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Forum
-> Household Management
-> Finances
amother
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Tue, Dec 03 2013, 12:42 pm
My daughter got a helmet for plaigiocephaley (bad shaped head) anyhow I was promised that based on measurements done by the scanner it would be covered by insurance. About 8mths later I get a call sayi g insurance didn't cover even after all the appeals they did (insurance promised and didn't come through) and wants me to pay 1500 instead of usual 3000. I said u promised otherwise I wud t have done it - it wasn't too bad but I figured if was covered I wud do it. How come u didn't get approval then? He said that the insurance takes 30 days to approve and then they would have to redo the evaluation bec too much time between initial evaluation and helmet and would be costly. I told him that I can't afford this now but would speak to my husband abt this, wwyd?
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amother
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Tue, Dec 03 2013, 2:30 pm
Do you have proof in writing that insurance said they would cover this?
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amother
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Tue, Dec 03 2013, 4:21 pm
The place that gave us the helmet promise did that thy would get it covered and they didn't get anything in writing but "we're told" it wud b covered
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amother
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Tue, Dec 03 2013, 4:43 pm
I feel your pain. I had a similar experience with a neuropsych eval, where they were sure it was covered, but it wasn't. Eventually, after losing every appeal, we paid it as we could.
I hope your story has a better outcome.
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