Big powerchair insurance issues
We are having big
issues with the insurance company and my
powerchair. As you all know I need to get a new
moulded back made because my spine has changed
and the current one that is on the powerchair is
for my spine as of six months ago and it has
changed drastically since then. We got the
powerchair when we had Blue Cross Blue Shield of
Illinois, a great insurance company, the
powerchair had a few small stupid claim errors
that we are in the midst of fixing like “what are
the batteries for and why does he need them?” and
“What is the headrest for and why does he need
it?” along with “What are the Transport Brackets
for and why does he need them” were some of the
questions the insurance company asked, I laughed
my ass off at the stupidity of them but we
explained the justification and need for the
components. They said that it is very likely it
will get paid for.
But now we have a big problem, we now have Aetna
insurance, this Aetna thing has been a real pain
in the butt, we had to switch from our good old
company Quality Healthcare Equipment for my
G-Tube feeding supplies because they are not “In
Network” with Aetna. Quality Healthcare Equipment
was the ones who got me the powerchair, they are
the ones who know how it was configured and how
it needs to be configured. They referred us to
Apria but their office for rehab technology is in
Burr RIdge, IL which is way too far for us to
travel. I contacted Aetna, and tried calling
several other medical suppliers. None of which do
custom powerchairs. Quality Healthcare Equipment
is the only one that can serve me and is close
enough for us, they are only about five minutes
away. We are currently using Walgreens HomeCare -
Optioncare for my G-Tube supplies, but they do
not do custom wheelchairs, and we are currently
using Apria for the hospital bed and its related
things, but their custom powerchair office is all
the way in Burr RIdge! So we will need to file a
“Network Deficiency Claim” with Aetna so that
they can take an “Out Of Network” provider,
namely Quality Healthcare Equipment and consider
them “In Network” I will keep all of you updated
on this situation.



