[Diabetes-talk] Help with insurance coverage of Prodigy Voice

Fri Dec 26 18:04:35 UTC 2008

It's up to your Medical Supplier to notify your Insurance company
because they are billing them, not your physician.

Best Regards, 

Jonathan Carey

Marketing Director

Advanced Diabetes Supply

1-800-730-9887 x 120

1-800-503-6280 Fax

www.NorthCoastMed.com <http://www.northcoastmed.com/>  

www.DiabetesHealthSupplies.com <http://www.diabeteshealthsupplies.com/>
Call To Order Diabetic Accessories. 1-866-422-4866

www.GlucosePost.com <http://www.glucosepost.com/>    A Community for
People with Diabetes to Share Stories, Inform, and Support Each Other!

Diabetic Supplies

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-----Original Message-----
From: diabetes-talk-bounces at nfbnet.org
[mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Sandra Murillo
Sent: Friday, December 26, 2008 9:21 AM
To: Diabetes Talk for the Blind
Subject: Re: [Diabetes-talk] Help with insurance coverage of Prodigy
Voice

Well, I just called BCBS today. Apparently my doctor never notified my
insurance of my medical need for the prodigy voice. I then called my
doctor and they said they would fax the referral to my insurance. As for
HomeCare, I tried calling them but they open til Monday. I'll keep
everyone posted.

Sandy

--- On Fri, 12/26/08, Jon Carey <jon at northcoastmed.com> wrote:

From: Jon Carey <jon at northcoastmed.com>

Subject: Re: [Diabetes-talk] Help with insurance coverage of Prodigy
Voice

To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>

Date: Friday, December 26, 2008, 10:43 AM

Cheryl is correct about the letter of legal blindness. We use a

prewritten letter that the Physician must print on their letterhead and

fax back to us after filling it out and signing it. We have not have any

problems billing Insurance companies for Prodigy products, besides the

fact that the Supplier (HomeCare Supply) in this case, should have

verified insurance coverage and discussed with you before sending

supplies!

Best Regards, 

Jonathan Carey

Marketing Director

Advanced Diabetes Supply

1-800-730-9887 x 120

1-800-503-6280 Fax

www.NorthCoastMed.com <http://www.northcoastmed.com/>  

www.DiabetesHealthSupplies.com <http://www.diabeteshealthsupplies.com/>

Call To Order Diabetic Accessories. 1-866-422-4866

www.GlucosePost.com <http://www.glucosepost.com/>   A Community for

People with Diabetes to Share Stories, Inform, and Support Each Other!

Diabetic Supplies

This message and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they are

addressed.  If you have received this message in error please notify the

system manager. This message contains confidential information and is

intended only for the individual named. If you are not the named

addressee you should not disseminate, distribute or copy this message.

-----Original Message-----

From: diabetes-talk-bounces at nfbnet.org

[mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of cheryl echevarria

Sent: Thursday, December 25, 2008 5:01 AM

To: sandramurillo_580 at yahoo.com

Cc: diabetes-talk

Subject: Re: [Diabetes-talk] Help with insurrance coverage of Prodigy

Voice

Sandra:

I am also posting this on the diabetic talk site so that way people know

in the future what to look out for being blind and diabetic supplies.

merry christmas sandra and happy new year.

Can you let me know where you know of me I am guess the diabetic talk

list.

I need to know a few things first, what insurance company denied the

claim.  It could be for one of a few reasons why they denied it.  

1.  Your insurance company may not have a contract with Homecare supply

company you could have gone out of your network and you may not have out

of network benefits.

If this is the case then HomeCare is at fault.  They should have never

processed the order without verifying with your insurance.

2.  Please let me did you try and contact your insurance company, a lot

of insurance companies especially with diabetic supplies unless you have

a doctor letters stating you are blind accompanying with your order the

insurance companies will not pay.

3. Insurance companies are trained to deny at least 5-10% of all claims

for no apparent reason, that is why the government needs to get there

noses in these business so that they can control what they are doing.

But the funny part is they are also losing money.  As I see in when I

get denials at my job for customers.  at least 20% more patients in

december lost there insurance and have canceled insurance.  Without

customers they will feel the punch themselves sooner or later.

If you get back to me  with some more information as to why they denied

the claim, I cannot do more please do your homework.  And this isn't

over yet you can appeal it.   So do your homework. call on Friday or

monday morning to your insurance company and to Homecare they need to

tell you why it was denied first and then we can go from there.

Take care.

Cheryl Echevarria

Treasurer

National Federation of the Blind Greater Long Island Chapter

Member NAGDU, NYAGDU and DAN

  ----- Original Message ----- 

  From: Sandra Murillo<mailto:sandramurillo_580 at yahoo.com> 

  To: cheryl echevarria<mailto:cherylandmaxx at hotmail.com> 

  Sent: Thursday, December 25, 2008 12:01 AM

  Subject: Help with insurrance coverage of Prodigy Voice

        Hello Cheryl

        Sorry for the unfinished message I sent you a few minutes ago. I

am wondering if you might be able to assist me with a snag I ran into

regarding the coverage of the Prodigy Voice Meter and it's supplies. I

ordered the meter and supplies from HomeCare Supply of America in July.

The company took care of everything -- including the insurance paper

work. When I called them to check if my HMO covered the equipment, they

told me that everything would be covered. I got the meter and supplies

for 3 months. When I ran out of strips and lancets, I called HomeCare

Supply of America to order more. During this call I found out that my

insurance had not paied my initial order, and therefore, they could not

send me more supplies. For the past month I have called HomeCare several

times, but each time they are never able to tell me what is going on

with the insurance payment.

        Today I received a letter from my insurance telling me that they

had reviewed my case, and they would not pay this equipment. What can I

do, because I seriously don't understand their decision -- I am totally

blind, and as we know, the Prodigy Voice is one of the few meters I can

use independently. I would have used Medicaid to cover this equipment,

but HomeCare told me they currently don't except it as a form of

coverage. Please help me. Do I need to appeal the decision, or what can

I do?

        Thanks,

        Sandra Murillo 

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