Saturday, January 30, 2010

New ears on order!!

Landon's new ears are on order!! Cochlear has joined up with another company-Mediquip- to help people get approval/purchase the N5 upgrades. Since we already had approval from our insurance, the process was a little faster for us. It does save us from having to come out of pocket for the full cost and waiting for reimbursement from insurance--which is wonderful!! Mediquip got a copy of the approval from our insurance, they have ordered his N5's, and when they get them will send them to us. They will then get reimbursed from insurance and we will only have to come out of pocket our portion of what insurance doesn't cover. We are sooo excited!! Hopefully these will be a lot more durable then the plastic freedoms because Landon is definitely hard on his ears!

For another parent that asked our insurance, through Eric's work, is PPO Plus. We've been really lucky with insurance through all this. The way it is set up, Eric's work has their own medical review board that approves/precerts insurance requests and then passes it on to the insurance company to pay. With the upgrade, we had Landon's audiologist write a letter,which the surgeon signed, requesting the upgrade. Our case manager put it before the medical review board and it was approved. One thing that I think has helped us through all of this with Landon is he is the first person there to go through something like this. His being approved for simultaneous bilateral implants and now the upgrades is basically setting the precedent for anyone that will come behind him needing this. It doesn't mean we haven't had to do any work. When we put it before the review board for the surgery, I had a book of research and insurance policies that we gave them to back up our request. But I have to say we have had a very easy time with approvals compared to most families going through this. As many problems as people generally have with insurance, our company has been wonderful through all this.

1 comment:

tammy said...

What great news! Congrats! We go see our new audi here in Ohio today and I'm going to ask about it, just to see. Can't believe how big your kiddos are getting!