I have a DME benefit with my insurance and I called them. All they want is a preauthorization so they can pay the amount they are able to and I have a letter ready if Wonderfold can give the 25% off
The biggest headache I have regarding this is how you can have two children (siblings) on the same insurance and they can't make an exception to the black and white box of "processing only one child." Each child needs it but for different purposes. They are always together and need to be in ONE stroller together cause you know, we aren't built with 5 arms! Why would we need two different strollers, to be used per kid when both kids can and need to be in ONE. The protocol and standard process makes sense but not everybody fits in that box. There should be an exception to it in uncommon cases instead of having to play a WORD and PROTOCOL GAME! Thank you for this video. You are teaching how to go about their game and still get what children need.
I contacted this company and unfortunately they are out of network with our insurance and we do not have out of network coverage, but I was able to send this video with tons of helpful info to the DME that bills for my son’s incontinence supplies- hopefully they are able to give it a try!
It seems I only ever hear of people getting these through insurance if their child is autistic. However, my daughter has two rare syndromes that effect most of her body/organs. In addition, she also has a brain injury from brain hemorrhaging as an infant, which resulted in hydrocephalus. She elopes all the time, gets tired easily, and gets headaches frequently. Having her contained but able to move around, and a place for her to lie flat to rest/sleep would be game changing! Do you think Medicaid would approve it, even if she isn't autistic? Has anyone been able to get the w4 instead of the w2? I have other, older children that sometimes use a stroller...so it would be hard to push around the w2 and a stroller. A w4 would be a lot easier.
To answer your question, you absolutely can get the W4 instead of the W2, that's what we did! I believe that medicaid typically will not cover it unless the medicaid is in the same state as the DME provider. And also there have been many kiddos who have been approved for the wagon who are not autistic. You can join the Wonderfold Warriors facebook group to chat with thousands of other special needs families who use the wagon (not just autistic): facebook.com/groups/491390325597082
Hello! Unfortunately, no, you would need to have two separate prescriptions and wagons. We have two children that need it, so we just filled one prescription for one child, don't mention that the other child will be using it, after the prescription is filled you can use it for both children and just have your doctor write up a note that it's for both children. You can keep that note in your wagon at all times in case anyone ever stops to question you at theme parks etc.
@@autismwish Unfortunately BoB won't work with our insurance and we can't find another pediatric dme company. Any chance you know of another one? We've called so many places and nobody can get the wagon.
The DME provider is Baby's on Broadway, however you don't need to contact them directly. You would work with Baby's on Broadway first and they would contact insurance for you and they'd let you know if you need to reach out. Www.babysonbroadway.com
Did you contact Wonderfold or Baby's on Broadway? Wonderfold only offers a special needs discount. You would have to go through a DME like Baby's on Broadway to see if your insurance can cover the wagon. Not all insurances will cover it but many will.
Hi! We would recommend you contact the DME directly at babysonbroadway.com/. They should have a phone number listed and someone who can answer your insurance questions!
I have a DME benefit with my insurance and I called them. All they want is a preauthorization so they can pay the amount they are able to and I have a letter ready if Wonderfold can give the 25% off
The biggest headache I have regarding this is how you can have two children (siblings) on the same insurance and they can't make an exception to the black and white box of "processing only one child." Each child needs it but for different purposes. They are always together and need to be in ONE stroller together cause you know, we aren't built with 5 arms! Why would we need two different strollers, to be used per kid when both kids can and need to be in ONE. The protocol and standard process makes sense but not everybody fits in that box. There should be an exception to it in uncommon cases instead of having to play a WORD and PROTOCOL GAME! Thank you for this video. You are teaching how to go about their game and still get what children need.
We get it! Insurance processes certainly need to be re-evaluated, thanks for sharing your thoughts!
I contacted this company and unfortunately they are out of network with our insurance and we do not have out of network coverage, but I was able to send this video with tons of helpful info to the DME that bills for my son’s incontinence supplies- hopefully they are able to give it a try!
Best of luck!
I also contacted them and they are also not contracted with my insurance. What state are you in?
@@amandaisaac6556 I am in Florida
I have tried them with tricare, and Medicaid. No luck with either
@@amandaisaac6556 tried with cigna same thing
Mine was out of network. 😢
But thanks for doing this!
So sorry, you can use FSA funds or HSA along with the BOB 20% discount and tax free to get it at a more reasonable cost from the DME in this video.
It seems I only ever hear of people getting these through insurance if their child is autistic. However, my daughter has two rare syndromes that effect most of her body/organs. In addition, she also has a brain injury from brain hemorrhaging as an infant, which resulted in hydrocephalus.
She elopes all the time, gets tired easily, and gets headaches frequently. Having her contained but able to move around, and a place for her to lie flat to rest/sleep would be game changing!
Do you think Medicaid would approve it, even if she isn't autistic? Has anyone been able to get the w4 instead of the w2? I have other, older children that sometimes use a stroller...so it would be hard to push around the w2 and a stroller. A w4 would be a lot easier.
To answer your question, you absolutely can get the W4 instead of the W2, that's what we did! I believe that medicaid typically will not cover it unless the medicaid is in the same state as the DME provider. And also there have been many kiddos who have been approved for the wagon who are not autistic. You can join the Wonderfold Warriors facebook group to chat with thousands of other special needs families who use the wagon (not just autistic): facebook.com/groups/491390325597082
If you have 2 kids that need it, is it ok to put both on the prescription?
Hello! Unfortunately, no, you would need to have two separate prescriptions and wagons. We have two children that need it, so we just filled one prescription for one child, don't mention that the other child will be using it, after the prescription is filled you can use it for both children and just have your doctor write up a note that it's for both children. You can keep that note in your wagon at all times in case anyone ever stops to question you at theme parks etc.
@@autismwishwhere do I apply for one?
@@deeaniesantana9215 babysonbroadway.com/pediatric-ambulatory-devices/
@@autismwish Unfortunately BoB won't work with our insurance and we can't find another pediatric dme company. Any chance you know of another one? We've called so many places and nobody can get the wagon.
Hi I am trying to get a wagon for my son. I am having a hard time
Check out this page, there's a pinned post for insurance related questions for the wagon: facebook.com/groups/491390325597082/?ref=share
What is the name of the company that I need to ask my insurance about?
The DME provider is Baby's on Broadway, however you don't need to contact them directly. You would work with Baby's on Broadway first and they would contact insurance for you and they'd let you know if you need to reach out. Www.babysonbroadway.com
We live in South Carolina and my son has Down syndrome. I need this.
Check out the details in the video description on how to apply for yours!
Where is the form that we should fill out?
It's on the DMEs website, Baby's On Broadway: www.powr.io/form-builder/i/27332775#page
I contacted them and they stated discount code is only being offered not a free insurance covered one
Did you contact Wonderfold or Baby's on Broadway? Wonderfold only offers a special needs discount. You would have to go through a DME like Baby's on Broadway to see if your insurance can cover the wagon. Not all insurances will cover it but many will.
@@autismwish i will def try baby on board way next. Thank you so much for this info!
They said I was denied however my insurance said they never even called. HORRIBLE!!!!
What insurances do accept this???
Hi! We would recommend you contact the DME directly at babysonbroadway.com/. They should have a phone number listed and someone who can answer your insurance questions!
My insurance was out of network and didn’t wanna help at all it is ridiculous
So sorry to hear that! Baby's on Broadway does offer a special needs discount and free shipping for those whose insurance doesn't cover it!
My son’s insurance is making it difficult they don’t want to help
It can be a difficult process for some, took us 6 months of back and forth with our insurance unfortunately