Re: Went to CT yetsterday.......details!!

[Guest guest]

Hi Donna!

It sounds like you had a very thorough apptm't at CT. I do not think

that they would mislead you if Alyssa did not need a helmet. A

standard deviation of 3 definitely sounds like a shape that could be

corrected with a helmet. The decision is ALWAYS ultimately up to you

whether or not to band.

As far as ins. I have no idea what you have. Did you call your member

services dept. and speak with them? If you do want to get the helmet

no matter what I wouldn't want to wait to long. Again, it depends on

whether or not you want to risk having to pay it yourself vs. how

long would you have to wait? The younger she is, the better and

quicker her correction will be. I'm sorry if I am making you

anxious. Find out what the wait time will be for your ins. pre-

authorization (or whatever they call it). Let us know how it goes.

Sue

Colin F.,1

STARband grad

--- In Plagiocephaly , " dperino28 " <dperino28@y...>

wrote:

>

> Hello Everyone,

>

> I just wanted to give you an update that we went to CT yesterday

and

> Alyssa was seen by . She examined her, took measurements, etc.

> and said that she thinks that she would benefit a Doc Band. I think

> we are going to get it , but again, i am still on the fence about

> them saying she needs it so that they will make money off of it.

She

> did say that her back was a bit flat and her left side was a bit

> flatter and also that from the pressure on the top of her head it

> seemed like it was getting wider on the top ( like above her

> forehead). Maybe this will help my decision, she also said that

most

> children fall in a category (for standard deviation) of 1-2 and

> Alyssa fell into # 3, does this sound familiar to anyone?

>

> Also, my next question is do we wait or just get the processes

> started and risk a penalty? How do we know what the penalty is and

if

> there is one? I called my Nurse to get a prescription and a letter

of

> Med. but she is out until Tuesday so they said that i can get it on

> Monday with i have Alyssa's 6 month check up. So once i get that i

> can make a casting appointment, or do i wait to find out if i get a

> penalty or not?

>

> Thanks again for all of your support!!

> Donna

[Guest guest]

Have you already contacted your insurance company? What did they

say?

natasha

--- In Plagiocephaly , " dperino28 " <dperino28@y...>

wrote:

>

> Hello Everyone,

>

> I just wanted to give you an update that we went to CT yesterday

and

> Alyssa was seen by . She examined her, took measurements,

etc.

> and said that she thinks that she would benefit a Doc Band. I

think

> we are going to get it , but again, i am still on the fence about

> them saying she needs it so that they will make money off of it.

She

> did say that her back was a bit flat and her left side was a bit

> flatter and also that from the pressure on the top of her head it

> seemed like it was getting wider on the top ( like above her

> forehead). Maybe this will help my decision, she also said that

most

> children fall in a category (for standard deviation) of 1-2 and

> Alyssa fell into # 3, does this sound familiar to anyone?

>

> Also, my next question is do we wait or just get the processes

> started and risk a penalty? How do we know what the penalty is and

if

> there is one? I called my Nurse to get a prescription and a letter

of

> Med. but she is out until Tuesday so they said that i can get it

on

> Monday with i have Alyssa's 6 month check up. So once i get that i

> can make a casting appointment, or do i wait to find out if i get

a

> penalty or not?

>

> Thanks again for all of your support!!

> Donna

[Guest guest]

yes, i did contact them, but they have not given me a straight answer

really, they just said it was covered, but they would need papework,

etc.

> >

> > Hello Everyone,

> >

> > I just wanted to give you an update that we went to CT yesterday

> and

> > Alyssa was seen by . She examined her, took measurements,

> etc.

> > and said that she thinks that she would benefit a Doc Band. I

> think

> > we are going to get it , but again, i am still on the fence about

> > them saying she needs it so that they will make money off of it.

> She

> > did say that her back was a bit flat and her left side was a bit

> > flatter and also that from the pressure on the top of her head it

> > seemed like it was getting wider on the top ( like above her

> > forehead). Maybe this will help my decision, she also said that

> most

> > children fall in a category (for standard deviation) of 1-2 and

> > Alyssa fell into # 3, does this sound familiar to anyone?

