Spouse screening

triples15 · May 16, 2009

Hi ladies......and gentlemen <img src="i/expressions/face-icon-small-smile.gif" border="0">. I know I've seen threads about whether or not your insurance covered your spouse/significant other's carrier screening, but I have a slightly more specific question.

For those of you whom's insurance denied it, did you try to appeal it?? I am just wondering because insurance denied my husbands carrier screening and I'm wondering if there's any chance it's worth fighting? I am fully aware that every plan is different, but thought maybe I could get some ideas if someone had successfully appealed it! It's really frustrating because they would be so much better off paying for the carrier screen than paying for a child born with CF! I guess they don't see it that way!

I'm pretty sure that we'll end up paying out of pocket for it, but thought it was worth a shot to see if anyone had any tips!! I was so hopeful they'd pay for it because we were lucky so far in that they paid for my HSG (actually 2 HSGs, long story)and my lab work.

Thanks in advance for your response!!

triples15 · May 16, 2009

Hi ladies......and gentlemen <img src="i/expressions/face-icon-small-smile.gif" border="0">. I know I've seen threads about whether or not your insurance covered your spouse/significant other's carrier screening, but I have a slightly more specific question.

For those of you whom's insurance denied it, did you try to appeal it?? I am just wondering because insurance denied my husbands carrier screening and I'm wondering if there's any chance it's worth fighting? I am fully aware that every plan is different, but thought maybe I could get some ideas if someone had successfully appealed it! It's really frustrating because they would be so much better off paying for the carrier screen than paying for a child born with CF! I guess they don't see it that way!

I'm pretty sure that we'll end up paying out of pocket for it, but thought it was worth a shot to see if anyone had any tips!! I was so hopeful they'd pay for it because we were lucky so far in that they paid for my HSG (actually 2 HSGs, long story)and my lab work.

Thanks in advance for your response!!

triples15 · May 16, 2009

Hi ladies......and gentlemen <img src="i/expressions/face-icon-small-smile.gif" border="0">. I know I've seen threads about whether or not your insurance covered your spouse/significant other's carrier screening, but I have a slightly more specific question.

For those of you whom's insurance denied it, did you try to appeal it?? I am just wondering because insurance denied my husbands carrier screening and I'm wondering if there's any chance it's worth fighting? I am fully aware that every plan is different, but thought maybe I could get some ideas if someone had successfully appealed it! It's really frustrating because they would be so much better off paying for the carrier screen than paying for a child born with CF! I guess they don't see it that way!

I'm pretty sure that we'll end up paying out of pocket for it, but thought it was worth a shot to see if anyone had any tips!! I was so hopeful they'd pay for it because we were lucky so far in that they paid for my HSG (actually 2 HSGs, long story)and my lab work.

Thanks in advance for your response!!

triples15 · May 16, 2009

Hi ladies......and gentlemen <img src="i/expressions/face-icon-small-smile.gif" border="0">. I know I've seen threads about whether or not your insurance covered your spouse/significant other's carrier screening, but I have a slightly more specific question.

For those of you whom's insurance denied it, did you try to appeal it?? I am just wondering because insurance denied my husbands carrier screening and I'm wondering if there's any chance it's worth fighting? I am fully aware that every plan is different, but thought maybe I could get some ideas if someone had successfully appealed it! It's really frustrating because they would be so much better off paying for the carrier screen than paying for a child born with CF! I guess they don't see it that way!

I'm pretty sure that we'll end up paying out of pocket for it, but thought it was worth a shot to see if anyone had any tips!! I was so hopeful they'd pay for it because we were lucky so far in that they paid for my HSG (actually 2 HSGs, long story)and my lab work.

Thanks in advance for your response!!

triples15 · May 16, 2009

Hi ladies......and gentlemen <img src="i/expressions/face-icon-small-smile.gif" border="0">. I know I've seen threads about whether or not your insurance covered your spouse/significant other's carrier screening, but I have a slightly more specific question.
 
 For those of you whom's insurance denied it, did you try to appeal it?? I am just wondering because insurance denied my husbands carrier screening and I'm wondering if there's any chance it's worth fighting? I am fully aware that every plan is different, but thought maybe I could get some ideas if someone had successfully appealed it! It's really frustrating because they would be so much better off paying for the carrier screen than paying for a child born with CF! I guess they don't see it that way!
 
 I'm pretty sure that we'll end up paying out of pocket for it, but thought it was worth a shot to see if anyone had any tips!! I was so hopeful they'd pay for it because we were lucky so far in that they paid for my HSG (actually 2 HSGs, long story)and my lab work.
 
 Thanks in advance for your response!!

GordonsGirl · May 16, 2009

I'm not sure what my doctor said to the insurance company, but he insinuated that he had fudged the details. It didn't get completely paid for, but was significantly less than if I had to pay full price for it. I would have either your husband's doctor or your CF doctor call the insurance company. Our CF doc has such distain for the insurance companies he itches to call them. "Let me talk to them. I'll just keep asking for supervisors until I get someone who has more than a high school diploma." He's so sweet.

