insurance booklet. They will not pay for any orthotic shoes *unless* they are attached to a bar. Also, they will not pay for more than one set of AFOs per calendar year, if we needed the s then , we'd have to have Jonah take up smoking and coffee drinking to stunt his growth. Folks can buy the high-precision abduction-measuring device (a protractor) from me for, oh, $50. Instructional course on using it is extra. Naomi The Family Naomi Hannah(02/21/01) Jonah(06/20/03, corrected bilateral clubfoot, FAB 14/7) frogabog wrote: I think I'm going to duct tape Darbi's feet to a bar and take a picture so y'all can send that to your insurance companies who won't pay for shoes. You can tell them this is the only other option for you if they won't accept that the shoes MUST be used with the bar and they should cover it. Y'all can tell them that there is an option for special adhesive tape which won't cost much and you will send them the bill for the special tape. I will be charging $90 for the adhesive tape plus shipping. hummm... maybe I should just take pictures of how to screw her feet to the bar and charge $200 for at home surgical screws? grrrr.... At 12:51 PM 7/25/2005, you wrote: >How much do you guys pay for these? Just talked with my insurance >co. and they will cover the bar, but not the shoes (so what am I >supposed to do with the bar - UGH - idiots). We also have a $200 >deductable and the purchase of the shoes does not go toward the >deductable. How many pairs do kids usually go thru in a year (dd is >4 months)? How much do they usually cost? Hanger orthotics is the >local company we purchased them thru and they charged $120. I have >appeal paperwork on its way so I can file an appeal. But trying to >figure this out, just in case. I know she's going to need another >pair before the year is up as her toes are already just past the end >of the shoes (and she's only had them a month). > >Thanks! >Marcia > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 hahaha! > >How much do you guys pay for these? Just talked with my insurance > >co. and they will cover the bar, but not the shoes (so what am I > >supposed to do with the bar - UGH - idiots). We also have a $200 > >deductable and the purchase of the shoes does not go toward the > >deductable. How many pairs do kids usually go thru in a year (dd is > >4 months)? How much do they usually cost? Hanger orthotics is the > >local company we purchased them thru and they charged $120. I have > >appeal paperwork on its way so I can file an appeal. But trying to > >figure this out, just in case. I know she's going to need another > >pair before the year is up as her toes are already just past the end > >of the shoes (and she's only had them a month). > > > >Thanks! > >Marcia > > > > Quote Link to comment Share on other sites More sharing options...
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