Re: Need Band Options & Cost in Texas -- to Fight BCBS!!!

[Guest guest]

I tried to copy and paste this, but if you can't read it go to our database section and there is a place to look up helmet/band options in your state. Hope this helps. Texas Starband* Orthotics and Prosthetics, 2502 W. Ohio, Midland, TX 79701 Mike 432-683-3788, mallencpoaol www.orthoamerica.com, http://www.oandp.com/facilities/tx/allen/ brandiccfmidland Active 3 - 18 months plagiocephaly, brachycephaly Edit Delete Texas Starband*, Starlight*, Clarren* Medical Center Brace & Limb (Starscanner Facility), 7110 Cecil Street; Houston, TX 77030 W. Fain, "Stoney" Sherrill (713) 799-1177, jwfainswbell (DOT) net www.medicalcenterbraceandlimb.com, www.orthomerica.com sascarceearthlink (DOT) net Starband and Starlight - Active; Clarren - Passive Starband and Starlight 3 - 18 months; Clarren 6 - 18 months Starband and Clarren - Plagiocephaly, Brachycephaly; Starlight - Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas Starband*, Starlight*, Clarren* Medical Center Brace & Limb (Starscanner Facility), 17270 Red Oak Suite 120; Houston, TX 77090 "Stoney" Sherrill (281) 893-6995 www.medicalcenterbraceandlimb.com, www.orthomerica.com Starband and Starlight - Active; Clarren - Passive Starband and Starlight 3 - 18 months; Clarren 6 - 18 months Starband and Clarren - Plagiocephaly, Brachycephaly; Starlight - Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas Starband*, Starlight*, Clarren* Medical Center Brace & Limb (Starscanner Facility), 950 Gemini Suite 3; Houston, TX 77058 Mike Corcoran (281) 990-0234 www.medicalcenterbraceandlimb.com, www.orthomerica.com Starband and Starlight - Active; Clarren - Passive Starband and Starlight 3 - 18 months; Clarren 6 - 18 months Starband and Clarren - Plagiocephaly, Brachycephaly; Starlight - Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas DOCband* Cranial Technologies, Inc., Concorde on the Creek, 6750 Hillcrest Plaza Dr. #200A; Dallas, TX 75230 Todd, Amy Gallagher, Mosher (972) 239-3555, (866) 239-0626 www.cranialtech.com dustiejones ; valeriemcmahancomcast (DOT) net; reckjbgbronline;lauren_pipher Active 3 - 24 months Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas DOCband* Othotic & Prosthetic Associates, 25325 Borough Park Dr. #210; The Woodlands (Houston), TX 77380 Bob Cook, Barbara Foley, (281) 296-8448 www.cranialtech.com Active 3 - 24 months Plagiocephaly, Brachycephaly, Scaphocephaly >> Hello All! It has been several months since I have posted here but I > want to give everyone an update on Blue Cross Blue Shield Texas and I > have several questions.> > I am trying to find out what bands are available in Texas, where they > are located and what the cost is.> > My insurance company is trying to pull one of their stunts again. > They are telling me that Cranial Tech is not a provider for BCBSTX > but they won't tell me who is a provider. I don't think there is > another provider anywhere close to me. We already travel 1 hr 45 min > to Cranial Tech in Dallas. Also the customer service supervisor told > me that the standard/customary charges for this procedure is $1,900 > but she was unable to give me the "formula" used in coming up with > this amount. I'm calling their bluff on the $1,900. The Director of > Medical Policy for BCBSTX sent me an email saying they cut a deal for > a significantly reduced price with a provider following the lawsuit > in Illinois that resulted in BCBSTX to now cover the devices. > > > My son wore 2 Doc bands and I finally received payment from BCBS of > Texas after MONTHS of debate. However, they are still trying to get > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800 they > owe me (80% of $6,000 which is what my policy pays for durable > medical equipment). Once again, I find BCBS of Texas' business > practices to be unethical and fraudulent and I will not stand for it.> > > My story is quite long and I will spare you all the details. However, > please note, if you have been denied coverage by BCBS (particularly > in Texas, New Mexico of Illinois) or if you know of someone who was > denied in the past, you should be able to use my situation to receive > back payment for your denied claims. I have adequate documentation - > from the "right" individuals within BCBS - that could be used on your > behalf in a discrimination suit against them. I will continue to > fight for the rest of the money they owe me and I hope that everyone > out there will do the same.>

[Guest guest]

