Guest guest Posted March 20, 2004 Report Share Posted March 20, 2004 Hi Amy, I don't think I posted to welcome you to the group yet! I'm glad you are here, and I hope we can help w/Jaden's plagio. Regarding the insurance requiring proof of 2 months of repo prior to authorizing the band... the CAPPSkids website at http://www.cappskids.org/PlagioInsuranceHelp.htm has an excellent letter written by a mom who received a denial because no proof was given that she repo'd, you should definitely check it out. I would start collecting photos that you may have already taken which show Jaden's headshape not changing or worsening over the last month or two, maybe that would help when you submit your info. Also, I think the strong letter your Doctor would write in support of treatment is called a " Letter of Medical Necessity, " and can be critical in getting insurance approval. About the CranioCap from Gillette, we have a mom who's active on the board with CranioCap experience. Her name is Kim, and her son Jaxon is in the PHOTOS section, OUR PLAGIO KIDS folder, where there are lots of photos of Jaxon in his CranioCap if you are interested. Hopefully Kim will see that I added her name to the subject line of your post, or maybe you could email her at: kasaint_2@... She's very friendly and recently posted about starting a local support group in the MN area. If you haven't already been to the site, Gillette has info and facts on the CranioCap at the following links (if the link is two lines long, you'll need to copy and paste the entire link to your address bar to get directed correctly): http://www.gillettechildrens.org/default.cfm?pid=1.3.6.4#CranioCap http://www.gillettechildrens.org/default.cfm? pid=1.3.6.4.1#CranioCap™%20Fact%20Sheet I think the CranioCap is a passive helmet, and it is FDA approved. My own daughter was treated through aggressive repositioning only, so I can't offer any personal experience with a helmet or band! I support parents currently trying repo, which I'm sure you know from personal experience can be extremely difficult... it certainly isn't for everyone. I don't remember if you mentioned a concern of tort in a previous post, but tort, which limits a baby's range of motion of the head and neck, can make repo nearly impossible until the tort is resolved. We have a lot of repo products, if you would like to look at them, in the LINKS/REPO AND TUMMY TIME/REPO AND TUMMY TIME PRODUCTS folder. Please keep us posted on how the information gathering is going, and keep us updated on Jaden's appt. with the specialist. Take care, Christie (Mom to Repo'd Remy) Plagiocephaly , " Ski Chick " <skisum88@h...> wrote: > Howdy, > Newbie mom from Minnesota here again. I made an appt for Jaden to > go see a specialist the first week of April about his posi plagio. > I called my insurance, and if we end up going w/ headgear for him, > they will probably cover it. They have 3 prerequisits, and one of > them is that I had to have tried repo for 2 months w/o any success. > Well how the heck will they know if I did or not? Anyone else run > into this w/ their ins? And I also spoke w/ the facility that he > will be seeing, and they said if for some reason my ins. says they > won't cover it because it's " cosmetic " (what a bunch of bull****), > then the Dr. writes a very very strong letter to the ins. co. > telling them otherwise, and to reverse the decision. So I'm not > worried about ins. at the moment. In regards to the repo, I've > tried it w/ Jaden and he is stubborn and will only sleep a certain > way on his back. If I tried and place any wedges under him or turn > him he either fusses or turns back. During the day time I have him > sleep on his tummy and use a monitor to listen for his breating. By > the way, we have " The First Years " monitor, and it works > incredible. You can hear a pin drop w/ that thing. > > What I am wondering here is a general poll of everyone on the > board.... and what helmet does or will your child wear and to what > degree have you noticed any improvements? I am also looking for > anyone that has dealt w/ the cranio-cap by Gillette, since that is > where I will be taking Jaden. Thanks. I think this will be > informative for everyone, including newbies like me. > > ~Amy, mommy of Jaden 4 mo's, undiagnosed plagio. