Guest guest Posted November 14, 2008 Report Share Posted November 14, 2008 Hi everyone! Sorry to be responding so late, but we too are in the middle of an appeal process with UHC. We were also denied because of the exclusion of orthotic devices that straighten or reshape a body part. However, we have not been able to find this language anywhere - the HR department at my husband's company is trying to help us out. I was told by our Orthotist that it can help to get HR involved because UHC may not want to upset a major client. I will keep you posted on our progress - please continue to let all of us know what each of you find out as well. Someone has to be able to get through to UHC!!!!! Jenn (8 months, plagio & tort, STARband 8 weeks) > > > > > > I have fought and appealed with United Healthcare 2 times and > > > lost.They claim they can not cover my son's Doc Band because the > > > clause specifically says " does not cover any orthotic that shpaes > or > > > molds a body part " . I have written a very very good appeal and > > > brought up a ton of interesting facts on my son's condition and > his > > > band. So convincing they wanted to over turn it but simply > couldn't. > > > So sickening. > > > > > > I also encountered a huge problem with just finding out the info > to > > > attend the hearing " in person " but it took 15 different people > and 4 > > > 1/2 hours on the phone to try and figure it out. I finally > demanded > > > the appeals department in which they claim no one gets the direct > > > number to but I did. Then after all that I finally find out the > > > hearing I can attend " in person " is really a teleconference up in > > > Madison, an hour from my Milwaukee home, and alll you do is use > > > United Healthcare's phone. How stupid. " In person " sounds like a > > > board will be there to talk to " in person " . I felt like a right > was > > > taken from me. So since I had 2 hours till my deadline to let > them > > > know what I was going to do I took the teleconference at home. I > was > > > and still am fuming mad. > > > > > > So now I am pursuing higher methods such as going to all my local > and > > > state reps as well as other places. My father-in-law knows a ton > of > > > people in the local state government which will definitly help > alot. > > > I do not feel it is right for a company to help pay for Viagra > but > > > not my son's band. I am willing to help anyone, I mean anyone out > > > there to try and win their appeal as well. I am also looking for > > > anyone who also has United Healthcare so we can team up and > battle > > > them together. If we all ban together maybe we can change the > system > > > and take a stand for our babies who have no voice. I would really > > > like to hear from anyon who wants to help or has advice etc. > Please > > > email me at Amyseymer@ . I will try and get back to you as > > > soon as possible. I do not have interent acess at home right now > just > > > at my jobs. Thank you in advance for your help it measn a ton to > me > > > and my 8 month old baby boy, Colton. > > > > > > Amy > > > > > > Ps. I have been trying to contact ppl on Cranialtech. com but I > still > > > have not been added into the system. > > > > > > Quote Link to comment Share on other sites More sharing options...
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