Insurance denied scooter

[SimpleGrace]

So, my insurance (Anthem Blue Cross) denied my scooter because I "can walk from bedroom to bathroom." I am thinking of having my doctor call and appeal. I CAN walk from my bedroom to bathroom and around my house, but with a lot of pain, and many days, if I don't use the walls, my balance is VERY bad. So, my doc wanted me to get it to lower my fatigue from having to walk with pain and make sure I don't end up on my face when I lose balance. Anyone else have this experience with insurance?

[heliotrope]

Not with that policy but with Anthem, yes. Your denial letter should have the policy number that was used when they denied your claim. Call and ask for a copy. You and your doctor will have to work around that. Don't just appeal without knowing what you're fighting against.

[SimpleGrace]

Did you appeal? And, did you finally get your scooter?

I'm about 51/49 ready to just buy one myself, but I don't have the extra money to spend.

[gimpy2]

I this problem when trying to get my power chair. We appealed it with a detailed letter from my doctors and PT,more medical doc.s. Also had a dexa scan done to show osteoporosis. With all that it prover that I am a fall risk.

I was told most people are denied the first time and sometimes the second just like when your applying for SSDI.

I was told in my case that they would not approve a power chair if your able to walk more than a few feet with aids or help. But that was for a power chair. Its probably different for a scooter. Best of luck to you . Don't give up ,appeal soon.

[SimpleGrace]

Thanks, I will. I would think they'd have enough sense to know that spending a little money now will save them a lot later when I show up in the ER with something broken from falling. But, then, I'm applying logic to the insurance industry. I should know better!

[ShootingStar63]

Best of luck! An interesting tidbit; I recently fell and fractured my hip. My hospital bill is $74,000.