Hey Kendall,
Did you look at the Bounder stander? Just wondering.
---- Original message ----
>Date: Tue, 21 Jul 2009 13:42:08 -0600
>From: "Kendall D. Corbett" <[log in to unmask]>
>Subject: Re: Still Fighting for New Wheelchair
>To: [log in to unmask]
>
>Kat and Peter,
>
>Thanks!
>
>I'm already working on the appeal and the corroborating letters of
>medical necessity. I think if I have to, I might even take it to
>court. I know three other state employees who could benefit from
>chairs of this type, and so it's a "systems change" opportunity.
>
>On Tue, Jul 21, 2009 at 1:14 PM, Kathleen Salkin<[log in to unmask]> wrote:
>> Hi, Kendall,
>>
>> I went through the insurance bit with my second cochlear implant- the
>> first was a pretty straightfoward approval process but the second was
>> a rockier path. I had to have a team of doctors submit medical
>> reasons why it was necessary and had to appeal their initial denial.
>> Fortunately it went through but it was scary there for a while, and I
>> thought I was going to be one-sided in my hearing for the rest of my
>> life.
>>
>> So don't give up! Appeal!
>>
>> Kat
>>
>> On Tue, Jul 21, 2009 at 2:44 PM, Kendall D.
>> Corbett<[log in to unmask]> wrote:
>>> Anyone out there have any luck getting insurance to approve a stander
>>> or a standing wheelchair? About a year ago, I started the process of
>>> looking for a new wheelchair. I first tried an IBOT, and loved it,
>>> and wasn't able to get insurance to approve it. Independence
>>> Technologies then went under at the first of the year, and so I
>>> started looking at other chairs that could do some of what the IBOT
>>> did. I tried a Permobil C500 VS, but it was pretty gutless as
>>> configured - wouldn't climb an inch and a half threshold. I then
>>> tried a Levo C3, which had good power, good climbing capabilities, and
>>> good options for seating and positioning. Submitted it to my
>>> insurance which declined it as not medically necessary, although my
>>> doctor wrote an extensive letter outlining the health benefits on at
>>> least three fronts that a stander would have, in addition to the
>>> benefits it would have in accomplishing ADL's. Basically the
>>> insurance company is questioning the benefits of standing, or at least
>>> that there are lower cost options out there that would do the same
>>> thing,. If I got a static standing frame, It would be more difficult
>>> for me to get into it, and I would therefore use it less. Here are
>>> links to the two chairs I've tried, so if anyone has any ideas, I'd
>>> appreciate any feedback.
>>>
>>> Peter told me that he/they had had problems with a Permobil, which is
>>> part of why I went for a Levo.
>>>
>>> If Ginny Paleg is still around (I remember her from 8-10 years ago,
>>> and came across a couple of articles she's written on the benefits of
>>> standing), I'd really love to hear from her.
>>>
>>> I had my neurologist write the letter of medical necessity, and wonder
>>> if it would be helpful to get corroborating letters from my primary
>>> care doc, my urologist, and other doctors/physical therapistsd I've
>>> seen in the las couple of years. The woman at the insurance company
>>> didn't think so, but I think she's got a different corporate agenda,
>>> if not a different personal agenda.
>>>
>>> http://levousa.com/c3/c3.html
>>>
>>>
>>> http://www.permobil.com/USA/Products/Rehab/C500-VS-/
>>>
>>> --
>>>
>>>
>>> Kendall
>>>
>>> An unreasonable man (but my wife says that's redundant!)
>>>
>>> The reasonable man adapts himself to the world; the unreasonable one
>>> persists in trying to adapt the world to himself. Therefore, all
>>> progress depends on the unreasonable man.
>>>
>>> -George Bernard Shaw 1856-1950
>>>
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>>>
>>
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>
>
>
>--
>
>
>Kendall
>
>An unreasonable man (but my wife says that's redundant!)
>
>The reasonable man adapts himself to the world; the unreasonable one
>persists in trying to adapt the world to himself. Therefore, all
>progress depends on the unreasonable man.
>
>-George Bernard Shaw 1856-1950
>
>-----------------------
>
>To change your mail settings or leave the C-PALSY list, go here:
>
>http://listserv.icors.org/SCRIPTS/WA-ICORS.EXE?SUBED1=c-palsy
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