Guest guest Posted October 8, 2004 Report Share Posted October 8, 2004 Wow that is great news. Congratulations to Nikolas for becoming a grad and congrats to you for the insurance victory. and , CA -ONH -Central Hypotonia -Torticollis -Brachy/Plagio soon to be DOCbanded. > > Hello fellow parents!! > > Well add us to the list of new graduates. Nikolas had his exit > appointment yesterday. He did a tad more crying, okay screaming, > this time but we made it thru the casting. So it is offical now!! He > wore it for about 2 1/2 months which is what our therapist predicted > at CT. He started wearing it at 7 1/2m and he is now almost 9m old. > His head grew 1.5 cm over that time period and all his measurements > are now within normal limits!! Woohoo!! > > On to the Insurance news...Orginally when I check with our > insurance, Medcost Preferred in NC, I was told they would cover it > at DME at 70%. When the claim was first filed they only paid $500 > b/c they said it was out of network and they filed it as a > Specialist office visit. I called the adjust I had been talking to > and told her that if there was somewhere in network please tell me > and we would go there...She said there was not, so she refiled as an > In network Specialist and we only had to pay a $20 copay. We should > be getting a nice refund check from CT in the next week or two since > we had already paid half on our own before this!! > > So I just wanted to let others know that it does pay to make mutiple > phones calls. I talked directly to the person who files the claims > and I think that made the difference. I also would hold Nikolas > while I talked to her so she could hear him on the other end. > > I will start a photo album for him under Nikolas J 1/11/04 so you > can see his pictures!! > > Thanks for all the help over the past few months!! > > Jen and Nikolas 9m > Tort/Pos Plagio DOC Band from 7/26/04-10/7/04 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 8, 2004 Report Share Posted October 8, 2004 Congrats on both the graduation and insurance news! How exciting! Let us know if you get his before and after pics posted. , mom to Hannah, DOCgrad 7/29 Cape Cod, Ma > > Hello fellow parents!! > > Well add us to the list of new graduates. Nikolas had his exit > appointment yesterday. He did a tad more crying, okay screaming, > this time but we made it thru the casting. So it is offical now!! He > wore it for about 2 1/2 months which is what our therapist predicted > at CT. He started wearing it at 7 1/2m and he is now almost 9m old. > His head grew 1.5 cm over that time period and all his measurements > are now within normal limits!! Woohoo!! > > On to the Insurance news...Orginally when I check with our > insurance, Medcost Preferred in NC, I was told they would cover it > at DME at 70%. When the claim was first filed they only paid $500 > b/c they said it was out of network and they filed it as a > Specialist office visit. I called the adjust I had been talking to > and told her that if there was somewhere in network please tell me > and we would go there...She said there was not, so she refiled as an > In network Specialist and we only had to pay a $20 copay. We should > be getting a nice refund check from CT in the next week or two since > we had already paid half on our own before this!! > > So I just wanted to let others know that it does pay to make mutiple > phones calls. I talked directly to the person who files the claims > and I think that made the difference. I also would hold Nikolas > while I talked to her so she could hear him on the other end. > > I will start a photo album for him under Nikolas J 1/11/04 so you > can see his pictures!! > > Thanks for all the help over the past few months!! > > Jen and Nikolas 9m > Tort/Pos Plagio DOC Band from 7/26/04-10/7/04 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 8, 2004 Report Share Posted October 8, 2004 A $20 copay? Wow! Can't beat that! Would you mind posting your experience in our insurance database in case someone else comes along with Medcost? Congrats on graduation too! Give Nikolas a big smooch on the head for me. Natasha > > Hello fellow parents!! > > Well add us to the list of new graduates. Nikolas had his exit > appointment yesterday. He did a tad more crying, okay screaming, > this time but we made it thru the casting. So it is offical now!! He > wore it for about 2 1/2 months which is what our therapist predicted > at CT. He started wearing it at 7 1/2m and he is now almost 9m old. > His head grew 1.5 cm over that time period and all his measurements > are now within normal limits!! Woohoo!! > > On to the Insurance news...Orginally when I check with our > insurance, Medcost Preferred in NC, I was told they would cover it > at DME at 70%. When the claim was first filed they only paid $500 > b/c they said it was out of network and they filed it as a > Specialist office visit. I called the adjust I had been talking to > and told her that if there was somewhere in network please tell me > and we would go there...She said there was not, so she refiled as an > In network Specialist and we only had to pay a $20 copay. We should > be getting a nice refund check from CT in the next week or two since > we had already paid half on our own before this!! > > So I just wanted to let others know that it does pay to make mutiple > phones calls. I talked directly to the person who files the claims > and I think that made the difference. I also would hold Nikolas > while I talked to her so she could hear him on the other end. > > I will start a photo album for him under Nikolas J 1/11/04 so you > can see his pictures!! > > Thanks for all the help over the past few months!! > > Jen and Nikolas 9m > Tort/Pos Plagio DOC Band from 7/26/04-10/7/04 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 8, 2004 Report Share Posted October 8, 2004 Jen, Congratulations to you and Nikolas!!!! I'm so glad to hear that he finished so quickly and that you only had to pay $20.00 Good job!! Dianna Mom to DOC Band 9/13 plagio/brachy In Plagiocephaly , " Jen " <jbjacobs@c...> wrote: > > Hello fellow parents!! > > Well add us to the list of new graduates. Nikolas had his exit > appointment yesterday. He did a tad more crying, okay screaming, > this time but we made it thru the casting. So it is offical now!! He > wore it for about 2 1/2 months which is what our therapist predicted > at CT. He started wearing it at 7 1/2m and he is now almost 9m old. > His head grew 1.5 cm over that time period and all his measurements > are now within normal limits!! Woohoo!! > > On to the Insurance news...Orginally when I check with our > insurance, Medcost Preferred in NC, I was told they would cover it > at DME at 70%. When the claim was first filed they only paid $500 > b/c they said it was out of network and they filed it as a > Specialist office visit. I called the adjust I had been talking to > and told her that if there was somewhere in network please tell me > and we would go there...She said there was not, so she refiled as an > In network Specialist and we only had to pay a $20 copay. We should > be getting a nice refund check from CT in the next week or two since > we had already paid half on our own before this!! > > So I just wanted to let others know that it does pay to make mutiple > phones calls. I talked directly to the person who files the claims > and I think that made the difference. I also would hold Nikolas > while I talked to her so she could hear him on the other end. > > I will start a photo album for him under Nikolas J 1/11/04 so you > can see his pictures!! > > Thanks for all the help over the past few months!! > > Jen and Nikolas 9m > Tort/Pos Plagio DOC Band from 7/26/04-10/7/04 Quote Link to comment Share on other sites More sharing options...
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