Medicare Issues
Trying to find out if anybody else has had issues with the Medicare prostheses reimbursement program.
I bought my second prostheses in July 2010, with plans to claim the cost back after the two year period from my first reimbursement had expired in Seotember. The Medicare information pamphlet from March 2010 stated that one can CLAIM once in a two year period, so I didn't think it would be an issue, as this is exactly what I had planned to do (also, the only reason for the early purchase was that the first prostheses had deteriorated). However my claim was rejected on the grounds that I PURCHASED the second prostheses within the two year period. I appealed this decision, based on the incorrect pamphlet wording, which was dismissed with a standard form letter expressing regret, etc.
I am currently on my second appeal; my greatest ally is that Medicare has changed the pamphlet, alterning the word "claim" to "purchase". In fact, the letter from Medicare rejecting my appeal states "in a review of program communication materials....information of timing....was amended to further clarify the program's policy." Great for future users of the program, usless for me.
Anyone else had the same problem?
