Re: New here - son getting helmet soon

[Guest guest]

Hi Jules. It sounds like you are very anxious to get started with 's

helmet, especially after what happened with . I felt the same way

when we were waiting to get my son Braden's DOC band. It seemed like it

took forever to get going with it. We intended to pay up front and deal

with insurance later, too, but Cranial Technologies informed us that our

insurance company required a preapproval, or they wouldn't pay at all.

Whether or not that was true, I'm not exactly sure. We learned that the

preapproval process (whether the band was initially approved or denied)

takes about 10 to 14 days with our insurance company (UHC) so we opted to

wait it out, and within 10 days his band was approved. My suggestion would

be to make sure that you're not eliminating the obligations of your

insurance company by moving forward. Also, once insurance approved the

band, we had to wait 2 weeks for a casting appointment, so you might want to

make that ahead of time, in anticipation of hearing back from the insurance

company, if you decide to wait for an answer from them. Braden is just 3

days younger than (born on 2/5/4), and he's been in his band 2 1/2

weeks now, so is not that far behind us, and I think you have plenty of

time to get some good correction with him. Good luck, whatever you decide

to do!

Beth in Charlotte

Mom to Braden (8 /12 months)

Plagio/brachy DOC band 10/8/04

>From: " jadegnan " <jadegnan@...>

>Reply-Plagiocephaly

>Plagiocephaly

>Subject: New here - son getting helmet soon

>Date: Thu, 28 Oct 2004 18:37:25 -0000

>

>

>Hi, My name is Jules and my younger son, , will be receiving a

>helmet soon.

>

>He is 9 months old and has a uniformly flat head in back (called

>brachycephaly I believe). My older son had the more common plagio on

>one side and was never treated as the pediatrician didn't feel it was

>necessary and we didn't know any better. is now 27 months old

>and while his head has rounded out well he still has ears that are

>slightly uneven and I wish we had had him evaluated when he was

>younger.

>

>It took a while with but we finally got a consultation with a

>cranial/facial surgeon which was 2 days ago. He said is quite

>severe and should be helmeted. Since he's already 9 months old we

>don't plan to wait for our insurance but will pay up-front and try to

>get reimbursed later. Has this worked for others? We can't afford

>to wait for months with for an approval that might never come

>because we have such a limited time to get any true benefit from the

>helmet.

>

>I'm feeling a little overwhelmed with it all and am frustrated that I

>didn't push for this earlier especially given our experience with our

>older son.

>

>Thanks and I hope to get to know some of you through this process.

>

>Jules

> 02/02/04

>

>

>

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[Guest guest]

Jules,

I'm glad your starting the process for . 9 months is still relatively young, but as you say time is of the essence. My only advise would be to double check your insurance policy. They may not allow you to appeal if you don't allow them to deny you first. I know it's stupid but you may be left with no appeal option. I would set up everything with the ortho and have them try an initial insurance pre-cert. Let the ortho know if they can not get a reply in X days that you will go ahead and pay for it yourself. Try all you can to get the denial first.

mom to na

DOC Grad

SCjadegnan <jadegnan@...> wrote:

Hi, My name is Jules and my younger son, , will be receiving a helmet soon.He is 9 months old and has a uniformly flat head in back (called brachycephaly I believe). My older son had the more common plagio on one side and was never treated as the pediatrician didn't feel it was necessary and we didn't know any better. is now 27 months old and while his head has rounded out well he still has ears that are slightly uneven and I wish we had had him evaluated when he was younger.It took a while with but we finally got a consultation with a cranial/facial surgeon which was 2 days ago. He said is quite severe and should be helmeted. Since he's already 9 months old we don't plan to wait for our insurance but will pay up-front and try to get reimbursed later. Has this worked

for others? We can't afford to wait for months with for an approval that might never come because we have such a limited time to get any true benefit from the helmet.I'm feeling a little overwhelmed with it all and am frustrated that I didn't push for this earlier especially given our experience with our older son.Thanks and I hope to get to know some of you through this process.Jules 02/02/04For more plagio info

[Guest guest]

i'd try to put it through the insurance too. give them x amount of

days to approve or reject it first. when i called i was told ours

would only be approved only after 2 months of pt for his tort. well,

we went to our pt evaluation and then to the cranial facial doctor

and he wrote the script for the helmet. went to the orthotics and

within 8 days we had approval. and the day they approved it was his

first day at pt, we didnt even do 2 months yet. now it's only for

70% since it's out of network but it's better then nothing. you

never know what the insurance company will do, but give them a

chance they may surprise you like mine did. and no usually

insurance companies arent as easy as mine (trust me i was shocked)

but you never know till you try.

kathy

>

>

> Hi, My name is Jules and my younger son, , will be receiving a

> helmet soon.

>

> He is 9 months old and has a uniformly flat head in back (called

> brachycephaly I believe). My older son had the more common plagio

on

> one side and was never treated as the pediatrician didn't feel it

was

> necessary and we didn't know any better. is now 27 months

old

> and while his head has rounded out well he still has ears that are

> slightly uneven and I wish we had had him evaluated when he was

> younger.

>

> It took a while with but we finally got a consultation with a

> cranial/facial surgeon which was 2 days ago. He said is

quite

> severe and should be helmeted. Since he's already 9 months old we

> don't plan to wait for our insurance but will pay up-front and try

to

> get reimbursed later. Has this worked for others? We can't

afford

> to wait for months with for an approval that might never come

> because we have such a limited time to get any true benefit from

the

> helmet.

>

> I'm feeling a little overwhelmed with it all and am frustrated

that I

> didn't push for this earlier especially given our experience with

our

> older son.

>

> Thanks and I hope to get to know some of you through this process.

>

> Jules

> 02/02/04

>

>

>

>

>

> For more plagio info

[Guest guest]

Hi Jules…you have had a lot of great

feedback and advice so far so I just wanted to say welcome to the group. I’m

glad you found us.

Becky (’s mom) in Pittsburgh,

PA

New here - son

getting helmet soon

Hi, My name is Jules and my younger son, ,

will be receiving a

helmet soon.

He is 9 months old and has a uniformly flat head

in back (called

brachycephaly I believe). My older son had

the more common plagio on

one side and was never treated as the pediatrician

didn't feel it was

necessary and we didn't know any better.

is now 27 months old

and while his head has rounded out well he still

has ears that are

slightly uneven and I wish we had had him evaluated

when he was

younger.

It took a while with but we finally got a

consultation with a

cranial/facial surgeon which was 2 days ago.

He said is quite

severe and should be helmeted. Since he's

already 9 months old we

don't plan to wait for our insurance but will pay

up-front and try to

get reimbursed later. Has this worked for

others? We can't afford

to wait for months with for an approval that

might never come

because we have such a limited time to get any

true benefit from the

helmet.

I'm feeling a little overwhelmed with it all and

am frustrated that I

didn't push for this earlier especially given our

experience with our

older son.

Thanks and I hope to get to know some of you

through this process.

Jules

02/02/04

For more

plagio info