Posted on Mar 27, 2023
A billing dispute means a mom must pay nearly $1,000 a month for her son's diabetes care
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Posted 1 y ago
Responses: 3
PO1 William "Chip" Nagel Republicans wouldn't allow ALL insulin users to pay a lower monthly dollar amount.
..."Chiodi initially thought she'd pay the Omnipod's cost for the first two months until she met her insurance plan's $1,500 deductible, which is the amount a person must pay out of pocket for a drug, device or medical service before coverage kicks in.
But because of this dispute, none of her payments have been applied to her insurance plan's deductible.
She filed an appeal with her insurance plan that included a doctor's letter of medical necessity, but the appeal was rejected. She wrote a letter to the board of her husband's union, which sponsors the family's health insurance plan. She also filed a complaint with the New York State Department of Financial Services.
So far, all her efforts to get coverage have failed.
"I have to pay $872 every 30 days because the two organizations – the insurance company and the manufacturer – can't work together on a billing code," she said."...
..."Chiodi initially thought she'd pay the Omnipod's cost for the first two months until she met her insurance plan's $1,500 deductible, which is the amount a person must pay out of pocket for a drug, device or medical service before coverage kicks in.
But because of this dispute, none of her payments have been applied to her insurance plan's deductible.
She filed an appeal with her insurance plan that included a doctor's letter of medical necessity, but the appeal was rejected. She wrote a letter to the board of her husband's union, which sponsors the family's health insurance plan. She also filed a complaint with the New York State Department of Financial Services.
So far, all her efforts to get coverage have failed.
"I have to pay $872 every 30 days because the two organizations – the insurance company and the manufacturer – can't work together on a billing code," she said."...
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PO1 William "Chip" Nagel good day Brother William, always informational and of the most interesting. Thanks for sharing, have a blessed day!
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