Ian Doris' book Slingshot

[Guest guest]

Hi!

First, a little background...

I am a newbie, my little is a little over five months old

and my concern and questions about his sleep position, head shape,

etc. were ignored for 4 1/2 months by his first ped. After his 4

month checkup I went to a different ped and told her that has

torticollis and asked for referrals to the PT and neurologist. She

confirmed that he has tort and that was three weeks ago. We have

been fighting since then to get what he needs. We have been to the PT

twice and have been doing the exercises. I have tried repositioning

since he was about a month old. A visit to the neuro on Tues

confirmed he had positional plagio and needs the DOC band. Paperwork

went in yesterday to our insurance, HealthNet HMO, and we are now

waiting with our fingers crossed.

In anticipation of the insurance company's denial, I came across

Doris' book " Slingshot " and an excerpt in my google search. I am

wondering if any of you read it and whether you found it useful.

I am hoping to find someone who lives in the SD area and had

experiences (good or bad) with either Cranial Technology (CT) or

SCOPe since I was initially given a Rx to SCOPe by the Neurosurgeon

b/c according to him, our insurance is more receptive to SCOPe.

However, a followup visit to our current ped revealed that she had

patients with BAD experiences with SCOPe and had to have a second

band done at CT. Needless to say, we do not want to put our poor

baby through more than absolutely necessary. We are prepared to pay

for the band if that is what it takes but would really like the

insurance to pay for at least part of it. Since CT is out of

network, we would have to pay $750 even if the insurance decides to

approve our request and pays for the band in full which is the max

allowable of $2250!

Lastly, we are so angry and sad that the diagnosis came so late and

only after I walked in insistent that something was wrong and needed

to be remedied. I am angry at myself for not being more persistent

when was younger. Perhaps starting the stretching

exercises and PT earlier would have lessened the plagio. Have any of

you took legal action again your ped? What were your experiences?

Thanks for listening and I am grateful to have found you.

Kellie

[Guest guest]

Hi!

First, a little background...

I am a newbie, my little is a little over five months old

and my concern and questions about his sleep position, head shape,

etc. were ignored for 4 1/2 months by his first ped. After his 4

month checkup I went to a different ped and told her that has

torticollis and asked for referrals to the PT and neurologist. She

confirmed that he has tort and that was three weeks ago. We have

been fighting since then to get what he needs. We have been to the PT

twice and have been doing the exercises. I have tried repositioning

since he was about a month old. A visit to the neuro on Tues

confirmed he had positional plagio and needs the DOC band. Paperwork

went in yesterday to our insurance, HealthNet HMO, and we are now

waiting with our fingers crossed.

In anticipation of the insurance company's denial, I came across

Doris' book " Slingshot " and an excerpt in my google search. I am

wondering if any of you read it and whether you found it useful.

I am hoping to find someone who lives in the SD area and had

experiences (good or bad) with either Cranial Technology (CT) or

SCOPe since I was initially given a Rx to SCOPe by the Neurosurgeon

b/c according to him, our insurance is more receptive to SCOPe.

However, a followup visit to our current ped revealed that she had

patients with BAD experiences with SCOPe and had to have a second

band done at CT. Needless to say, we do not want to put our poor

baby through more than absolutely necessary. We are prepared to pay

for the band if that is what it takes but would really like the

insurance to pay for at least part of it. Since CT is out of

network, we would have to pay $750 even if the insurance decides to

approve our request and pays for the band in full which is the max

allowable of $2250!

Lastly, we are so angry and sad that the diagnosis came so late and

only after I walked in insistent that something was wrong and needed

to be remedied. I am angry at myself for not being more persistent

when was younger. Perhaps starting the stretching

exercises and PT earlier would have lessened the plagio. Have any of

you took legal action again your ped? What were your experiences?

Thanks for listening and I am grateful to have found you.

Kellie

[Guest AMYK]

Hi Kellie,

I am a medical biller and I would advise you to read your insurance policy carefully. ( I know, I know it is tedious) but you will need to identify if your plan covers the S1040 ( the code for either a SCOPe or DOC band) for positional plagiocephaly. MOST plans cover the S1040 if used post-surgically, but in your it is not psot-surgical. You need to see if your plan " specifically excludes" helmets/bands for positional plagiocephaly, if they do - you are pretty much sunk- if they do allow for this service, you must read their medical policy on helmets/bands and make sure your baby meets their criteria for coverage. Good luck !

Amy K.