Question:May 26, 2009
Does anyone have experience getting their benefits provider to pay for something they normally wouldn’t pay for?
Our provider normally covers $300 every 2 years per person for glasses. But with Penny being almost 5 months old, and her prescription is expected to change 2 or 3 times a year… that’s a whole lotta moola out of our pocket. I was reading for Americans (I’m Canadian, remember), that if the glasses are considered prosthetic instead of cosmetic, you can argue for your benefits provider to cover them as a medical necessity. But… aren’t every pair of glasses with a prescription considered a medical necessity?
Argh! I don’t expect them to pay every cent of every pair of Penny’s glasses. But when 1 pair costs $300 and we are theoretically looking at 4-6 pairs in her first 2 years (assuming she doesn’t break any, which I’m sure she will)… anything over that $300 would be nice. But I don’t know how to go about arguing that with them.
Anyone with experience on this? Or any input on the matter?