You will need to get a doctor's prescription for the SGD Evaluation and then call BC/BS and get a prior authorization for the service. I do believe there may be an exclusion for insurance purchasing an SGD for a patient in a nursing home but you may have to check that with Lew Golinker. I think you can email him at the web site www.fundinghelp.com

Antoinette Verdone <xxxxxx@xxxxxxxxxx> wrote:
Alisa,
 
Hope all is well with you.
 
I have a question about insurance.  I have a patient that has BC/BS and is in a nursing home.  He is also pending Medicaid.  BC/BS is not paying anything towards the nursing home Â? would BC/BS pay for an AAC (assuming it is a covered item)?
 
Thanks in advance,
 
Antoinette Verdone, ATP
Assistive Technology Specialist
ALS Association, Greater New York Chapter
116 John Street, Suite 1304
New York, NY 10038
Phone: 212-720-3054
Fax: 212-619-7409
xxxxxx@xxxxxxxxxx
 
"One cannot consent to creep when one has the impulse to soar." -- Helen Keller