Bilateral amputee told prosthetics not medically necessary by insurance provider ??
Anthony T. Barr
Description
Collection
Title:
Bilateral amputee told prosthetics not medically necessary by insurance provider ??
Creator:
Anthony T. Barr
Date:
11/3/2002
Text:
From: <Email Address Redacted>
To: Cheryl B
Cc: <Email Address Redacted>
Sent: Friday, November 01, 2002 12:17 PM
Subject: Re: Preliminary Questions regarding bilateral amputee needs for prosthetic rehabilitation
Cheryl,
I am not aware of Pennsylvania's coverage available thru Medicaid or other state resources.
I have cc your request to the O&P Listerve in hopes of generating suggestions from practitioners and the needed guidance for you to pursue. I cant understand the reasoning for not being medically necessary as a reason in denying coverage,but perhaps some of the O&P subscribers could shed light on that.
Our funding process would require denial letters of coverage from all available resources and a sponsoring qualified prosthetist be located and the patient be determined eligible for our funding.
Tony Barr
Barr Foundation
www.oandp.com/barr
----- Original Message -----
From: Cheryl B
To: <Email Address Redacted>
Sent: Thursday, October 31, 2002 1:54 PM
Subject: Preliminary Questions
Good afternoon. I'm just beginning some 'research' into what may or may not be able to be done for a gentlemen living in my neighborhood of Pennsylvania . I don't now have all the specifics of his case but what I do know is that he has neither leg below the knee (a birth defect) ~ is in his 40's ~ and his insurance company is denying him limbs saying they are not medically necessary. Can you give me some guidance as to where to start the process of perhaps doing a major fund-raiser to help with the overwhelming cost of a new set of prosthetics??? Can you give me more information on your program of applying to receive assistance????
Thank you so much!
Cheryl Boulanger
To: Cheryl B
Cc: <Email Address Redacted>
Sent: Friday, November 01, 2002 12:17 PM
Subject: Re: Preliminary Questions regarding bilateral amputee needs for prosthetic rehabilitation
Cheryl,
I am not aware of Pennsylvania's coverage available thru Medicaid or other state resources.
I have cc your request to the O&P Listerve in hopes of generating suggestions from practitioners and the needed guidance for you to pursue. I cant understand the reasoning for not being medically necessary as a reason in denying coverage,but perhaps some of the O&P subscribers could shed light on that.
Our funding process would require denial letters of coverage from all available resources and a sponsoring qualified prosthetist be located and the patient be determined eligible for our funding.
Tony Barr
Barr Foundation
www.oandp.com/barr
----- Original Message -----
From: Cheryl B
To: <Email Address Redacted>
Sent: Thursday, October 31, 2002 1:54 PM
Subject: Preliminary Questions
Good afternoon. I'm just beginning some 'research' into what may or may not be able to be done for a gentlemen living in my neighborhood of Pennsylvania . I don't now have all the specifics of his case but what I do know is that he has neither leg below the knee (a birth defect) ~ is in his 40's ~ and his insurance company is denying him limbs saying they are not medically necessary. Can you give me some guidance as to where to start the process of perhaps doing a major fund-raiser to help with the overwhelming cost of a new set of prosthetics??? Can you give me more information on your program of applying to receive assistance????
Thank you so much!
Cheryl Boulanger
Citation
Anthony T. Barr, “Bilateral amputee told prosthetics not medically necessary by insurance provider ??,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 28, 2024, https://library.drfop.org/items/show/219942.
