Reply Hey Mom! Learn more about the Gerber Life Insurance Grow-Up Plan!
Thread Tools Display Modes
Old 02-02-2013, 04:26 PM   #21
UnderTheStars's Avatar
Registered Users
Join Date: Jul 2008
Location: between the Mississippi and a cornfield
Posts: 6,895
My Mood:
Originally Posted by EvaL View Post
But, if your boy has a diagnosis of 'failure to thrive' or the like, I can't see how any insurance company can reject the claims. I am not familiar with the agency you talk about... I don't have that in our state or any state I have lived in but wouldn't the heart doctor be able to write a letter to this agency explaining the issue with feeding and that it is medically necessary to treat?! Children are supposed to be growing so anything termed 'maintenance' in regard to a child's eating is simply wrong. Call the heart doctors!
I agree about the maintenance is frustrating. The problem (?) is that he isn't failing to thrive, thanks to much diligence on our part he is maintaining his weight just fine. I've said over and over that if I stopped doing what I do to get him to eat every day, he would certainly start failing to thrive...but as a mom, I just can't make my son suffer just to prove a point to insurance (and some doctors, even). Its hard.

Anyhow, Owen's cardiologist and therapists ARE working to provide proper documentation to get his therapy covered. Since I last posted, we did get approval for 20 visits, but at twice per week that will run out quick...hopefully that will buy us enough time to get the paperwork pushed through though. Fingers crossed!


[ mom to my cowboy ballerina and my boy-of-steel ]
UnderTheStars is offline   Reply With Quote
Old 02-04-2013, 10:36 AM   #22
Registered Users
Join Date: May 2010
Location: Slytherin House
Posts: 15,946
My Mood:
Re: Well, it's official...

Crossing my fingers for you, Alex!
Sarah, mom of many
Almacham is offline   Reply With Quote
Old 02-14-2013, 09:36 PM   #23
ohgirlohboyohno's Avatar
Registered Users
Join Date: Aug 2008
Posts: 5,645
Re: Well, it's official...

Just another thought....when DS needed sppech therapy our insurance wouldn't cover it cause it wasn't due to a medical condition....I contacted DH's company (which our insurance was though) and appealed to them. They got got insurance to cover therapy for I think 6 months....doesn't hurt to try...I did have to go through a couple "levels" of management though.

Now our insurance covers speech (a hefty co-pay) and they too originally said just 20 sessions....but the therapy place said that is usually not a problem they just have re-submit after they use those up.
Lanicia Mama to 3 crazy kiddos - A - 14 P - 6 E - 5 and a little baby J - 2

NEW Giftable Innotab2 players FS (pink and blue) here
ohgirlohboyohno is offline   Reply With Quote

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

Copyright 2005 - 2014 Escalate Media. All Rights Reserved.