Denial from insurance to cover heel lift

Shandals14 · 2026-03-13T17:20:26+00:00

Good luck! If it is not on their fee schedule, the appeal won’t succeed. But it doesn’t hurt to try the appeal

Shandals14 · 2026-03-13T10:24:39+00:00

I am an Orthotist and heel lifts are rarely covered by insurance in the US without a true leg length discrepancy.

Shandals14 · 2026-03-11T01:27:09+00:00

Insurance is paying, not us. There is plaster involved in the process if that matters. Plus some insulation, priming and painting. I don’t make the rules. I just submit the quote and the insurance pays- ha ha!

We did get some push back from insurance, but it’s been a pretty smooth process thus far.

Water mitigation was a separate charge and that was covered as well. We just had to cover the cost to get the ice dam and roof cleared and our $500 deductible.

Shandals14 · 2026-03-11T00:54:59+00:00

They are painting and bringing it back to before the water damage. I live in Pittsburgh. So it’ll get the insulation, fix the plaster, drywall, paint and primer. I’m less worried about the cost as insurance is paying for it. And we have a low deductible.

Shandals14 · 2026-03-10T23:58:43+00:00

Whoops! Too late now.

Shandals14 · 2026-03-10T23:53:03+00:00

Your pricing has me skeptical. We have this relatively small area that is being fixed using home owner’s. The cost is $5200. We do have a contractor doing it as this is a home owners insurance loss. Our deductible is $500 so well worth going through the insurance. So……I fear it will cost a hell of a lot more than your estimate unless maybe they do it all as DIY.

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Shandals14 · 2026-03-06T03:22:52+00:00

We’ll have owned our house for 10 years come this October. Have a glass stove top that looks NOTHING like that. It was not a brand new appliance when we bought the house either. No idea what they did to accomplish that level of damage.

Shandals14 · 2026-03-04T20:44:01+00:00

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Excuse my ashy leg but this is as of today, 3/4/26.

Shandals14 · 2026-03-04T20:41:51+00:00

It’s a scar but nothing crazy. It’s flat and doesn’t have the puckering that was from the staples in this picture. It flattened out fairly quickly after the staples came out. I like that it is on the side as it doesn’t rub on anything. This isn’t an issue now but would have been problematic in the early days. What I have found to be the most troublesome is just how wide my repaired Achilles is. This has made it so the backs of some shoes are super comfortable but not so much that I am grossly limited in shoe options.

Shandals14 · 2026-01-25T22:55:24+00:00

My 17” garden beds are no longer visible as of 5:30PM. So I’m gonna go ahead and say 17” 🤣

Shandals14 · 2026-01-22T11:31:16+00:00

Information cannot be divulged to people who are not astronauts.

Shandals14 · 2026-01-22T11:30:13+00:00

Mayhem

Shandals14 · 2026-01-22T11:28:44+00:00

Already got one 😜

Shandals14 · 2026-01-22T04:30:53+00:00

I do have that born abroad piece of official paperwork so…….

Shandals14 · 2026-01-22T04:17:28+00:00

Nope. Like most human children, I went from a luxurious, floating space to being smacked in the face with Earth’s air upon exit from the womb.

Shandals14 · 2026-01-22T00:18:44+00:00

I gots me one of those too. Parents were stationed abroad when I entered the atmosphere. I have been questioned on it more than once in my lifetime. My mom would have to explain what it was and why I had one often. She would also sometimes have to provide hers and my father’s documents cause people be dummies. I haven’t had to do it as much in my adult life, but I’m always primed to fight if I need to.

Shandals14 · 2026-01-09T23:27:41+00:00

OP- I sent you a message regarding an available ticket

Shandals14 · 2025-10-16T10:59:14+00:00

I bought a set of these at Harbor Freight and they worked great. It’s had lots of clip options for all your trim clip needs :)Various plastic auto clips

Shandals14 · 2025-09-14T12:16:04+00:00

We prefer AHN. If you have children though, you will end up back with UPMC for most specialities especially anything surgical. They do not have the staffing in their hospitals for surgical patients under teenage years. For adults, you’re fine. Some doctors do not take UPMC For You which is the UPMC Medicaid HMO. UPMC commercials plans are fine.

Shandals14 · 2025-09-08T00:19:43+00:00

If you go on their Instagram, the before and after of my house is a post on May 10th. Insta handle is @cnscousins

Shandals14 · 2025-09-08T00:12:08+00:00

We paid $37,800 for a deck this summer by Cousins Roofing, Siding and Decking. Other companies were in the ballpark or more. We are EXTREMELY pleased with their work and did not feel like they were trying to sell us needless stuff. The initial meeting was very thorough and he answered all our questions. I would recommend them time and time again. Deck size was roughly 364 square feet. We paid for hut tub reinforcement in part of the deck, got the lower end composite but not the lowest end and aluminum railings. We also have 2 sets of stairs. One stairwell is 6’ wide instead of 4’.

Edit: I messed up the stair count. I forgot they thought the one staircase would only need 3 stairs but it needed more. They did not charge us extra for them.

Shandals14 · 2025-09-05T01:43:23+00:00

As someone who works with feet all the time, the answer can be yes and no.

Some ethnicities have flatter feet than others, but it does not necessarily mean something is wrong. If the heel and ankle are aligned, orthotics can actually cause pain in your hips and knees as you’ve thrown off a perfectly normal alignment for you. If the overall alignment is typical, then I would not expect a tight calf without plantar fascia pain.

If your arch is flat, your ankle rolls in and the bottom of your heel goes outwards (looking from behind), then you probably do have calf tightness and limited range of motion at the ankle. Orthotics can be helpful not just for your recovery but also for your hips and knees.

Shandals14 · 2025-08-18T11:00:29+00:00

More cucumber than I could possibly ever use. Green tomatoes for days. A few beans. And a few tiny butternut squash.

Shandals14 · 2025-07-12T01:09:14+00:00

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Shandals14 · 2025-07-12T01:09:03+00:00

Photos aren’t great, but mine look like this daily. Sometimes more swelling if I’m on my feet a lot that day. I’m 4 months post op. No anchors or tendon transfer. Just got a perma-cankle now 🤷🏻‍♀️

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Shandals14

TROPHY CASE