GordonsGirl · May 16, 2009

I'm not sure what my doctor said to the insurance company, but he insinuated that he had fudged the details. It didn't get completely paid for, but was significantly less than if I had to pay full price for it. I would have either your husband's doctor or your CF doctor call the insurance company. Our CF doc has such distain for the insurance companies he itches to call them. "Let me talk to them. I'll just keep asking for supervisors until I get someone who has more than a high school diploma." He's so sweet.

GordonsGirl · May 16, 2009

I'm not sure what my doctor said to the insurance company, but he insinuated that he had fudged the details. It didn't get completely paid for, but was significantly less than if I had to pay full price for it. I would have either your husband's doctor or your CF doctor call the insurance company. Our CF doc has such distain for the insurance companies he itches to call them. "Let me talk to them. I'll just keep asking for supervisors until I get someone who has more than a high school diploma." He's so sweet.

GordonsGirl · May 16, 2009

I'm not sure what my doctor said to the insurance company, but he insinuated that he had fudged the details. It didn't get completely paid for, but was significantly less than if I had to pay full price for it. I would have either your husband's doctor or your CF doctor call the insurance company. Our CF doc has such distain for the insurance companies he itches to call them. "Let me talk to them. I'll just keep asking for supervisors until I get someone who has more than a high school diploma." He's so sweet.

GordonsGirl · May 16, 2009

I'm not sure what my doctor said to the insurance company, but he insinuated that he had fudged the details. It didn't get completely paid for, but was significantly less than if I had to pay full price for it. I would have either your husband's doctor or your CF doctor call the insurance company. Our CF doc has such distain for the insurance companies he itches to call them. "Let me talk to them. I'll just keep asking for supervisors until I get someone who has more than a high school diploma." He's so sweet.

Jeana · May 16, 2009

If your CF doc won't call them for you, maybe he can tell you what to write in a letter to them that would help them to pay for at least part of it. You could type the letter with the wording your doctor advises and he could sign it. This worked for me when I wasn't going to be able to get sick leave from my school district's sick leave bank. The problem was that the policy stated that the days needed to be continuous and mine was intermittent. I wrote a letter that my CF doc signed stating that I needed intermittent medical care for my condition and I was able to get 24 extra sick leave days this year for lung flareups/maternity issues. Hooray! <img src="i/expressions/face-icon-small-tongue.gif" border="0">

Jeana · May 16, 2009

If your CF doc won't call them for you, maybe he can tell you what to write in a letter to them that would help them to pay for at least part of it. You could type the letter with the wording your doctor advises and he could sign it. This worked for me when I wasn't going to be able to get sick leave from my school district's sick leave bank. The problem was that the policy stated that the days needed to be continuous and mine was intermittent. I wrote a letter that my CF doc signed stating that I needed intermittent medical care for my condition and I was able to get 24 extra sick leave days this year for lung flareups/maternity issues. Hooray! <img src="i/expressions/face-icon-small-tongue.gif" border="0">

Jeana · May 16, 2009

If your CF doc won't call them for you, maybe he can tell you what to write in a letter to them that would help them to pay for at least part of it. You could type the letter with the wording your doctor advises and he could sign it. This worked for me when I wasn't going to be able to get sick leave from my school district's sick leave bank. The problem was that the policy stated that the days needed to be continuous and mine was intermittent. I wrote a letter that my CF doc signed stating that I needed intermittent medical care for my condition and I was able to get 24 extra sick leave days this year for lung flareups/maternity issues. Hooray! <img src="i/expressions/face-icon-small-tongue.gif" border="0">

Jeana · May 16, 2009

If your CF doc won't call them for you, maybe he can tell you what to write in a letter to them that would help them to pay for at least part of it. You could type the letter with the wording your doctor advises and he could sign it. This worked for me when I wasn't going to be able to get sick leave from my school district's sick leave bank. The problem was that the policy stated that the days needed to be continuous and mine was intermittent. I wrote a letter that my CF doc signed stating that I needed intermittent medical care for my condition and I was able to get 24 extra sick leave days this year for lung flareups/maternity issues. Hooray! <img src="i/expressions/face-icon-small-tongue.gif" border="0">

Jeana · May 16, 2009

If your CF doc won't call them for you, maybe he can tell you what to write in a letter to them that would help them to pay for at least part of it. You could type the letter with the wording your doctor advises and he could sign it. This worked for me when I wasn't going to be able to get sick leave from my school district's sick leave bank. The problem was that the policy stated that the days needed to be continuous and mine was intermittent. I wrote a letter that my CF doc signed stating that I needed intermittent medical care for my condition and I was able to get 24 extra sick leave days this year for lung flareups/maternity issues. Hooray! <img src="i/expressions/face-icon-small-tongue.gif" border="0">

hbollotte · May 17, 2009