I've been trying to get my diapers covered through my Tricare Prime insurance for three months. I first told my military hospital doctor, then had to explain everything to their case manager. A month later I had to talk to my insurance rep, insurance manager, and appeals rep. Another month and I was telling an appeals manager, 2nd level appeals rep, and finally 2nd level appeals manager. The last few were because my disposable diapers were submitted under the code used for disposable underpads. They are not the same thing, stop calling diapers pads people!
Anyways, we got that straightened out, and I had to start it over again back at my doctors office this morning. I then went right to the case manager and re-explained it all to her, and what and how it all needed to submitted in the right detail. She then also got their distributor involved so we can make sure I'll be able to get them faster. Of course this meant I also spent time talking to the distributor about it all, which included why I'm incontinent, and exactly what kind of diapers I need. (Confidry or Northshore).
It's looking like I'll be able to get them this time too. Though I still have to go through the waiting game again. Whew though! I've spent the last three months telling more people I need diapers than I have my whole life (internet excluded)!!!
Anyways, we got that straightened out, and I had to start it over again back at my doctors office this morning. I then went right to the case manager and re-explained it all to her, and what and how it all needed to submitted in the right detail. She then also got their distributor involved so we can make sure I'll be able to get them faster. Of course this meant I also spent time talking to the distributor about it all, which included why I'm incontinent, and exactly what kind of diapers I need. (Confidry or Northshore).
It's looking like I'll be able to get them this time too. Though I still have to go through the waiting game again. Whew though! I've spent the last three months telling more people I need diapers than I have my whole life (internet excluded)!!!