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Thread: Major Gusher
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  #11 (permalink)  
Old 10-23-2006, 03:54 PM
Cyborg's Avatar
Cyborg Cyborg is offline
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2006
Location: Orlando, FL
Posts: 7,846
Quote:
Originally Posted by dgrilli View Post
Hope you feel better Cyborg. Oh By the Way United Health Care my Insurance only has this to say about coverage.

Durable Medical Equipment 100% of eligible expenses after satisfying $250 deductible.

Orthopedic Shoes for diabetics and when they are an integral part of a covered brace are covered.

The following applies to ALL Durable Medical Equipment, including wigs: If more than one piece of Durable Medical Equipment can meet the functional need, benefits are available only for the most cost-effective piece of equipment. Growth Hormones and all self-injectables are covered if administered in a physician's office.

Benefits are provided for the replacement of a type of Durable Medical Equipment once every 3 calendar years.

Care Coordination will decide if the equipment should be purchased or rented. You must purchase or rent the Durable Medical Equipment from the vendor Care Coordination identifies.

Thanks...

Sorry you are having so many problems with UHC... They annoyed the heck out of me more than once.

I won't quote the whole paragraph, but here's the relevant excerpt from my docs. Remember, this was on the next page and could easily be overlooked:

The calendar year limit shown above does not apply to Durable Medical Equipment under Diabetes Treatment.

If fact, I had to go a few rounds with them to get them to agree. Kinda senseless for health care to cover only a pump and not the parts needed to use the pump. Doh...
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