A nine month old little girl in New York was scheduled for her cochlear implant surgery, but was later denied coverage by Anthem Blue Cross Blue Shield because she was under one year old. Their doctor submitted a letter explaining the need, and they tried to get help from the Let Them Hear Foundation, but nothing had worked. The family had their final appeal with the insurance company later that day and a family friend posted a plea for help on CI Circle:
We saw her cry for help and emailed her, explaining that Drew had successful bilateral cochlear implant surgery at just under nine months while covered by Anthem. We sent to her a copy of Drew's approval of coverage letter and "Explanation of Benefits" from Anthem in the hopes that it would help the little girl in New York. We later got this response:
I've heard there are studies supporting implantation under 12 months. Does anyone happen to know those studies offhand. I was hoping to put a few things together for them to take with them to their appeal this afternoon.
I'm happy to report that my husband's co-worker and his wife won their appeal with Anthem, so their daughter will be able to have her surgery as planned on Friday. Thanks for all your help and advice.It feels great that Drew was able to help that girl, even though we don't know her or her family. If you or someone you know is denied insurance coverage for cochlear implants, don't give up! Please let us know if we (and Drew) can help you.
...I think Drew's EOB really made the difference. Thank you!