Guest guest Posted June 21, 2000 Report Share Posted June 21, 2000 and , we also have Aetna (PPO) and have yet to hear whether or not they will cover the helmets for our sons (it has been over a month since they got their helmets). I will make sure to keep you both posted since it seems we are fighting the same enemy. (; >>> <fozzie@...> 06/20/00 07:26PM >>> Hi , I have Aetna U.S. Health Care also with the PPO option. I just received a notice that they are requesting more info from the clinic regarding treatment. I will let you know how it goes, > > Some information I found out today. We have United Healthcare EPO. > Last Nov when we got the referral from our ped for the craniofacial > specialist, we were warned that United Healthcare historically did > not, would not, had not, paid for the DOC band. We decided that no > matter what, our son needed the band, so we went on the payment plan > with Cranial Tech and got the process started in February (in Nov the > first avail for craniofacial specialist was Jan 25th - uggh, so > didn't see Cranial Tech til first week of Feb - hated waiting and > losing time). We hoped and prayed maybe, maybe they'd pay, but if > not, we'd figure out some way to make it happen on our side. Well, > along came April, and an appeal later, we got a wonderful letter in > the mail saying that United Healthcare would pay all but the $200 > copay! How's that for an answer to prayer? > At his exit appt today with the craniofacial specialist, we > discussed the insurance paying, and she said that starting in April > 2000, United Healthcare switched their position on the bands, and > started paying. > Hopefully this will be good news to somebody! > p.s. > 's head reshaped beautifully - we are extremely pleased - it > takes a careful study to see a couple areas that didn't get all the > way reshaped before he outgrew the band. > p.p.s. > As part of the appeal process, we got my husband's company's human > resource dept involved - turned out they had two other families going > thru same process - there was strength in numbers I believe, and > strength in coming from the HR insurance dept. Can't hurt to get > anyone involved that will plead your case for you. > > > -------------------------------------------------------------------- -------- > > -------------------------------------------------------------------- -------- > Quote Link to comment Share on other sites More sharing options...
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