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Michigan Cleft Network
Dedicated to enriching lives affected by cleft lip and palate and other facial differences.

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Updated 11/2/11


  

 

 

 

Tagged with "Appeals"
NEWS ALERT: Michigan Insurance Mandates
Category: Headlines
Tags: Michigan Insurance Code of 1956 Act 218 Cosmetic Medically Necessary Appeals Denials Pre-Approvals HMO PPO Deductible Health Coverage

Michigan Insurance Code of 1956 has the potential to change several hundred-thousand lives in our state. YES - Our state has insurance mandates for congenital anomalies!

Deb phoned me after lunch and I've been doing the Happy Dance since; awaiting the official announcement so I could share with all of you. If there's documentation or a way of getting our families what our children deserve, Debbie Oliver of AmeriFace will find it! She's been a personal mentor and good friend of mine for years but today's news brought tears to my eyes.
I was excited as she read aloud to me litigation reports, case studies and appeal decisions. I thought "Could it really be true?"  I waited an hour for the sweet call...that she confirmed its legitimacy with the State Of Michigan!
Deb has once again proved that she personally has our 'backs' and that the Pathfinder Outreach Program works. MiCleft is proud to be Michigan's ONLY tax-exempt craniofacial support network, and Michigan's ONLY approved Pathfinder Partner Organization!

Feel free to contact me for further details because I'm excited to spread the word and make change for the better!

Teresa M. Croughen, R.N.
MiCleft President & Founder
Direct Phone: 313.590.6000


Insurance Code of 1956 - Act 218
 
 

NOTE:  Regarding all references to the term "disability insurance policy" in these sections, refer additionally to  Section 500.3400.  These sections DO refer to individual and group health care plans.  The definitions are also confirmed by the Office of Financial and Insurance Regulation (OFIR).

This valuable information is also available at our Resources Page.
Cited permission: cleftAdvocate.org & AmeriFace.org

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David Furman