We are on quite the journey! I prepared myself that we would probably have to file an appeal with our health insurance to cover simultaneous bilateral cochlear implants. I did not, however, think that they wouldn't even cover one! I have a plan. I know what we need to do, and will do it. She will have her surgery on September 26th and they will cover both of them that day. I will fight, I will advocate.
What I don't understand is the justification for denying the coverage: Sensorinueral hearing loss is not a medical condition. As for the simultaneous bilateral portion, that is because they claim that the treatment is not consistent with published clinical evidence. Bilateral CIs are unproven.
Not a medical condition? I just don't understand!
1 day ago