Thread View: alt.support.hearing-loss
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2 total messages
Started by Patricia Burns
Thu, 05 Oct 2000 02:48
Esprit22 Insurance-denial or limit?
Author: Patricia Burns
Date: Thu, 05 Oct 2000 02:48
Date: Thu, 05 Oct 2000 02:48
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Our insurance company policy covers durable medical equipment at 100%
with a cap of $2,000 a year which doesn't cover much of the cost of
$6,000* for the Esprit22. They approved our reimbursement with the 2K
cap and then I started reading.
I found in our policy that "prosthetics devices" are covered at 100%
with NO limit. Since we were already approved for the device, it just
took convincing them that cochlear implants AND the speech processors
are considered neural prosthetics.
We received our reimbursement check today...but only for the $2K! They
admit to their mistake and a check for $3K is forthcoming. (*They took
the $1,000 discount for the survey we completed years ago.)
Check to see if your insurance company covers prosthetic
devices...advise them that the Esprit22 should be covered under that
provision. You'll save some cash
--
_.~:*'*:~._.~:'*':~._.~:*'*:~._.~:'*':~._.~:*'*:~._.~:'*':~._
Patricia Burns
Be sure to remove the "c" from my email address to reply!
Re: Esprit22 Insurance-denial or limit?
Author: Dan Hildebrand
Date: Thu, 05 Oct 2000 03:33
Date: Thu, 05 Oct 2000 03:33
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Wow, great story. Can you tell me what state you are in. I want to send your story off to an organization called focusonhearing.org that studies this sort of thing. Dan. In article <39DBEBCF.C8DAEE00@earthlink.net>, Patricia Burns <pcburns@earthlink.net> wrote: > Our insurance company policy covers durable medical equipment at 100% > with a cap of $2,000 a year which doesn't cover much of the cost of > $6,000* for the Esprit22. They approved our reimbursement with the 2K > cap and then I started reading. > > I found in our policy that "prosthetics devices" are covered at 100% > with NO limit. Since we were already approved for the device, it just > took convincing them that cochlear implants AND the speech processors > are considered neural prosthetics. > > We received our reimbursement check today...but only for the $2K! They > admit to their mistake and a check for $3K is forthcoming. (*They took > the $1,000 discount for the survey we completed years ago.) > > Check to see if your insurance company covers prosthetic > devices...advise them that the Esprit22 should be covered under that > provision. You'll save some cash > -- > _.~:*'*:~._.~:'*':~._.~:*'*:~._.~:'*':~._.~:*'*:~._.~:'*':~._ > Patricia Burns > Be sure to remove the "c" from my email address to reply! > > -- ---------------------------------- Hearing Schmearing................ Me and my kid have sports to play! http://www.netcom.com/~danhilde ---------------------------------- Sent via Deja.com http://www.deja.com/ Before you buy.
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