Those who have had triangle tilt....
Those who have had triangle tilt....
How often are you doing therapy? 2-3x per week? Dr. Nath gave us a prescription for 2-3x a week for 6 months. Our insurance allows us 20 pt visits and 20 ot visits per year. Have you had to get more visits approved through insurance and if so how did you go about doing that?
Re: Those who have had triangle tilt....
Marnie,
Not sure what my 9 year old, Alyssa's, script said, but she has an aquatic therapy once a week as well as OT once a week and we are working with her at home 4-5 times a day. I didn't see the script as it was faxed to the OT. I would call your insurance company and see how to appeal for more visits mabye. Not sure what ours covers since we have teh state's insurance.
Not sure what my 9 year old, Alyssa's, script said, but she has an aquatic therapy once a week as well as OT once a week and we are working with her at home 4-5 times a day. I didn't see the script as it was faxed to the OT. I would call your insurance company and see how to appeal for more visits mabye. Not sure what ours covers since we have teh state's insurance.
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alyssasmommy
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Re: Those who have had triangle tilt....
Hi Marnie,
We have OT 2x a week (plus daily at home that we do). We have CCS so our visits are covered. When I was using my BC, we had to put in for more visits (it only included 12 per year at that time) and it was never a problem. I would ask/check with your primary physician - he or she would have to either write a note or put in the request for you I believe.
Jody
We have OT 2x a week (plus daily at home that we do). We have CCS so our visits are covered. When I was using my BC, we had to put in for more visits (it only included 12 per year at that time) and it was never a problem. I would ask/check with your primary physician - he or she would have to either write a note or put in the request for you I believe.
Jody
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admin
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Re: Those who have had triangle tilt....
My son is having this surgery in November. But my insurance Blue Cross of Illinois PPO does not cover OT. They said if you are not born with use they will not cover it. My therapy place fought it and my son was born with use of his arm, but the dr. hurt it during delivery. They send my therapists paper work after 10 - 20 visits. But so far they pay for at least 1 OT. visit per week. Hope this helps.
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admin
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Re: Those who have had triangle tilt....
My son is having this surgery in November. But my insurance Blue Cross of Illinois PPO does not cover OT. They said if you are not born with use they will not cover it. My therapy place fought it and my son was born with use of his arm, but the dr. hurt it during delivery. They send my therapists paper work after 10 - 20 visits. But so far they pay for at least 1 OT. visit per week. Hope this helps.
Re: Those who have had triangle tilt....
Sorry in advance to sidetrack this thread...
Ellen, I know that BCBS has many different plans, but we have BCBS PPO Federal Employee Program and the benefits include up to 75 visits per year of PT and / or OT (any combination of either or both). They occasionally send us a form to complete (having to do with when the injury occured, if it's due to someone else, if we're in a lawsuit, etc.). I call them and remind them that we lost our lawsuit and that I wish they'd get it in their system so I don't have to keep being reminded about our suit. Anyway, they always apologize and the visit is covered. I've never had to fight to obtain the "regular" benefits and the only time I ever had to even s/w a case manager was when I wanted a few visits above the allowed amount. I would request a case manager and fight them. It shouldn't matter when the injury occured -- during birth or after birth. I don't even understand that. I think you could get them to cover more. Hope this helps.
~Tina, bpmom@comcast.net, Mom to Nicole (6 1/2 y.o. w/LOBPI) & Joshua (1 1/2 y.o. w/NOBPI)
Ellen, I know that BCBS has many different plans, but we have BCBS PPO Federal Employee Program and the benefits include up to 75 visits per year of PT and / or OT (any combination of either or both). They occasionally send us a form to complete (having to do with when the injury occured, if it's due to someone else, if we're in a lawsuit, etc.). I call them and remind them that we lost our lawsuit and that I wish they'd get it in their system so I don't have to keep being reminded about our suit. Anyway, they always apologize and the visit is covered. I've never had to fight to obtain the "regular" benefits and the only time I ever had to even s/w a case manager was when I wanted a few visits above the allowed amount. I would request a case manager and fight them. It shouldn't matter when the injury occured -- during birth or after birth. I don't even understand that. I think you could get them to cover more. Hope this helps.
~Tina, bpmom@comcast.net, Mom to Nicole (6 1/2 y.o. w/LOBPI) & Joshua (1 1/2 y.o. w/NOBPI)