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Re: [IP] Insurance is backpedaling on paying
> Okay gang, I need some help here. My insurance company is doing a major
1) ask if they discriminate on the basis of age
2) be persistent, they will give up eventually
3) see the list of kids successfully pumping at the end of this
message (including Kayla)
4) ask NOW for the name of the appeals person and indicate that you
intend to appeal any negative decision and if that does not work, you
will hand the matter to your attorney. Point out to them that the
pump has been prescribed for Kayla and is medically appropriate. The
policy does NOT exclude it, and you want it NOW. Make some noises
about denial of benefits and copy your congressman and senator.
Think of the headlines "5 year old denied treatment for diabetes"
> I cannot afford to rent a pump myself.
AH!! this is part of the secret
Order the pump anyway, let it get billed to the insurance AND DON'T
PAY ANYTHING UNTIL YOU GET APPROVAL the supply company
scream bloody murder, but then you have them on your side and they
have much greater leverage than you do. I did not pay for Lily's pump
for over a year and a half and guess what, it was finally approved!
Currently on the list we have these kid pumpers (there are more, I
just don't know all their names and ages)
17 (started at 3) Ellissa
5 (started at 4) Drew
7 (started at 6) Cameron
10 Zach (started 7.5)
9 Stephanie #2
13 1/2 ( started at 10) Darren
14 (started at 11) Lily
15 (started at 13) Melissa
16 (started 14) Stephanie #1
In addition, there are quite a few kids age 7 - 10 waiting for pumps
in the next month or two.
email @ redacted
Insulin-Pumpers website http://www.bizsystems.com/Diabetes/
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