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Accessing Medical Benefits

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(@shana)
Active Member
Joined: 2 years ago
Posts: 3
Topic starter  

Hello. I am approximately a year and a half into my vestibular journey, remaining undiagnosed.  I have a PPO insurance plan through my job and am continuing to have an incredibly difficult time accessing my benefits.  Most recently, my insurance company has declined my continuation of vestibular therapy for the remainder of 2023 (5 month’s remaining).  
I can begin an appeals process once I receive formal notification; however, this will likely take months, during which I will be denied access to care.
My provider has a non-insurance option where the total cost is more than the negotiated rate with my insurance company and which I will need to pay up front.

I am already paying completely out of pocket for vision therapy while in my fourth round of appeals with my insurance company as it should be covered by my policy.

I would appreciate any advice regarding how to more effectively access my medical insurance coverage. 
Thank you in advance for any suggestions or resources!

In health,

Shana


   
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(@chandra)
VeDA Staff
Joined: 2 years ago
Posts: 12
 

Hi Shana,

I’m sorry that your insurance company is denying your claims. There are two resources that I would recommend that can be found on VeDA’s External Resource Page under Patient Advocacy Organizations. You may also find additional resources there that are beneficial. Patient Advocate Foundation (PAF) and  Patient Service, Inc (PSI). PAF helps patients navigate some of the challenges with healthcare and has a financial assistance, co-pay relief program to help patients who qualify with prescription or treatment costs; while PSI helps chronically ill patients with premiums and copayments. May one or both of these resources be able to assist you, your stress levels reduce, so that you may continue on the positive trajectory of healing!

This post was modified 11 months ago 2 times by Chandra

   
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(@shana)
Active Member
Joined: 2 years ago
Posts: 3
Topic starter  

@chandra Thank you Chandra.  I very much appreciate these resources.

In health,

Shana


   
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(@chandra)
VeDA Staff
Joined: 2 years ago
Posts: 12
 

You are more than welcome Shana 🙂 best wishes on your continued journey!


   
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