Interesting Insurance Benefits

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So I found out today about some new benefits for my United Health Care insurance benefits.  I don't live in the middle of nowhere, but we don't have any wig or post MX supply stores.  I found out my insurance will cover the supplies at the "in network" discount despited it not being in network.  I have to ask for a "GAP" exception and there has to be no network places within 30 miles.   So the prothesis is $350, so out of network my OOP is 175, in network its $70!!  Huge difference for budgets.  

I also found out that I didn't like the local stores selection so I was able to find an online store that had a great selection but also a storefront and they are letting me have the gap exemption for the online store also!  It works for Wigs, Bras Prothesis, LE supplies... I hope this helps someone.  I didn't ask but the store called and the insurance company told the store.  PLEASE ask if you have a location exemption!  Hugs and all the best. 

Comments

  • peggy_j
    peggy_j Member Posts: 1,700
    edited December 2011

    I found out my insurance will cover the supplies at the "in network" discount despited it not being in network. 

    That's terrific news. Congrats. I've never heard of an insurance company being so generous like that.  Smart idea to ask the store to call the insurance.

    On a tangent, our insurance paid for my lymphdema sleeve and gauntlet and I didn't need any special support from my doctors--just subbed the claim and they paid 100%.

  • mags20487
    mags20487 Member Posts: 1,591
    edited December 2011

    I wonder if this will help me in my situation...thanks for posting

    MAGGIE

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