Re: New here - son getting helmet soon

[Guest guest]

--Hi Jules,

My son got his band at 8 months of age and with regards to it

is not too late for him to get a band.Luckily, our insurance covered

most of it.From what I read from the messages that was posted

here,there are some people that went ahead with the helmet therapy

and then got reimbursed by their insurance company later on.Good

Luck.

Imelda NJ

B. DOC band 8/20

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

> 02/02/04

[Guest guest]

Jules,

Welcome to the group, I'm glad you found it!

It's sound like you are handling this really well. We'll do whatever

we can to help you along the way. Colin was 9 mos when he started.

The orthotist's co. faxed info. to my HMO and we got a denial letter

within 48 hrs. I already had the apptm't made for getting the helmet

ordered; I was going to pay cash just as you. I also proceeded

without getting out-of-network approval. Long story short (I'll give

you the long one later if you need it) we got the denial reversed and

were compensated 50% which is what DME rider I have on my policy.

Good luck and please let us know if you have any questions. There is

a ton of info. in the Files, Database, Links, etc. sections (to the

left).

Sue

Colin F., 13 mos.

STARband grad

for brachy

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

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

> 02/02/04

[Guest guest]

Just wanted to say hello and offer some support. My son has

brachycephaly too and we just started the helmet a week ago! I hope

that everything goes well for you. Luckily our BCBS will pay 80% but

we decided that we would pay upfront too even without knowing. It is

too important not too. I was afraid that they would insist on proof

of trial repositioning etc. but the didn't. It was all based on the

cephalic index and his age. Best wishes! From what I have read you

have enough good time left to get treatment.

Janna

Kellan's mom

St. Louis, MO

Local Helmet PP & O

--- In Plagiocephaly , " momof2cutieboys " <isl427@y...>

wrote:

>

> --Hi Jules,

> My son got his band at 8 months of age and with regards to it

> is not too late for him to get a band.Luckily, our insurance

covered

> most of it.From what I read from the messages that was posted

> here,there are some people that went ahead with the helmet therapy

> and then got reimbursed by their insurance company later on.Good

> Luck.

>

> Imelda NJ

> B. DOC band 8/20

>

>

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

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

> > 02/02/04