Maiadab Moderator
Posts: 2
(10/24/02 6:09 pm) Reply
Health Insurance
I was wondering if there is trouble getting you HMO to pay for the procedure to remove the extra toe. I am afraid that when the time comes the health insurance company will deny the claim because it isn't "medically necessary", or is it?
With Micah it wasn't a problem. Just make sure the doctor says in his referrel that it is medically necessary. I would think not being able to wear shoes warrents this
I am concerned about Gloria's...we no longer have health insurance through my DH's work (he was let go in May) and we now rely fully on medical coupons. So I better check in with them to double check that she would be covered for hand and feet.
Monica Kussmann
Your Creative Memories Consultant
cmlady@fidalgo.net
Health Insurance
Are medical coupons issued through the state? If so I don't see a problem, state health insurance is usually better than the health ins we pay for through our employers.
I read somewhere that in Seth's case with the wide foot and no joint in the extra toe that it may be hard for him to walk. Do you know anything about that.
Re: Health Insurance
Yes it is through the state...there is some problem with a ultrasound bill we got but maybe they tried to bill our old insurance and got denied. I would not think there would be a problem but better safe then sorry.
I do not know about Seth's case...I mean they make wide shoes but even then it would be difficult to next to impossible. Of course I have not seen the picture of it yet...just your description. Doctors have leiway in these matters and I am sure they would feel it was necessary if that is what they told you.
Good luck!
Monica Kussmann
Your Creative Memories Consultant
cmlady@fidalgo.net
Re: Health Insurance
I don't have a good picture of his foot but when I get one I will post it.
Unless I learn otherwise from this group I would really like to have it removed, I can't imagine it would be comfortable to walk on or play sports on when he is older.
: )
Maia
Mom of 2 girls and 1 boy. Seth born 6/02 with an extra pinky toe on his right foot, w/bone and nail.
Re: Health Insurance
When we went to my sons first doc appt the ped. said he could have his webbed toes fixed and insurance would pay, as long as it was done before he turned 18. It is a birth defect and it would be covered up to age 18. My sons webed toes do not disable him in any way, where the extra toe can (pain from shoes and stuff). So, that is what I was told, I would think it would be covered.
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