[Diabetes-talk] Insurance Coverage for Prodigy Voice

[The Jacobs' Family]

OOOOh Honey!!!  You guys just struck a nerve!!  I've nearly given up on 
these "Insurance" outfits!!  I swear!  They don't cover anything!!  Kind of 
like those "Extended Warrantees" that Sears and every other company tries to 
weasel ya into.  Every time I get a denial from any insurance, no matter 
what or where it is, I fire everything off at local and federal Insurance 
Commissioners: letters for appeal, claims, and the like.  Sometimes I hear 
from them.  Sometimes I don't.  Can't live with 'em and can't live without 
'em.  It's like they know they gotchya under a barrel--behind the 
eight-ball.  And, of course, how many times do ya win an appeal????  Are you 
kidding???  Oh Heavens to Mergatroid!!Cheryl, ya got one on me Honey!!  I 
sure wish I had the answers.

In spite of all that garb, I hope everyone here who celebrates this, has had 
a Merry Christmas!!!  Take care folks!!!

Bern
----- Original Message ----- 
From: <diabetes-talk-request at nfbnet.org>
To: <diabetes-talk at nfbnet.org>
Sent: Thursday, December 25, 2008 1:00 PM
Subject: Diabetes-talk Digest, Vol 17, Issue 20


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> Today's Topics:
>
>   1. o/t about braille literacy (cheryl echevarria)
>   2. Re: Help with insurrance coverage of Prodigy Voice
>      (cheryl echevarria)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 24 Dec 2008 14:39:49 -0500
> From: "cheryl echevarria" <cherylandmaxx at hotmail.com>
> Subject: [Diabetes-talk] o/t about braille literacy
> To: "cherylandmaxx" <cherylandmaxx at hotmail.com>
> Message-ID: <BAY131-DS3219C8E8BFD0155875991A1ED0 at phx.gbl>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Subject: National Federation of the Blind to Light Up Times Square
>
>
> FOR IMMEDIATE RELEASE
>
>
> CONTACT:
>
> Chris Danielsen
>
> Public Relations Specialist
>
> National Federation of the Blind
>
> (410) 659-9314, ext. 2330
>
> (410) 262-1281 (Cell)
>
> cdanielsen at nfb.org
>
>
>
> National Federation of the Blind to Light Up Times Square
>
>
>
> NFB Braille Literacy Video Will be Shown at 42nd Street
>
>
>
> Baltimore, Maryland (December 23, 2008): The National Federation of the
> Blind, the oldest and largest organization of blind people in the United
> States, will premiere a video promoting Braille Literacy in Times Square 
> in
> New York City beginning today.  The video will appear once an hour for ten
> days, airing on a large screen on 42nd Street between 7th and 8th Avenues.
>
>
>
> Dr. Marc Maurer, President of the National Federation of the Blind, said:
> "We are pleased to show a video of such importance in one of the largest
> venues in the world.  There can be no doubt that the ability to read and
> write Braille competently and efficiently is the key to education,
> employment, and success for the blind.  Despite the undisputed value of
> Braille, only about 10 percent of blind children in the United States are
> currently learning it.  This video will announce the need for equal
> opportunities in education and employment for the entire nation's blind to 
> a
> countless number of people over the next ten days and will work toward our
> ultimate goal of reversing the downward trend in Braille literacy."
>
>
>
>
>
> ###
>
>
>
>
>
> About the National Federation of the Blind
>
>
> With more than 50,000 members, the National Federation of the Blind is the
> largest and most influential membership organization of blind people in 
> the
> United States.  The NFB improves blind people's lives through advocacy,
> education, research, technology, and programs encouraging independence and
> self-confidence.  It is the leading force in the blindness field today and
> the voice of the nation's blind.  In January 2004 the NFB opened the
> National Federation of the Blind Jernigan Institute, the first research 
> and
> training center in the United States for the blind led by the blind. 
> Please
> visit our Web site: www.nfb.org.
>
>
> Cheryl Echevarria
> Treasurer
> National Federation of the Blind Greater Long Island Chapter
> Member NAGDU, NYAGDU and DAN
>
>
>
>
> ------------------------------
>
> Message: 2
> Date: Thu, 25 Dec 2008 08:01:05 -0500
> From: "cheryl echevarria" <cherylandmaxx at hotmail.com>
> Subject: Re: [Diabetes-talk] Help with insurrance coverage of Prodigy
> Voice
> To: <sandramurillo_580 at yahoo.com>
> Cc: diabetes-talk <diabetes-talk at nfbnet.org>
> Message-ID: <BAY131-DS297C7A14092182F22324DA1EA0 at phx.gbl>
> Content-Type: text/plain; charset="iso-8859-1"
>
> 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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> End of Diabetes-talk Digest, Vol 17, Issue 20
> *********************************************