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General Parenting
Trying to understand Ins. Company's denial
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<blockquote data-quote="LisaG" data-source="post: 4119" data-attributes="member: 1449"><p>Something that you might consider is looking within you benefits to see if they can be obtained using a different benefit category of your policy. Not likely to work, but you might be surprised. I have seen plans that have one set of benefits under "medical" and an entirely different benefit level under "mental health", "rehab", etc.etc., but the procedures could be classified in one or all of them. Ask the ordering physician for advise since they may know how to get around a particular plan's denials. It's a long shot, but can't hurt to ask. And complain to the employer who is providing the insurance. A large company is probably self-insured so you probably won't get anywhere (and I'm sure that yours would be this), but some only pick coverage through outside companies and if they hear enough complaints about poor benefits, they may look to other companies during the next session of insurance hunting. Good luck!</p></blockquote><p></p>
[QUOTE="LisaG, post: 4119, member: 1449"] Something that you might consider is looking within you benefits to see if they can be obtained using a different benefit category of your policy. Not likely to work, but you might be surprised. I have seen plans that have one set of benefits under "medical" and an entirely different benefit level under "mental health", "rehab", etc.etc., but the procedures could be classified in one or all of them. Ask the ordering physician for advise since they may know how to get around a particular plan's denials. It's a long shot, but can't hurt to ask. And complain to the employer who is providing the insurance. A large company is probably self-insured so you probably won't get anywhere (and I'm sure that yours would be this), but some only pick coverage through outside companies and if they hear enough complaints about poor benefits, they may look to other companies during the next session of insurance hunting. Good luck! [/QUOTE]
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Trying to understand Ins. Company's denial
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