Big powerchair insurance issues

FIX MY POWERCHAIR

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.

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