aberdeen: (Annoyed)
Item 22 under Covered Major Medical Benefits for my insurance:

Medical Supplies. Dressings, casts, splints, trusses, braces and other Medically Necessary medical supplies, with the exception of dental braces or corrective shoes, but including syringes for diabetic and allergy diagnosis, and lancets and chemstrips for diabetics.

And yet. Today I found out they're not covering either the original $175 brace I was given after my initial visit, nor the $812 ACL brace I will need at least until surgery.

I will be calling to appeal, tomorrow. 

Date: 2014-06-24 08:09 am (UTC)From: [identity profile] irishkate.livejournal.com
Gah. Good luck.

Date: 2014-06-24 08:24 am (UTC)From: [identity profile] silkiemom.livejournal.com
This is why I hate Insurance companies with the white hot heat of a thousand suns.

I think part of the runaround is to get people to give up and pay it themselves rather than deal with the paperwork hassle. :P

Best of luck to you.

Date: 2014-06-28 07:41 pm (UTC)From: [identity profile] aberdeen.livejournal.com
Yes. This seems to be one of those situations...

fight team fight

Date: 2014-06-27 03:37 pm (UTC)From: [identity profile] penjudith.livejournal.com
I'm on your side! How is the appeal going?

Re: fight team fight

Date: 2014-06-28 07:41 pm (UTC)From: [identity profile] aberdeen.livejournal.com
The Customer Service person was very nice and said, "Oh, yes. I see where your policy clearly says that. I'll flag this and send it back for review." So, we'll see.


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