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12-07-2008, 03:35 PM
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#1 |
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Super Moderator
Join Date: Oct 2008
Location: Iowa
Posts: 2,627
Rep Power: 787
Reputation: 17831   Children: Boy Cole 11 girl 9 Chloe
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insurance #x@##@rds
 here's the deal. DD has several (4) cavities that need attention. Because of her issues (Autistic) the dentist recomended we have it done outpatient using general anastesia (msp). Called my medical insurer who recomended we send a joint letter with DD's doctor and dentist explaining the situation what was needed including insurance codes. Did that I was given a copy of the letter and looked it over it was very clear and well written. Insurance Co reviewed the letter and refused to cover expences. this is a three thousand dollar deal and if insurance wont cover we have to pay 85%  upfront which we do not have. The dentist  (who refused to do this) is sending DD to another dentist who will restrain her to preform the proceedure. The dentist informs us that this may have lasting effects to her behaviour What the hlLL am I suposed to do???Bryan |
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12-08-2008, 07:19 AM
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#2 |
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Super Moderator
Join Date: Jul 2007
Location: Michigan
Posts: 7,273
Rep Power: 1641
Reputation: 36670 Children: Debralyn 10/21/02, Logan 3/19/07, and Madeline 7/10/09
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Re: insurance #x@##@rds
send more letters to the insurance company, have this other dentist write a letter as well as any teachers, docs, or specialists you can get to say it will effect her long term to restrained like that...also I would write a letter to you local news stations and publications
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12-08-2008, 10:15 AM
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#3 |
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Super Moderator
Join Date: Jul 2008
Location: melba, Idaho
Posts: 2,936
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Reputation: 18490 Children: Ted (20), Samantha (19), Lupan (19), Megan (18), Cole (10), Vanna (7), Aiden (5), Kailyn 2 years
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Re: insurance #x@##@rds
Don't give up and keep fighting. I am surprised insurance won't pay, I had this done with my 7 year old and they never balked at having to pay, neither the medical or dental.
I would fight it and find an advocay(sp?) group to help you fight! I wouldn't have the forced precedure, It is way to hard on the little ones and the parents.
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12-08-2008, 02:32 PM
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#4 |
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Super Moderator
Join Date: Oct 2008
Location: Iowa
Posts: 2,627
Rep Power: 787
Reputation: 17831 Children: Boy Cole 11 girl 9 Chloe
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Re: insurance #x@##@rds
you all have inspired me to renew the fight. I am going to call the Autism clinic at University of Iowa. And ask for there help.
The wanted to Study her when she was 4 but DW and I decided against it because of DD's fear of people in white coats (not joking). I am hoping that if I let them be a part of her life (research). That they may give some assistance with insurance matters. I think I have done all the things a civilian can do at this piont. I need people who know the system to help. Bryan |
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12-08-2008, 02:34 PM
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#5 |
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Super Moderator
Join Date: Jul 2007
Location: Michigan
Posts: 7,273
Rep Power: 1641
Reputation: 36670 Children: Debralyn 10/21/02, Logan 3/19/07, and Madeline 7/10/09
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Re: insurance #x@##@rds
don't give up, it will pay off eventually
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