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Re: Question - Initiating Insurance Claims

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My surgeon filed insurance request for precertification right after I

first saw him. It was approved. Then, when I was much closer and the

approval had lapsed, he filed a request for renewal of the approval,

which they sent promptly.

I was fortunate indeed.

Cammie

> >

> > Hi all,

> >

> > I had my first appt. with the OS a few weeks ago, and he sent me

> to

> > an OD to get started on the braces. It's going to be an 18+

month

> > process for me, and the braces cost is coming out-of-pocket. I

> meet

> > with the OD again tomorrow to talk $$ and the plan. In the

> > meantime, my OS was supposed to have written a letter to the

> > insurance company to try and initiate approval for the surgery.

> >

> > Question is...should I wait until I hear from the OS/Insurance

> > Company to get the braces put on, in case they don't cover the

> cost

> > of surgery? Can you guys throw me some total-cost numbers of

what

> > it might be if I had to pay surgery out-of-pocket? (He was

talking

> 4

> > procedures - 2 upper, 2 lower.)

> >

> > If it's too much and I can't afford it...then there's no use of

> > getting the braces, I suppose. My OS assured me he didn't think

> > there'd be a problem with them covering it, but I don't want to

> get

> > ahead of myself, but at the same time I'm antsy to get the show

on

> > the road! :)

> >

> > Also, how long should it take to hear back from the insurance

> > company? I don't want to harass my OS office, but I'm curious as

> to

> > if he's sent the letter yet and when to expect a response.

> >

> > Thanks!

> >

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