I tried to copy and paste this, but if you can't read it go to our database section and there is a place to look up helmet/band options in your state. Hope this helps. Texas Starband* Orthotics and Prosthetics, 2502 W. Ohio, Midland, TX 79701 Mike 432-683-3788, mallencpoaol www.orthoamerica.com, http://www.oandp.com/facilities/tx/allen/ brandiccfmidland Active 3 - 18 months plagiocephaly, brachycephaly Edit Delete Texas Starband*, Starlight*, Clarren* Medical Center Brace & Limb (Starscanner Facility), 7110 Cecil Street; Houston, TX 77030 W. Fain, "Stoney" Sherrill (713) 799-1177, jwfainswbell (DOT) net www.medicalcenterbraceandlimb.com, www.orthomerica.com sascarceearthlink (DOT) net Starband and Starlight - Active; Clarren - Passive Starband and Starlight 3 - 18 months; Clarren 6 - 18 months Starband and Clarren - Plagiocephaly, Brachycephaly; Starlight - Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas Starband*, Starlight*, Clarren* Medical Center Brace & Limb (Starscanner Facility), 17270 Red Oak Suite 120; Houston, TX 77090 "Stoney" Sherrill (281) 893-6995 www.medicalcenterbraceandlimb.com, www.orthomerica.com Starband and Starlight - Active; Clarren - Passive Starband and Starlight 3 - 18 months; Clarren 6 - 18 months Starband and Clarren - Plagiocephaly, Brachycephaly; Starlight - Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas Starband*, Starlight*, Clarren* Medical Center Brace & Limb (Starscanner Facility), 950 Gemini Suite 3; Houston, TX 77058 Mike Corcoran (281) 990-0234 www.medicalcenterbraceandlimb.com, www.orthomerica.com Starband and Starlight - Active; Clarren - Passive Starband and Starlight 3 - 18 months; Clarren 6 - 18 months Starband and Clarren - Plagiocephaly, Brachycephaly; Starlight - Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas DOCband* Cranial Technologies, Inc., Concorde on the Creek, 6750 Hillcrest Plaza Dr. #200A; Dallas, TX 75230 Todd, Amy Gallagher, Mosher (972) 239-3555, (866) 239-0626 www.cranialtech.com dustiejones ; valeriemcmahancomcast (DOT) net; reckjbgbronline;lauren_pipher Active 3 - 24 months Plagiocephaly, Brachycephaly, Scaphocephaly Edit Delete Texas DOCband* Othotic & Prosthetic Associates, 25325 Borough Park Dr. #210; The Woodlands (Houston), TX 77380 Bob Cook, Barbara Foley, (281) 296-8448 www.cranialtech.com Active 3 - 24 months Plagiocephaly, Brachycephaly, Scaphocephaly >> Hello All! It has been several months since I have posted here but I > want to give everyone an update on Blue Cross Blue Shield Texas and I > have several questions.> > I am trying to find out what bands are available in Texas, where they > are located and what the cost is.> > My insurance company is trying to pull one of their stunts again. > They are telling me that Cranial Tech is not a provider for BCBSTX > but they won't tell me who is a provider. I don't think there is > another provider anywhere close to me. We already travel 1 hr 45 min > to Cranial Tech in Dallas. Also the customer service supervisor told > me that the standard/customary charges for this procedure is $1,900 > but she was unable to give me the "formula" used in coming up with > this amount. I'm calling their bluff on the $1,900. The Director of > Medical Policy for BCBSTX sent me an email saying they cut a deal for > a significantly reduced price with a provider following the lawsuit > in Illinois that resulted in BCBSTX to now cover the devices. > > > My son wore 2 Doc bands and I finally received payment from BCBS of > Texas after MONTHS of debate. However, they are still trying to get > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800 they > owe me (80% of $6,000 which is what my policy pays for durable > medical equipment). Once again, I find BCBS of Texas' business > practices to be unethical and fraudulent and I will not stand for it.> > > My story is quite long and I will spare you all the details. However, > please note, if you have been denied coverage by BCBS (particularly > in Texas, New Mexico of Illinois) or if you know of someone who was > denied in the past, you should be able to use my situation to receive > back payment for your denied claims. I have adequate documentation - > from the "right" individuals within BCBS - that could be used on your > behalf in a discrimination suit against them. I will continue to > fight for the rest of the money they owe me and I hope that everyone > out there will do the same.>

[Guest guest]

Thank You for the information. I know what a Star Band is but what is

a Starlight and Clarren.

Is it safe to say that these are the only cranial bands available in

Texas? Is it possible to have mom and pop orthos making them?

Also any idea on the costs?

Thanks again!

> >

> > Hello All! It has been several months since I have posted here

but I

> > want to give everyone an update on Blue Cross Blue Shield Texas

and I

> > have several questions.

> >

> > I am trying to find out what bands are available in Texas, where

they

> > are located and what the cost is.

> >

> > My insurance company is trying to pull one of their stunts again.

