Replies to This Discussion

Permalink Reply by Karen Barnett on September 25, 2008 at 2:48pm

Our insurance wouldn't cover out of state care either (out of network) and we also go to Cinc.. We are in and HMO. We were told we had a 99% chance of being denied. After a strong letter of recommendation for care at CCHMC from our pediatrician we were granted approval for out of state coverage and have no problem going now. I strongly recommend you help your pediatrician write the letter if they will let you. They most likely don't know much about DMD or CCHMC and the multi-disiplinary care there and their extensive knowledge & experience with DMD patients. Let me know if you need any help on the letter.
Karen

Permalink Reply by Kimberly Damron on October 2, 2008 at 2:46pm

Karen,

Thanks for the info. I am going to talk to my husband's HR dept. to see if there is another insurance plan we can pick. I may take you up on that help with a letter if I need to . Thanks again.

Permalink Reply by Karen Barnett on October 3, 2008 at 12:43am

Be glad to help if you need it. That's what we're all here for - to help, listen and learn from each other.
Karen

Kimberly Damron said:

Karen,

Thanks for the info. I am going to talk to my husband's HR dept. to see if there is another insurance plan we can pick. I may take you up on that help with a letter if I need to . Thanks again.

Permalink Reply by Deirdre Stinchcomb on October 12, 2008 at 3:47pm

We had an HMO as well and our pediatrician wrote a very strong letter to the insurance company to persuade them to let us go out of state but our insurance company was very hard-nosed. I wrote a letter to our HR department and ask that we be able to change our plan from HMO to PPO and our request was granted. PPO is about $100 more expensive and we have a deductible but it comes out cheaper because they would not pay anything under HMO. Our son is also covered under Katie Beckett Medicaid, which normally picks up our deductibles/co-pays but won't if we are out of state. I have appealed numerous times to them but they are not flexible. It took me a while to get our insurance situation fixed and was frustrating but hang in there because it will work out.

Permalink Reply by Keith Van Houten on November 11, 2008 at 7:40pm

There's an insurance process you can follow on the clinic's website at:

http://www.cincinnatichildrens.org/svc/alpha/n/neuromuscular/visit/...

I have an out of state HMO and went through the referral process. No luck so far.

Permalink Reply by Jean on March 23, 2009 at 6:16pm

Does anyone know if Dr. Wong accepts Medicaid?

Permalink Reply by Atabeira Piedra on December 9, 2009 at 3:11pm

How can I apply Katie Beckett Medicaid for my 3 year old son Nicolas, we live in Miami, FL.