Guest guest Posted May 11, 2005 Report Share Posted May 11, 2005 Okay...so it has been since January that my pre determination has been sitting on the desk of United Healthcare and still keep getting the run around... Here is my question. I am having a bone graft done followed by several implants. Can anyone tell me if they have had a bone graft done and what the cost was, as well as the assistant surgeon's fee??? This would be of great help to me. She is charging me $4500 simply for the bone graft and a friend of mine told me the coverage is for $778. Please help!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 11, 2005 Report Share Posted May 11, 2005 Hiya, I don't know what any of your costs should be but I will offer this... I had United as well. They are notorious for " losing " paperwork, giving you incorrect info and delaying things until you miss deadlines. Keep good notes and make it your business to be on top of them... no-one there is looking out for you. I eventually got full coverage and was on a first name basis with the person who made sure my claim went right through the system. Good Luck! Tova > Okay...so it has been since January that my pre determination has been > sitting on the desk of United Healthcare and still keep getting the run > around... Here is my question. > I am having a bone graft done followed by several implants. Can anyone > tell me if they have had a bone graft done and what the cost was, as > well as the assistant surgeon's fee??? This would be of great help to > me. She is charging me $4500 simply for the bone graft and a friend of > mine told me the coverage is for $778. Please help!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 11, 2005 Report Share Posted May 11, 2005 Hey Tova, I was just thinking the other day that we haven't heard much from you lately. How are you doing? Diane, Oregon _____ From: orthognathicsurgerysupport [mailto:orthognathicsurgerysupport ] On Behalf Of teezestuff Sent: Wednesday, May 11, 2005 7:02 PM To: orthognathicsurgerysupport Subject: Re: Insurance Question Hiya, I don't know what any of your costs should be but I will offer this... I had United as well. They are notorious for " losing " paperwork, giving you incorrect info and delaying things until you miss deadlines. Keep good notes and make it your business to be on top of them... no-one there is looking out for you. I eventually got full coverage and was on a first name basis with the person who made sure my claim went right through the system. Good Luck! Tova > Okay...so it has been since January that my pre determination has been > sitting on the desk of United Healthcare and still keep getting the run > around... Here is my question. > I am having a bone graft done followed by several implants. Can anyone > tell me if they have had a bone graft done and what the cost was, as > well as the assistant surgeon's fee??? This would be of great help to > me. She is charging me $4500 simply for the bone graft and a friend of > mine told me the coverage is for $778. Please help!!!! _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 11, 2005 Report Share Posted May 11, 2005 Diane, Thanks for thinking of me! I've been super busy and try to skim the emails but often don't have time... Plus, just as I was getting back on my feet, my computer started acting funny and it's been in and out of the shop for the last 2 months! It's been making me nuts. I posted a recap of thel last few months but i'm happy to let you know about anything specific... it was certainly a journey, this whole crazy process! Best, Tova > > Okay...so it has been since January that my pre determination has been > > sitting on the desk of United Healthcare and still keep getting the run > > around... Here is my question. > > I am having a bone graft done followed by several implants. Can anyone > > tell me if they have had a bone graft done and what the cost was, as > > well as the assistant surgeon's fee??? This would be of great help to > > me. She is charging me $4500 simply for the bone graft and a friend of > > mine told me the coverage is for $778. Please help!!!! > > > > > > _____ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2005 Report Share Posted May 13, 2005 Tova.... Quick question.. was your doc in or out of network? It is very hard to find in network omf surgeons in my area... what a pain!!! Beth > > Okay...so it has been since January that my pre determination has been > > sitting on the desk of United Healthcare and still keep getting the run > > around... Here is my question. > > I am having a bone graft done followed by several implants. Can anyone > > tell me if they have had a bone graft done and what the cost was, as > > well as the assistant surgeon's fee??? This would be of great help to > > me. She is charging me $4500 simply for the bone graft and a friend of > > mine told me the coverage is for $778. Please help!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2006 Report Share Posted April 24, 2006 Make sure the orthotics company uses the code for " durable medical equipment " its the same code they would use to code a wheelchair,prosthetcs, etc. Our insurance does not cover foot orthotics in relations to diabetes treatment, etc. However, they did cover the shoes/bar and replacement shoes since as long as the code is the equivalent to durable medical equipment. If this doesn't work, find out how to submit an appeal and get a doctor's letter explaining the course of treatment and explanation for the shoes/bar (ie medical necessity). WE did this(ie the letter) as a just in case and it has come in handy as it is in our records and they no longer hold up payment. HTH, Kathleen mom to david bcf fab 12/7 > > I have never had to use insurance before this pregnancy and boy has it been > fun (ha > > My Riley Jade (born 1-12-06 bilateral club feet) got her Markell boots and > bar in March. I just found out that our insurance does not cover " Orthopedic > shoes, foot orthotics, or other devices to support the feet " . What? This > seems a little crazy to me because if she doesn't have the shoes and bar her > feet would relapse and they would have to pay for numerous surgeries etc. > (Preaching to the choir) Is this typical and does anyone else have any tips on > disputing or getting insurance to pay? I had heard the 's weren't > covered but didn't realize the Markells (sp) were not. > > > > > Quote Link to comment Share on other sites More sharing options...
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