Hi and welcome to the group. lots of insurance companies (including
UHC) routinely deny. There are a lot of sample appeal letters in the
files section of this group. One thing would be to get them to deny in
writing and state their reason - then you'll have something to
address. I hope that you will get them to pay, but it can take
several appeals, and they still may not pay. Don't be too discouraged
though because a lot of people do win the appeal.
Best of luck with it.
sydney 2 yrs starband grad
--- In Plagiocephaly@
> Hi. I am new to this group and happy to have found you. It's nice to
> know there are others out there with our same plight. My son has been
> wearing his band now for almost 14 weeks. There are little if any more
> adjustments that can be made to this one and our neuro says he may need
> a second one. We submitted the claim for the first one to two
> insurance companies in the hope that between them we would get the
> whole thing covered. (Both my husband and I are carrying insurance
> through our jobs...CIGNA and UHC). This alone is costing us extra
> money but we are doing it b/c our son has multiple health issues.
> Anyway, both companies have denied the claim. My husband and I are
> beside ourselves. Not that there isn't anything we wouldn't do for our
> son, but we are already financially strapped from having to pay the
> almost $3000 for the first band (we have since borrowed money from his
> mom and my dad). Does anybody have any advice on how we should appeal
> this and what any of you who have had to appeal have done to be
> successful. I don't want to comprimise my son's progress, but if the
> insurance doesn't pay anything, a second band is out of the question.
> Looking for any help and/or advice. Thanks.
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