> >

> > Also, my next question is do we wait or just get the processes

> > started and risk a penalty? How do we know what the penalty is

and

> if

> > there is one? I called my Nurse to get a prescription and a

letter

> of

> > Med. but she is out until Tuesday so they said that i can get it

> on

> > Monday with i have Alyssa's 6 month check up. So once i get that

i

> > can make a casting appointment, or do i wait to find out if i get

> a

> > penalty or not?

> >

> > Thanks again for all of your support!!

> > Donna

[Guest guest]

Well, you should ask them if not obtaining a pre-authorization will

cause them to decline payment or if it will just delay you being

reimbursed.

> > >

> > > Hello Everyone,

> > >

> > > I just wanted to give you an update that we went to CT

yesterday

> > and

> > > Alyssa was seen by . She examined her, took measurements,

> > etc.

> > > and said that she thinks that she would benefit a Doc Band. I

> > think

> > > we are going to get it , but again, i am still on the fence

about

> > > them saying she needs it so that they will make money off of

it.

> > She

> > > did say that her back was a bit flat and her left side was a

bit

> > > flatter and also that from the pressure on the top of her head

it

> > > seemed like it was getting wider on the top ( like above her

> > > forehead). Maybe this will help my decision, she also said

that

> > most

> > > children fall in a category (for standard deviation) of 1-2

and

> > > Alyssa fell into # 3, does this sound familiar to anyone?

> > >

> > > Also, my next question is do we wait or just get the processes

> > > started and risk a penalty? How do we know what the penalty is

> and

> > if

> > > there is one? I called my Nurse to get a prescription and a

> letter

> > of

> > > Med. but she is out until Tuesday so they said that i can get

it

> > on

> > > Monday with i have Alyssa's 6 month check up. So once i get

that

> i

> > > can make a casting appointment, or do i wait to find out if i

get

> > a

> > > penalty or not?

> > >

> > > Thanks again for all of your support!!

> > > Donna

[Guest guest]

Hey Donna. If it makes you fell better, DID NOT think we needed

a second band on Blythe and said so. It was our pediatrician (who I

would also consider a friend) who thought she would benefit from

another round of treatment.

agreed that there was more room for improvement, but of the

therapists we have worked with (which due to our crazy schedule is a

lot) I would say she is one of the more conservative and chooses her

words carefully. She is pretty clear about expectations, etc. If she

says you should do it, she means you will see good correction. If she

thought correction would be unpredictable or marginal, she would say

so.

Blythe had excellent correction with her #1 DOC and the remaining

facial asymmetry may or may not be resolved with a second band.

was very clear on that point which I appreciated greatly. She shoots

straight.

--- In Plagiocephaly , " dperino28 " <dperino28@y...>

wrote:

>

> Hello Everyone,

>

> I just wanted to give you an update that we went to CT yesterday

and

> Alyssa was seen by . She examined her, took measurements, etc.

> and said that she thinks that she would benefit a Doc Band. I think

> we are going to get it , but again, i am still on the fence about

> them saying she needs it so that they will make money off of it.

She

> did say that her back was a bit flat and her left side was a bit

> flatter and also that from the pressure on the top of her head it

> seemed like it was getting wider on the top ( like above her

> forehead). Maybe this will help my decision, she also said that

most

> children fall in a category (for standard deviation) of 1-2 and

> Alyssa fell into # 3, does this sound familiar to anyone?

>

> Also, my next question is do we wait or just get the processes

> started and risk a penalty? How do we know what the penalty is and

if

> there is one? I called my Nurse to get a prescription and a letter

of

> Med. but she is out until Tuesday so they said that i can get it on

> Monday with i have Alyssa's 6 month check up. So once i get that i

> can make a casting appointment, or do i wait to find out if i get a

> penalty or not?

>

> Thanks again for all of your support!!

> Donna