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Old 08-15-2009, 12:02 PM #1
allen L allen L is offline
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allen L allen L is offline
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Default Insurance question

I have a cruddy eye glass addition to my health insurance.
They allow minimum, and one pair of glasses that they approve each year.
And they only pay a bit towards them.

But having MG, my eyeglasses are being purchased due to the effects of the disease, not so much I have a vision problem, but a neuro disease that needs to be treated.
If I broke a leg, the insurance company pays for cast and crutches, and physical therapy, so why dont I have an argument for them to pay for something that is directly related to a disease and not the everyday eye problems?
am I off base here? Has anyone recouped money spent on many pairs of glasses and prisms set and redone in glasses?
what Im trying to get at, is if I god forbid couldnt walk, they would pay for a wheelchair, since its the direct effect of a muscle disease, so why shouldnt eyewear be considered the same type of medical expense?
Its not like I dont have expert documentation of the disease I have.
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Old 08-15-2009, 12:24 PM #2
Pat 110 Pat 110 is offline
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Hi Allen,

No, I haven't, but you make a valid point. Have you tried running that by your insurance company? Good luck! Take care.

Hugs,
Pat
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Old 08-15-2009, 12:30 PM #3
Joanmarie63 Joanmarie63 is offline
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Very , very good point and I would use that argument with your ins. carrier and if you can't get it done there go to your state ins. commission, you would be surprised at what that could do.
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Old 08-15-2009, 12:58 PM #4
allen L allen L is offline
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they are a tough bunch those insurance medical claims dept people.
my wife is going to get a detailed bill from the eye doctor this coming week for me, and if I need too, Ill supply the same report the neuro sent to my regular physician and eye doctor with the test results and diagnosis.
I know its an uphill battle, but its my money, and these insurance have no clue how expensive it is to be sick. I have to convince them Id rather be healthy.
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Old 08-15-2009, 04:16 PM #5
Pat 110 Pat 110 is offline
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Go for it, what do you have to lose?!
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