Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 Contact Let Them Hear Organization. www.letthemhear.org they can help you with you appeal. I don't know what your rejection letter stated but my first rejection letter stated that they do not cover hearing aids. The company needed to be educated on the difference in a CI and a hearing aid. Keep us posted Kim B Advanced Bionics CI > > I WAS WONDERING IF ANYONE CAN HELP WITH SOME INSURANCE ADVICE.....I > HAVE LOST ALL MY HEARING IN MY RIGHT EAR DO TO A VIRUS TWO YEARS AGO. I > AM WEARING A HIGH-POWERED HEARING AID IN MY LEFT EAR, BUT WITH MY > HEARING SLOWLY DETERIORATING I HAVE FINALLY MET THE CRITERIA FOR A CI. > I HAVE DEAN CARE AND ALTHOUGH SOME DEAN CARE POLICIES COVER THE > IMPLANT, MY PARTICULAR GROUP POLICY AT WORK DOES NOT. I AM ON REFERRAL > FROM MY PRIMARY ENT TO A DR. THAT SPECIALIZES JUST IN EARS. HE SENT A > LETTER TO DEAN DESCRIBING MY CONDITION AND THE NEED FOR AN IMPLANT. I > WAS DENIED BASED ON THE FACT THAT MY GROUP PLAN DOESN'T COVER A CI. I > WAS TOLD BY HIS NURSE TO APPEAL THE DECISION AND THAT HE ALSO WOULD > RIGHT A LETTER APPEALING THE DECISION. IS THERE ANYBODY OUT THERE WHO > FOUGHT WITH AN INSURANCE COMPANY TO GET COVERAGE? DOES ANYONE KNOW > WHAT I COULD TELL THEM IN MY APPEAL THAT WILL HELP?? I AM SO > FRUSTRATED--I CAN'T EVEN BELIEVE THAT THERE AREN'T GUIDELINES SET BY > THE ADA TO MAKE HEALTH PLANS CARRY THIS. MY PLAN WILL COVER AN > ARTIFICIAL LIMB, OR A GLASS EYE BUT NOT THIS. IT IS SOOOO RIDICULOUS!I > WILL TAKE ANY INPUT, HELP OR SUGGESTIONS. THANK YOU--I AM NEW TO THE > GROUP-- IT SURE IS INSPIRATIONAL AND EDUCATIONAL! I CAN'T BELIEVE THIS > TECHNOLOGY IS RIGHT AT MY FINGER TIPS AND I CAN'T GET IT!!! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 There is an organization that helps people fight their insurance companies for free to help them get cochlear implants. It is called the Let Them Hear Foundation.Their email address is advocacy@..., phone 877-432-7435 & web address to file an insurance appeal through them is http://advocacy.letthemhear.org/ You also may be able to get help in fighting the insurance company through the manufacturer of the implant that you choose. I'm not sure about that part, but it couldn't hurt to ask them. Good luck, Jane IS THERE ANYBODY OUT THERE WHO FOUGHT WITH AN INSURANCE COMPANY TO GET COVERAGE? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2006 Report Share Posted May 23, 2006 I wonder does organization helps people fight offer to do medicaid and medicare to fight about have cochlear implant things,suregey,operation or hearing aids if need to for anyone who are in states that some of states don't accept coverage for hearing aid audologists and cochlear implant things but medicaid only cover cochlear implant check up with audologist but not anything like that or even surgery or things? Let me know. Thanks Colleen > > There is an organization that helps people fight their insurance companies for free to help them get cochlear implants. It is called the Let Them Hear Foundation.Their email address is advocacy@..., phone 877-432-7435 & web address to file an insurance appeal through them is http://advocacy.letthemhear.org/ > You also may be able to get help in fighting the insurance company through the manufacturer of the implant that you choose. I'm not sure about that part, but it couldn't hurt to ask them. Good luck, > Jane > IS THERE ANYBODY OUT THERE WHO > FOUGHT WITH AN INSURANCE COMPANY TO GET COVERAGE? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2006 Report Share Posted May 24, 2006 Hi Colleen Medicaid is a state funded program and varies from state to state. Medicare is a federal program. Medicare will cover the surgery and appointments and the device. Medicaid - really depends on the state that one lives. But many states have been known to cover a cochlear implant and all the associated items (surgery, audiology appointments, etc) Kim > > > > There is an organization that helps people fight their insurance > companies for free to help them get cochlear implants. It is called > the Let Them Hear Foundation.Their email address is advocacy@, > phone 877-432-7435 & web address to file an insurance appeal through > them is http://advocacy.letthemhear.org/ > > You also may be able to get help in fighting the insurance company > through the manufacturer of the implant that you choose. I'm not sure > about that part, but it couldn't hurt to ask them. Good luck, > > Jane > > IS THERE ANYBODY OUT THERE WHO > > FOUGHT WITH AN INSURANCE COMPANY TO GET COVERAGE? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2009 Report Share Posted December 29, 2009 Hi, We go tomorrow to get our 5 month old sons measurements/pictures for his mold at CT. We have WellPath Ins. (under Coventry). They will not cover the band, it is in the exclusions. I am wondering if anyone out there with Wellpath/Cov. have had success in fighting for some sort of funding, and what type of forms did you send to be successful. Thanks for your help. Quote Link to comment Share on other sites More sharing options...
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