Insurance Companies and Lymphedema - Resources

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Websites with info on coverages with various insurance companies

Lymphedema People

http://www.lymphedemapeople.com

Please note - these are general guidelines - you will have to contact your individual plans for more specifics. You can also find information on appealing insurance company denials, how to get approval for lymphedema treatments.

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What's New With LE and Insurance - home page

http://www.zoeclaims.com

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LymphaCare Lymphedema Pumps and ReidSleeves - Insurance and Managed Care

http://www.lymphedemapumps.com/generic4.html

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Lymphedema Questionnaire - Search Data Base

http://www.sleepless.com/lymphedema/view.php

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Aetna - Compression Garmets

http://www.aetna.com/cpb/data/CPBA0482.html

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Aetna - Lymphedema Treatments

http://www.aetna.com/cpb/data/CPBA0069.html

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Blue Cross - Lymphedema Guidelines

http://www.mrdrugs.com/BCProv/bccompres ... elines.htm

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Blue Cross - Lymphadema Devices, Intermittent Pneumatic Devices, Compression Garmets

http://bcbsma.com/common/en_US/hresource/027.jsp

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Health Insurance.com

online resource for health insurance

http://www.thehealthinsurance.com/

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About Disability Insurance

http://www.metlife.com/Applications/Cor ... 94,00.html

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Medical Necessity Statement

Lymphedema garments and bandages

http://www.jovipak.com/insure.html

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Insurance Reimbursement Information

Circaid

http://www.lymphedema.biz/Insurance/InsReimPkg.pdf

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The Alliance of Claims Assistance Professionals

Offers assistance in getting insurers to pay for experimental treatments, as well as other reimbursement and billing problems

Toll-free 877-275-8765

http://www.claims.org

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Center for Patient Advocacy

Has an insurance-help hotline. CPA can serve as an alternative to litigation for patients who are denied coverage

800-846-7444

http://www.patientadvocacy.org

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National Insurance Consumer Helpline

A general information source for all types of insurance-related issues, including life and health insurance

800-942-4242

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Patient Advocacy Coalition

303-744-7667

The Coalition focuses on assisting people in the appeals process when an insurance company has denied coverage for medical treatments. They provide free advice and support on how to present a comprehensive and compelling case

http://www.patientadvocacy.net

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Patient Advocate Foundation (PAF)

800-532-5274

help@patientadvocate.org

This organization serves as an active liaison between the patient and their insurer, employer and/or creditors to resolve insurance, job discrimination and/or debt crisis matters relative to their diagnosis

http://www.patientadvocate.org

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Health Insurance Association of America (HIAA)

202-824-1600

A trade association that serves as the voice of health insurance. Publishes guides to various kinds of insurance (call or see the Web site):
"The Consumer’s Guide to Disability Insurance"
"The Consumer’s Guide to Health Insurance"
"The Consumer’s Guide to Long-Term Care Insurance"
"The Consumer’s Guide to Medicare Supplement Insurance"

http://www.hiaa.org

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A Consumer Guide to Getting and Keeping Health Insurance

Has information on individual and group plans specifically for each state

http://www.healthinsuranceinfo.net/

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COBRA (Consolidated Omnibus Budget Reconciliation Act)

Department of Labor

202-219-8776

COBRA requires that most employers sponsoring group health plans offer employees and their families the opportunity for a temporary extension of health coverage (called continuation coverage; usually at least 18 months) in certain instances where coverage under the employee’s plan would otherwise end. You must apply within 60 days of you or your spouse ending their job. You must pay the monthly premium for it, but by law it is your right to be covered by the health insurance policy you started with

http://www/dol.gov/dol/pwba/public/pubs/cobra99.pdf
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How to Get Insurance Coverage
by Nancy McGaan

Circle of Hope

http://www.lymphedemacircleofhope.org/insurance.htm