Re: Getting the shoes paid for by the insurance!!!!!!

[Guest guest]

That's a great idea. Thanks for the tip!

Marcia

Getting the shoes paid for by the

insurance!!!!!!

Thought I'd post this, as I've seen several messages lately about

those nasty insurance companies refusing to pay for the shoes. Our

insurance initially refused to pay for Dinos' shoes when we got the

DBB, but then we found out that they classified the shoes

as " orthotics " (like those custom insoles you can put in your shoes to

keep your feet from hurting). Get a letter from your doctor

specifying that the shoes are not " orthotics, " and that they

are " durable medical equipment, " which most insurance companies do pay

for. That worked for us, and good thing, since I think by the end,

we'd gone through four or five pair of shoes! Keep on fighting!

[Guest guest]

O.k., just got off the phone with the insurance company - they consider durable

medical equipment to be things like wheelchairs, etc. Things that can be reused

by another person. There is an exclusion clause in our policy that excludes any

type of shoe, regardless. I'm seeing if I can get the orthotic place to file the

claim using a code that labels them a brace, since, effectively they function

more as a brace than a shoe. They do not facilitate walking, they immobilize the

foot and hold it in a specific position, bracing it. Anyway, we'll see. If that

doesn't work then I have to file an appeal...this is such a PITA. UGH

Marcia

Getting the shoes paid for by the

insurance!!!!!!

Thought I'd post this, as I've seen several messages lately about

those nasty insurance companies refusing to pay for the shoes. Our

insurance initially refused to pay for Dinos' shoes when we got the

DBB, but then we found out that they classified the shoes

as " orthotics " (like those custom insoles you can put in your shoes to

keep your feet from hurting). Get a letter from your doctor

specifying that the shoes are not " orthotics, " and that they

are " durable medical equipment, " which most insurance companies do pay

for. That worked for us, and good thing, since I think by the end,

we'd gone through four or five pair of shoes! Keep on fighting!

[Guest guest]

At 07:16 AM 7/28/2005, you wrote:

>O.k., just got off the phone with the insurance company - they consider

>durable medical equipment to be things like wheelchairs, etc. Things that

>can be reused by another person.

Every one of Darbi's shoes except for her first pair and last pair (keeping

those as backups - she's in the PM's now) have been sent to other babies

and reused. They may even have been sent to other parents by now as far as

I know. They are absolutely reusable. For whatever that's worth...

Kori

>There is an exclusion clause in our policy that excludes any type of shoe,

>regardless. I'm seeing if I can get the orthotic place to file the claim

>using a code that labels them a brace, since, effectively they function

>more as a brace than a shoe. They do not facilitate walking, they

>immobilize the foot and hold it in a specific position, bracing it.

>Anyway, we'll see. If that doesn't work then I have to file an

>appeal...this is such a PITA. UGH

>

>Marcia

>

> Getting the shoes paid for by the

> insurance!!!!!!

>

>

> Thought I'd post this, as I've seen several messages lately about

> those nasty insurance companies refusing to pay for the shoes. Our

> insurance initially refused to pay for Dinos' shoes when we got the

> DBB, but then we found out that they classified the shoes

> as " orthotics " (like those custom insoles you can put in your shoes to

> keep your feet from hurting). Get a letter from your doctor

> specifying that the shoes are not " orthotics, " and that they

> are " durable medical equipment, " which most insurance companies do pay

> for. That worked for us, and good thing, since I think by the end,

> we'd gone through four or five pair of shoes! Keep on fighting!

>

>

>

>

>

>

[Guest guest]

At 07:16 AM 7/28/2005, you wrote:

>O.k., just got off the phone with the insurance company - they consider

>durable medical equipment to be things like wheelchairs, etc. Things that

>can be reused by another person.

Every one of Darbi's shoes except for her first pair and last pair (keeping

those as backups - she's in the PM's now) have been sent to other babies

and reused. They may even have been sent to other parents by now as far as

I know. They are absolutely reusable. For whatever that's worth...

Kori

>There is an exclusion clause in our policy that excludes any type of shoe,

>regardless. I'm seeing if I can get the orthotic place to file the claim

>using a code that labels them a brace, since, effectively they function

>more as a brace than a shoe. They do not facilitate walking, they

>immobilize the foot and hold it in a specific position, bracing it.

>Anyway, we'll see. If that doesn't work then I have to file an

>appeal...this is such a PITA. UGH

>

>Marcia

>

> Getting the shoes paid for by the

> insurance!!!!!!

>

>

> Thought I'd post this, as I've seen several messages lately about

> those nasty insurance companies refusing to pay for the shoes. Our

> insurance initially refused to pay for Dinos' shoes when we got the

> DBB, but then we found out that they classified the shoes

> as " orthotics " (like those custom insoles you can put in your shoes to

> keep your feet from hurting). Get a letter from your doctor

> specifying that the shoes are not " orthotics, " and that they

> are " durable medical equipment, " which most insurance companies do pay

> for. That worked for us, and good thing, since I think by the end,

> we'd gone through four or five pair of shoes! Keep on fighting!

>

>

>

>

>

>