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