Martin and kafo's.

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snangel's picture
Joined: 10/27/06
Posts: 6
Martin and kafo's.

First of all sorry I have been mia for so long, I have been lurking off and on.....just quiet is all.

OK guys...I need some help....Martin is getting bilateral kafo's (knee ankle foot orthodics) basically leg braces from his thigh to his foot. This is all fine and dandy, minus me being a moron and leaving it this long thinking his legs would fix themselves....anyhow....We are going to see if cops for kids will pay for them as we are looking at around 7000 for the braces. Where else could we look for funding? Any ideas? We are in BC Canada.

ClairesMommy's picture
Joined: 08/15/06
Posts: 2299

Seems to me like they're covered by BC Health, as long as you have pre-approval:
http://www.health.gov.bc.ca/pharmacare/medsup.html#prost

snangel's picture
Joined: 10/27/06
Posts: 6

They are saying that they aren't. We have the approval and rx from his ortho team at bc childrens....I'll look into this....

ClairesMommy's picture
Joined: 08/15/06
Posts: 2299

What is their explanation for non-coverage? I sometimes hate prov. health care. When I had bunion surgery a few years back AHC decided "no, we're not gonna pay" when there was clearly no reason for them to say that. I must've made a couple dozen calls within a week or so and they finally paid with a "Oh, you screwed up the forms, so don't blame us", and that was a total crock of $hit. Does the hospital have any kind of patient advocacy office? Maybe they could help.

CamelNoodle's picture
Joined: 07/28/04
Posts: 908

Shriners?

wishing4agirl's picture
Joined: 09/11/03
Posts: 917

I don't live in Canada so I'm no help since I don't know the system. Just wanted to off support and :bigarmhug: Don't feel bad though I did the same thing with Eli and everyone wondered why he wasn't in speech or anything last year. I just thought he would outgrow things and they would fix themselves. I was apparently in denial. :bigarmhug:

mujul79's picture
Joined: 01/22/05
Posts: 1843

Heath has some and our insurance would not pay. We where able to get medicade to cover them because he is special needs. If you have a special needs child there is a type of medicade that will cover the copays and anything else that your first privet insurance won't. AFO's and hearing aids have been the 2 big helps.

Joined: 03/16/15
Posts: 53852

Contact Shriners. I know Diane has brought Mikey down to the States and to Shriners a few times.
I know some people who took their granddaughter to Shriners because her parents left her club feet not completly fixed. And they did great work.

snangel's picture
Joined: 10/27/06
Posts: 6

"Claire'sMommy" wrote:

What is their explanation for non-coverage? I sometimes hate prov. health care. When I had bunion surgery a few years back AHC decided "no, we're not gonna pay" when there was clearly no reason for them to say that. I must've made a couple dozen calls within a week or so and they finally paid with a "Oh, you screwed up the forms, so don't blame us", and that was a total crock of $hit. Does the hospital have any kind of patient advocacy office? Maybe they could help.

they won't cover it, only if you are on fed assistance, which i am not. i work therefor i get screwed.
anyhow cops for kids are going to cover them!
i hate health care some days......

mujul79's picture
Joined: 01/22/05
Posts: 1843

"snangel" wrote:

they won't cover it, only if you are on fed assistance, which i am not. i work therefor i get screwed.
anyhow cops for kids are going to cover them!
i hate health care some days......

I hate to admit it but this is why I don't work and I am on the fence about getting remarried :eek:. As soon as I do we will no longer get food stamps or medical care. Now I don't like messing with the system and if I was married and had more income then yea I would not miss the food stamps anyway but OMG just the co-pays after my x's insurance (he is still the primary insurnce holder for them) was $200 last month. Thats no testing, no dr vists and non of the other services. It would easy for me to say Heath gets $500 of co-pays after our privet insurance without testing each month, thats just his regular care! I don't know what we would do without the fed's help in paying that co-pay bills. I don't feel it is ok to ask Bill to not only take on regular bills of adding me and my 3 kids to his house hold food bill but then Heath's medical needs. So we stay unmarried and I stay on the system.

wishing4agirl's picture
Joined: 09/11/03
Posts: 917

"mujul79" wrote:

I hate to admit it but this is why I don't work and I am on the fence about getting remarried :eek:. As soon as I do we will no longer get food stamps or medical care. Now I don't like messing with the system and if I was married and had more income then yea I would not miss the food stamps anyway but OMG just the co-pays after my x's insurance (he is still the primary insurnce holder for them) was $200 last month. Thats no testing, no dr vists and non of the other services. It would easy for me to say Heath gets $500 of co-pays after our privet insurance without testing each month, thats just his regular care! I don't know what we would do without the fed's help in paying that co-pay bills. I don't feel it is ok to ask Bill to not only take on regular bills of adding me and my 3 kids to his house hold food bill but then Heath's medical needs. So we stay unmarried and I stay on the system.

Don't feel bad. We have private and state as well and I cringe at the thought of us loosing it ever. It would be one thing for my other kids, but with Eli we would never make it. If I worked I'd spend so much time NOT working that I'd end up paying them to let me work. Seriously in a 2 year period of time I would have only worked 2-3 months total out of 24 months.

mujul79's picture
Joined: 01/22/05
Posts: 1843

"wishing4agirl" wrote:

Don't feel bad. We have private and state as well and I cringe at the thought of us loosing it ever. It would be one thing for my other kids, but with Eli we would never make it. If I worked I'd spend so much time NOT working that I'd end up paying them to let me work. Seriously in a 2 year period of time I would have only worked 2-3 months total out of 24 months.

Thats the part that pissed me off. My x's lawyer said in court that I could work and so his CS should go down. I had to prove while yes I had the skills to work I was unable to because I was forced to quit after taking so much time off taking his son to dr visits and such. Still my "potental" was factored in when comming to a CS amount. :mad: