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I don’t understand how the
insurance
companies are getting away with this. It is one thing to have
“in-network”
vendors, but it is another thing to have in-network products! Is this
not
violating some sort of insurance rules? Can they say – you HAVE
to get a
Buick, and a Toyota is never appropriate? Antoinette Verdone, MSBME,
ATP Assistive Technology
Specialist The ALS Association, Greater
NEW
ADDRESS: 42 Broadway,
Phone: 212-720-3054 Fax: 212-619-7409 Email: xxxxxx@xxxxxxxxxx "One cannot consent to creep when
one
has the impulse to soar" -- Helen
Keller From:
xxxxxx@xxxxxxxxxxxxxxxxxxxx
[mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx] On
Behalf Of Alisa Brownlee Hi all, Since we have started a dialog on funding, I wanted to ask for
feedback
on another problematic problem. We have had several incidents on a insurance company--primarily
Blue
Cross, giving our SLP's a difficult time on funding specific devices.
For
example, a SLP may write a report for a My Tobii system and the Blues will
call
us and say for example, "ATI is not part of our network, but
"X" company is and I have already checked with the family and
they
say it is okay to change out the device for one that is covered in our
network". This has happened at least three times to us and now
yesterday, I heard from an SLP in Is this happening to others? I want to try to keep track of
this
issue so I appreciate any feedback. Insurance companies are bypassing
therapists and doctors and making decisions based on in-network vendors,
not
what is appropriate for our PALS. Thanks, Alisa Alisa Brownlee,
ATP Assistive
Technology
Consultant, ALS Association, National
Office
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