Re: Jenna and Bluecross Blueshield/Debbie

[Guest guest]

The specialis put in his letter of medical necessity that Jenna was

born with plagio. he called it positional though. In my letter I

did a whole section of why it should be covered under newborn care

for abdnormalities or birth defect. The exclusion states, " for

cranial (head) remodeling band for the treatment of positional non-

synostoic plagiocephaly. " -

My husband just wants me to forget about it and go on. He doesn't

want me stressing over it. It makes me so angry with insurance

companies. As many of you know it is hard to find the time and

energy to fight the insurance. I have 3 very active kids and I think

my husband thinks I will become consumed in another appeal. I have

mixed feelings. I want to keep fighting if not for Jenna but for

other babies. On the other hand I want to go on and not stress over

the insurance. We really need the money but we can survive without

it but if for some reason they suggested a second band we would be

out of luck. I don't see that happening because they are saying she

should be done in January.

I better quit rambling.

Angie and Jenna

-- In Plagiocephaly , " debbieandabby <dj2kirby@c...> "

<dj2kirby@c...> wrote:

>

> > Hey Deb,

> > You are right, Mya was dx'd with congenital plagiocephaly. You're

not

> > such a dork after all! lol

> >

>

> LOL !! Ok, so I'm not a COMPLETE dork (partial, yes)!! I

thought

> I had heard that before....thanks

> Debbie