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2004 Report Share Posted March 20, 2004 Thank you Christie, I hope that Kim will post as I am interested in hearing more about her and where she is from, along w/ her experience w/ the CranioCap. What do you mean my " passive " tho? I'm not quite sure I understand what you were getting at w/ that. Please explain. Thanks. I checked out the links on the letters and am about to check out the links on the repo accessories as well. Yes I did mention tort, altho the pede did not diagnose him w/ this even tho he noticed a lump on the right side of his neck. However, since Jaden can turn his head like at owl at will, I'm not sure he has it either, but I'd still like an explanation of that lump, since it's not a lymph node. I'm sure the craniofacial Dr will go over all this w/ us at his first assessment in the first week of April. Maybe I didn't have enough info on the repo so hopefully these links will help me out. Thanks for posting those links, and thanks for the info. Everyone here is so friendly and helpful and you guys are showing me where to look on this site for answers which I really appreciate! ~Amy, mommy of Jaden 4 mo's (undiagnosed plagio) > > Howdy, > > Newbie mom from Minnesota here again. I made an appt for Jaden to > > go see a specialist the first week of April about his posi > plagio. > > I called my insurance, and if we end up going w/ headgear for him, > > they will probably cover it. They have 3 prerequisits, and one of > > them is that I had to have tried repo for 2 months w/o any > success. > > Well how the heck will they know if I did or not? Anyone else run > > into this w/ their ins? And I also spoke w/ the facility that he > > will be seeing, and they said if for some reason my ins. says they > > won't cover it because it's " cosmetic " (what a bunch of bull****), > > then the Dr. writes a very very strong letter to the ins. co. > > telling them otherwise, and to reverse the decision. So I'm not > > worried about ins. at the moment. In regards to the repo, I've > > tried it w/ Jaden and he is stubborn and will only sleep a certain > > way on his back. If I tried and place any wedges under him or > turn > > him he either fusses or turns back. During the day time I have > him > > sleep on his tummy and use a monitor to listen for his breating. > By > > the way, we have " The First Years " monitor, and it works > > incredible. You can hear a pin drop w/ that thing. > > > > What I am wondering here is a general poll of everyone on the > > board.... and what helmet does or will your child wear and to what > > degree have you noticed any improvements? I am also looking for > > anyone that has dealt w/ the cranio-cap by Gillette, since that is > > where I will be taking Jaden. Thanks. I think this will be > > informative for everyone, including newbies like me. > > > > ~Amy, mommy of Jaden 4 mo's, undiagnosed plagio. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2004 Report Share Posted March 21, 2004 Hi Amy, There are 2 types of helmets/bands. Active and Passive. An Active band works by applying a very gentle pressure to the skull to help reshape it. They can be used on babies both very young and older. A Passive band/helmet relies on a childs growth to mold it back into it's original shape. Generally, passive helmets work better on younger babies, as opposed to older, because they experience greater and more frequent growth spurts. My daughter got her passive helmet at 8 months (which is considered " old " for passive) and received very good results. Let me know if you have any more questions. With Jaden only being 4 months, he'll be a great candidate for a passive band. Again though, my daughter was 4 months older and still did great. . > > > Howdy, > > > Newbie mom from Minnesota here again. I made an appt for Jaden > to > > > go see a specialist the first week of April about his posi > > plagio. > > > I called my insurance, and if we end up going w/ headgear for > him, > > > they will probably cover it. They have 3 prerequisits, and one > of > > > them is that I had to have tried repo for 2 months w/o any > > success. > > > Well how the heck will they know if I did or not? Anyone else > run > > > into this w/ their ins? And I also spoke w/ the facility that > he > > > will be seeing, and they said if for some reason my ins. says > they > > > won't cover it because it's " cosmetic " (what a bunch of > bull****), > > > then the Dr. writes a very very strong letter to the ins. co. > > > telling them otherwise, and to reverse the decision. So I'm not > > > worried about ins. at the moment. In regards to the repo, I've > > > tried it w/ Jaden and he is