Re: 2nd appeal need advice

[Guest guest]

awww..just wanted to pipe in here...another tucker..i have a 15 month old named tucker and their is a second lady with a son with the same name *hope this aint you!! i'd look really silly*how old is your tucker...where are you from..all that good stuff...

brenda

mom of tucker (docband)

banded8/23/01

graduated 3/6/02

wisconsin

2nd appeal need advice

Hello,my wife and i went to our second appeal hearing today with the hope that with a face to face meeting it would be easier to convince "coventry" our ins.co.that tuckers doc band should be covered under our policy.We soon learned that the bottom line was that in their opinion tuckers head was not considered to be "abnormal" and that there were no studies to show he would have any functional impearments do to his positional plagiocephaly.im am looking for anything that would define "normal" and explain why his head is not considered normal.Or a study that could show his likelyhood of having a functional impearment -eye,jaw,ear problems.the most recent study i have found is from begining of 2000.also do u no what 12 states have past legislature mandating ins. co. pay for treatment.I read that somewhere.thx for your help.For more plagio info

[Guest guest]

I'm sorry to hear that the face to face did not convince your insurance co.

The face to face that I had with my insurance co did not work either. I

finally had to send my case to an External Review Board and that is when my

claim finally got paid!

I would suggest going to the group plagio homepage and check out the

bookmarks. There you will find lots of links to articles that suggest the

possibility of medical conditions that could arise from untreated plagio. I

included these articles and referenced them in my appeal letters.

Good luck - I know how frustrating these insurance appeals can be!

Marci (Mom to )

Oklahoma

[Guest guest]

Trudi,

Welcome to the group!!! I have a Nick (!) too! Sounds like your

Tucker is really growing!! That's great- the fact that he's in a second band

means he's already done great with the first, and time for a new hat Good

luck, keep us posted!

' Mom (tort resolved, DOC grad)