Saturday, March 08, 2008

Project CI

CI Update:

I got a letter from Hubby's health insurance. It says, "...cochlear implants not proven to be 'safe or effective'..." blah, blah, blah...so it was.....




Hoboken411

It didn't really cross my mind that it would be denied. I was more worried about the co-insurance and out-of-pocket expenses than the off-chance that it would be DENIED. Right now I am in shock. I will have to read the fine print when I have time. And explore my options, such as appealing, Letemhear, etc.

You'd think by now that it's been proven to be safe and effective. How many CI users are out there? How many have had the quality of their lives improved because of CIs? Even bilateral?

Just thought I'd put it out here so you know what's going on.


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9 Comments:

At Sat Mar 08, 09:28:00 AM , Blogger lime said...

i personally know of two people with cochlear implants. one for a man who lost his hearing through meniere's disease. one for a girl who was born profoundly deaf. i think they would BOTH dispute the opinion of you insurance co. unequivocably.

praying for a reversal of the decision.

 
At Sat Mar 08, 09:46:00 AM , Blogger Abbie said...

I am so sorry to hear that you have been denied but my suggestion to you is to contact Let Them hear. They will be your insurance advocate for free and file an appeal on your behalf. There are several people that have been helped with insurance denials. What kind of insurance do you have by the way?

 
At Sat Mar 08, 07:26:00 PM , Blogger Shari said...

Thanks, Lime. I think it's a tactic insurance companies like to pull so people don't want to hassle with an appeal. We'll see.

Abbie-I thought about Let Them Hear. Right now I am waiting to see what they are going to do at the medical facility. They may know how to get approvals through the second time around. Will keep you posted. Thanks.

 
At Sat Mar 08, 10:13:00 PM , Anonymous Anonymous said...

Good you are dealing with the medical clinic. I am sure they get this all the time when insurance companies are denying candidates for the cochlear implants. Keep us posted!!!!! Hope you are feeling better. HUGS Molly CC

 
At Mon Mar 10, 07:24:00 PM , Blogger La La said...

Sorry that you have to go through all of the trouble to fight this decision when it shouldn't have been denied in the first place. Ahhhh.

Best to you.

 
At Tue Mar 11, 10:28:00 AM , Blogger Amrita said...

hope you get your insurance cleared up Shari

 
At Sun Mar 16, 07:28:00 PM , Blogger Tales from the CI Gal said...

Shari,
I went through what you are going through. I was denied for my bilateral implants. They did approve one implant. From experience, allow the hostipal to assist, but the doctor can not direct you to Let Them Hear, you have to do it. I spent around six months before I went to them for help. I waited a year for my implants. Don't wait...Don't please. Go to the website and file for assistance. They are fantastic.
Valerie

 
At Mon Mar 17, 03:41:00 PM , Blogger Laurie said...

I'm sorry to hear you were denied for cochlear implants. Don't give up! Ask your doctor to appeal or contact the Let Them Hear Foundation (re: Abbie's comment above). Your husband's insurance company has OLD information. It is a matter of finding the right person or contacting someone who is more familiar with this.

You are a strong, independent person. Don't let anyone drag you down or take "No" for an answer!

Better yet, I know Cochlear Corporation AND Advanced Bionics both have advocates that will help you get approval as well.

Keep us posted . . .

 
At Mon Mar 17, 07:32:00 PM , Blogger Shari said...

Molly-I've also initiated an appeal to Let Then Hear. I sent a copy of the denial to the provider, too. Let the games begin!!

La La-It won't be the first time and it won't be the last time. Grrr.

Amrita-Thanks. Time will tell.

CI Gal-I would expect a second implant to be denied rather than the first implant. Looks like if I needed a second implant, I would have another fight on my hands. I heeded your advice. I already sent copies of the denial to the provider last week and now I just applied to Let Them Hear.

Laurie-Thanks. I think Hubby's insurance company wants to use the OLD info. LOL. I will take in consideration the cochlear implant company's advocates for additional help. Thanks again!!

 

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