stubborn and will only sleep a > certain > > > way on his back. If I tried and place any wedges under him or > > turn > > > him he either fusses or turns back. During the day time I have > > him > > > sleep on his tummy and use a monitor to listen for his > breating. > > By > > > the way, we have " The First Years " monitor, and it works > > > incredible. You can hear a pin drop w/ that thing. > > > > > > What I am wondering here is a general poll of everyone on the > > > board.... and what helmet does or will your child wear and to > what > > > degree have you noticed any improvements? I am also looking for > > > anyone that has dealt w/ the cranio-cap by Gillette, since that > is > > > where I will be taking Jaden. Thanks. I think this will be > > > informative for everyone, including newbies like me. > > > > > > ~Amy, mommy of Jaden 4 mo's, undiagnosed plagio. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2004 Report Share Posted March 21, 2004 Amy, Perhaps some helmet/band parents can better explain some design differences between helmets/bands, but I can tell you what I have read. A passive helmet relies on the baby's growth alone to fill out into the round shape of the helmet. Generally, these types of helmets are best on younger babies, since they have many growth spurts ahead of them. Since they are more passive in nature, the adjustment schedule can be about every 4 weeks or so, varying on the baby's age. We have lots of members currently in passive helmets, of varying ages, who can speak to the correction that they have been able to realize. Some examples of passive helmets are the CranioCap, Ballert, Clarren, etc., or other locally designed helmets. An active band relies on both the baby's growth spurts AND applying gentle pressure to the baby's head to actively recontour it. Because it uses both methods, active bands can have the added benefit of being effective on older babies, sometimes up to 24 months in certain cases. Since the bands are of an active design, the adjustment schedule can be every 2 weeks, or even more frequently in the case of a younger baby such as Jaden. The DOCband, Starband, and Hanger Cranial Band are examples of active bands. Jaden is a younger baby who should expect results from either a passive or active band/helmet. There are over 20 unique, FDA approved helmets and bands. If you would like to see some different pictures of what some of the bands and helmets look like, check out the FILES section, HELMET AND BAND BRAND PHOTOS folder. I hope this information helps! Christie (Mom to Repo'd Remy) > > > Howdy, > > > Newbie mom from Minnesota here again. I made an appt for Jaden > to > > > go see a specialist the first week of April about his posi > > plagio. > > > I called my insurance, and if we end up going w/ headgear for > him, > > > they will probably cover it. They have 3 prerequisits, and one > of > > > them is that I had to have tried repo for 2 months w/o any > > success. > > > Well how the heck will they know if I did or not? Anyone else > run > > > into this w/ their ins? And I also spoke w/ the facility that > he > > > will be seeing, and they said if for some reason my ins. says > they > > > won't cover it because it's " cosmetic " (what a bunch of > bull****), > > > then the Dr. writes a very very strong letter to the ins. co. > > > telling them otherwise, and to reverse the decision. So I'm not > > > worried about ins. at the moment. In regards to the repo, I've > > > tried it w/ Jaden and he is stubborn and will only sleep a > certain > > > way on his back. If I tried and place any wedges under him or > > turn > > > him he either fusses or turns back. During the day time I have > > him > > > sleep on his tummy and use a monitor to listen for his > breating. > > By > > > the way, we have " The First Years " monitor, and it works > > > incredible. You can hear a pin drop w/ that thing. > > > > > > What I am wondering here is a general poll of everyone on the > > > board.... and what helmet does or will your child wear and to > what > > > degree have you noticed any improvements? I am also looking for > > > anyone that has dealt w/ the cranio-cap by Gillette, since that > is > > > where I will be taking Jaden. Thanks. I think this will be > > > informative for everyone, including newbies like me. > > > > > > ~Amy, mommy of Jaden 4 mo's, undiagnosed plagio. Quote Link to comment Share on other sites More sharing options...
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