Re: insurance coverage for shoes

[Guest guest]

Sometimes it is all in the language of how the shoes/bar is coded for

the insurance company. For us, " durable medical equipment " is covered,

however, " shoes " are not-so we have to make sure our doc codes them

this way. We also get a letter of medical necessity each time we get

the new shoes.

hth,

kathleen

>

> I have seen this mentioned several times on here but we were not at

> that point and I did not expect to have any problems with our

insurance

> covering the shoes. I ordered them right before Christmas and got a

> letter Saturday saying coverage was denied. I can appeal -- does

anyone

> have any advice on what to say or include in a letter?

>

>

> lcf 6-19-05

>

[Guest guest]

I called my insurance and asked them how the shoes needed to be coded

in order for them to be covered. I had to call several times, and

now have a direct dial to a person who has become my " personal

representative. " She's awesome!

Due to glitches in the billing system though, I just found out now

how much the actual shoes cost. We're on the third pair and haven't

been billed for the first two. Funny how that happens. But with our

insurance, the bar is free, and we pay for 20% of the shoes. I think

the key for how much you end up actually paying for the shoes also

has to do with the place you buy them, and how much they mark them

up. Doesn't seem like Gillette in St. marks up too much since

we pay under $15 for the shoes. Seems like a pretty good deal to

me! Although it was nicer when they were free....

> >

> > I have seen this mentioned several times on here but we were not

at

> > that point and I did not expect to have any problems with our

> insurance

> > covering the shoes. I ordered them right before Christmas and got

a

> > letter Saturday saying coverage was denied. I can appeal -- does

> anyone

> > have any advice on what to say or include in a letter?

> >

> >

> > lcf 6-19-05

> >

>