Comments on: Breaking News!

By: Sheri Byrne-Haber

Sheri Byrne-Haber — Sat, 21 Jun 2008 15:15:25 +0000

As far as the codes go on your specific approval letter, the two that I commonly see billed which are not listed are 95920 and 95867 for the use of the facial nerve monitor. Insurers used to not have a problem covering these codes, now they are denying them pretty regularly. You should ask your surgery coordinator if the facial nerve monitor is being used for your son’s surgery, if yes, why the codes weren’t preauthorized, and if there is a guaranteed amount that you will pay out of pocked if the FNM is used and the insurance doesn’t pay for it. Of course it is appealable

10 major US insurers now cover both sequential and simultaneous bilateral cochlear implants for children and adults, primarily through the efforts of the Let Them Hear Foundation Advocacy Program. This represents just over half (158 million) privately insured US residents. If you are in the half that is NOT covered and have either a written denial letter from your insurer or a contract exclusion, please submit an application for assistance at http://advocacy.letthemhear.org

By: CK

CK — Sat, 21 Jun 2008 04:16:52 +0000

Woo hoo! Great news.

By: Abbie

Abbie — Fri, 20 Jun 2008 21:58:39 +0000

Woooooo hooo! Thats is wonderful news!

By: Shari

Shari — Fri, 20 Jun 2008 21:23:16 +0000

Great news, Wendi!! Now we can both have an “approval party.” Happy dancing here, all over the blog. Wink.

I didn’t doubt that they’d approve it. Glad to hear it. My insurance letter says “in 90 days” so I guess that means that the approval time is within the next three months or I’ll have to go through the approval process again.

So happy for you.

By: valerie

valerie — Fri, 20 Jun 2008 18:57:55 +0000

Wow that is fantastic!

By: Richard Roehm

Richard Roehm — Fri, 20 Jun 2008 18:57:31 +0000

Congrats!

By: hearingelmo

hearingelmo — Fri, 20 Jun 2008 18:34:19 +0000

That’s great news! Keep us posted as you start jumping through the “pre-surgical” hoops!

By: Tom Hannon

Tom Hannon — Fri, 20 Jun 2008 18:34:14 +0000

Great news, Wendi! Sounds to me like ya may be getting three (3) CI’s if you add this together!

By: David

David — Fri, 20 Jun 2008 18:30:28 +0000

So happy to hear this! Congratulations on this amazing news!

By: K.L.

K.L. — Fri, 20 Jun 2008 18:15:52 +0000

Woohoo! The insurance obsticle can be the biggest one sometimes. Full steam ahead.