Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

Please respond!

Posted by Patsy D on 5/04/01 at 13:54 (046615)

Last March (2000), I started going to a foot doctor. He did x-rays and confirmed that I did have a heel spur and that was what was causing my bad heel pain. We did the shoe inserts, taping of my foot, cort. shot (which hurt terribly), Anaprox for imflammation, and the night splint. Nothing took care of my problem, so I had the surgery (tendon release) in Sept. 2000. It's now May 1, 2001 and the heel doesn't hurt, but the arch area hurts terribly when I walk - all the time, constantly. My doc wasn't offering any new suggestions or help, so I went to another doc last week and he sent me to Physical Therapy and they both agreed that I had scar tissue and an extremely tight 'band', which they needed to loosen up.
Is this common?

Re: Please respond!

Dr. Zuckerman on 5/04/01 at 14:48 (046619)

Hi,

This isn't common but can happen . Sometimes you can have both a plantar fasciitis and a posterior tibial tendonitis. The pf hurts so bad that you don't realize that you have the posterior tibial tendonitis. Good stiff shank shoes and maybe an orthosis with physical therapy can help you.

Re: Please respond!

Patsy D on 5/04/01 at 15:16 (046623)

I have 2 insurances and neither will pay for the Orthodics, and I can't afford them. Is there anything else to suggest?

Re: Please respond!

Richard, C.Ped on 5/04/01 at 15:32 (046626)

Which insurance companies do you have? Sometimes, it is all in the wording.

Re: Please respond!

Patsy D on 5/04/01 at 15:45 (046628)

Both policies are Blue Cross/Blue Preferred

Re: Please respond!

Richard, C.Ped on 5/05/01 at 07:33 (046673)

Wow,
I am a provider for BC/BS. I can't believe they will not pay. Are they asking you to get a referral from your primary physician to go to the podiatrist, or whoever will make the orthosis?
Richard

Re: Please respond!

Patsy D on 5/07/01 at 10:19 (046888)

How is the Orthotics usually worded, when it's turned in?

Re: Please respond!

Richard, C.Ped on 5/07/01 at 16:20 (046943)

It basically depends on the plan you have. Did you ask the insurance company if they were covered, or did the provider call? It also depends on who wrote the script. My wife has a BC/BS HMO Blue policy. With this coverage, we have to get our primary doc to refer us to whatever specialist we need and they have to be a HMO provider as well. Then they can fill the script.

I run into this all the time with orthotic customers. I like to work for the customer though. I will do the leg work by getting in touch with their doc and inform them of the payment problem.

Is the insurance company stating that they do not cover it for your diagnosis? I am just curious. I deal with out of state customers all the time who have BC/BS. I have never had a problem.

I will be happy to call them if you would like me to.

Richard

Re: Please respond!

Patsy D on 5/08/01 at 11:14 (047040)

The doctors office called and the lady here a work called, also, and they said they did NOT cover them - they would if I was a diabetic.
I went back to the doc yesterday and he said I really needed them. I just can't afford them, but I'm sick of my foot hurting.
Would you be able to find out how to file, so they'll pay?

Re: Please respond!

Richard, C.Ped on 5/08/01 at hrmin (047049)

I was under the impression that BC/BS covered them no matter where you lived. Is your doc in the BC/BS network?

I am just very curious. If you don't mind, could you email me the ID number on the card along with your diagnosis and birthdate? I guess I am stubborn. I have to hear it for myself. If you don't feel comfortable doing that, I will understand.

Re: Please respond!

Patsy on 5/08/01 at 13:07 (047053)

What's your email address?

Re: Please respond!

Richard, C.Ped on 5/08/01 at 15:29 (047066)

metatarsalgia@hotmail.com

-sorry
Ricahrd

Re: Please respond!

Richard, C.Ped on 5/08/01 at 15:31 (047067)

I forgot to ask for the toll free phone number of Blue Cross. What state do you live in?
Richard

Re: Please respond!

Dr. Zuckerman on 5/04/01 at 14:48 (046619)

Hi,

This isn't common but can happen . Sometimes you can have both a plantar fasciitis and a posterior tibial tendonitis. The pf hurts so bad that you don't realize that you have the posterior tibial tendonitis. Good stiff shank shoes and maybe an orthosis with physical therapy can help you.

Re: Please respond!

Patsy D on 5/04/01 at 15:16 (046623)

I have 2 insurances and neither will pay for the Orthodics, and I can't afford them. Is there anything else to suggest?

Re: Please respond!

Richard, C.Ped on 5/04/01 at 15:32 (046626)

Which insurance companies do you have? Sometimes, it is all in the wording.

Re: Please respond!

Patsy D on 5/04/01 at 15:45 (046628)

Both policies are Blue Cross/Blue Preferred

Re: Please respond!

Richard, C.Ped on 5/05/01 at 07:33 (046673)

Wow,
I am a provider for BC/BS. I can't believe they will not pay. Are they asking you to get a referral from your primary physician to go to the podiatrist, or whoever will make the orthosis?
Richard

Re: Please respond!

Patsy D on 5/07/01 at 10:19 (046888)

How is the Orthotics usually worded, when it's turned in?

Re: Please respond!

Richard, C.Ped on 5/07/01 at 16:20 (046943)

It basically depends on the plan you have. Did you ask the insurance company if they were covered, or did the provider call? It also depends on who wrote the script. My wife has a BC/BS HMO Blue policy. With this coverage, we have to get our primary doc to refer us to whatever specialist we need and they have to be a HMO provider as well. Then they can fill the script.

I run into this all the time with orthotic customers. I like to work for the customer though. I will do the leg work by getting in touch with their doc and inform them of the payment problem.

Is the insurance company stating that they do not cover it for your diagnosis? I am just curious. I deal with out of state customers all the time who have BC/BS. I have never had a problem.

I will be happy to call them if you would like me to.

Richard

Re: Please respond!

Patsy D on 5/08/01 at 11:14 (047040)

The doctors office called and the lady here a work called, also, and they said they did NOT cover them - they would if I was a diabetic.
I went back to the doc yesterday and he said I really needed them. I just can't afford them, but I'm sick of my foot hurting.
Would you be able to find out how to file, so they'll pay?

Re: Please respond!

Richard, C.Ped on 5/08/01 at hrmin (047049)

I was under the impression that BC/BS covered them no matter where you lived. Is your doc in the BC/BS network?

I am just very curious. If you don't mind, could you email me the ID number on the card along with your diagnosis and birthdate? I guess I am stubborn. I have to hear it for myself. If you don't feel comfortable doing that, I will understand.

Re: Please respond!

Patsy on 5/08/01 at 13:07 (047053)

What's your email address?

Re: Please respond!

Richard, C.Ped on 5/08/01 at 15:29 (047066)

metatarsalgia@hotmail.com

-sorry
Ricahrd

Re: Please respond!

Richard, C.Ped on 5/08/01 at 15:31 (047067)

I forgot to ask for the toll free phone number of Blue Cross. What state do you live in?
Richard