> > They are telling me that Cranial Tech is not a provider for

BCBSTX

> > but they won't tell me who is a provider. I don't think there is

> > another provider anywhere close to me. We already travel 1 hr 45

min

> > to Cranial Tech in Dallas. Also the customer service supervisor

told

> > me that the standard/customary charges for this procedure is

$1,900

> > but she was unable to give me the " formula " used in coming up

with

> > this amount. I'm calling their bluff on the $1,900. The Director

of

> > Medical Policy for BCBSTX sent me an email saying they cut a deal

for

> > a significantly reduced price with a provider following the

lawsuit

> > in Illinois that resulted in BCBSTX to now cover the devices.

> >

> >

> > My son wore 2 Doc bands and I finally received payment from BCBS

of

> > Texas after MONTHS of debate. However, they are still trying to

get

> > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800

they

> > owe me (80% of $6,000 which is what my policy pays for durable

> > medical equipment). Once again, I find BCBS of Texas' business

> > practices to be unethical and fraudulent and I will not stand for

it.

> >

> >

> > My story is quite long and I will spare you all the details.

However,

> > please note, if you have been denied coverage by BCBS

(particularly

> > in Texas, New Mexico of Illinois) or if you know of someone who

was

> > denied in the past, you should be able to use my situation to

receive

> > back payment for your denied claims. I have adequate

documentation -

> > from the " right " individuals within BCBS - that could be used on

your

> > behalf in a discrimination suit against them. I will continue to

> > fight for the rest of the money they owe me and I hope that

everyone

> > out there will do the same.

> >

>

[Guest guest]

Thank You for the information. I know what a Star Band is but what is

a Starlight and Clarren.

Is it safe to say that these are the only cranial bands available in

Texas? Is it possible to have mom and pop orthos making them?

Also any idea on the costs?

Thanks again!

> >

> > Hello All! It has been several months since I have posted here

but I

> > want to give everyone an update on Blue Cross Blue Shield Texas

and I

> > have several questions.

> >

> > I am trying to find out what bands are available in Texas, where

they

> > are located and what the cost is.

> >

> > My insurance company is trying to pull one of their stunts again.

> > They are telling me that Cranial Tech is not a provider for

BCBSTX

> > but they won't tell me who is a provider. I don't think there is

> > another provider anywhere close to me. We already travel 1 hr 45

min

> > to Cranial Tech in Dallas. Also the customer service supervisor

told

> > me that the standard/customary charges for this procedure is

$1,900

> > but she was unable to give me the " formula " used in coming up

with

> > this amount. I'm calling their bluff on the $1,900. The Director

of

> > Medical Policy for BCBSTX sent me an email saying they cut a deal

for

> > a significantly reduced price with a provider following the

lawsuit

> > in Illinois that resulted in BCBSTX to now cover the devices.

> >

> >

> > My son wore 2 Doc bands and I finally received payment from BCBS

of

> > Texas after MONTHS of debate. However, they are still trying to

get

> > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800

they

> > owe me (80% of $6,000 which is what my policy pays for durable

> > medical equipment). Once again, I find BCBS of Texas' business

> > practices to be unethical and fraudulent and I will not stand for

it.

> >

> >

> > My story is quite long and I will spare you all the details.

However,

> > please note, if you have been denied coverage by BCBS

(particularly

> > in Texas, New Mexico of Illinois) or if you know of someone who

was

> > denied in the past, you should be able to use my situation to

receive

> > back payment for your denied claims. I have adequate

documentation -

> > from the " right " individuals within BCBS - that could be used on

your

> > behalf in a discrimination suit against them. I will continue to

> > fight for the rest of the money they owe me and I hope that

everyone

> > out there will do the same.

> >

>

[Guest guest]

I don't think we have anything on here listing the prices. I would

imagine you'd have to call them to get that. I think those are the

only places in TX making the bands (pretty sure).

The starlight I believe is made from orthomerica,check out their

website at www.orthomerica.com, like the starband. I believe that is

a passive design that is clear.

Good luck, hope this has helped you in your quest of getting insurance

to cover!

Lacy

Waydon 1 year

DOCgrad

www.waydonsnoodle.com

> > >

> > > Hello All! It has been several months since I have posted here

> but I

> > > want to give everyone an update on Blue Cross Blue Shield Texas

> and I

> > > have several questions.

> > >

> > > I am trying to find out what bands are available in Texas, where

> they

> > > are located and what the cost is.

> > >

> > > My insurance company is trying to pull one of their stunts again.

> > > They are telling me that Cranial Tech is not a provider for

> BCBSTX

> > > but they won't tell me who is a provider. I don't think there is

> > > another provider anywhere close to me. We already travel 1 hr 45

> min

> > > to Cranial Tech in Dallas. Also the customer service supervisor

> told

> > > me that the standard/customary charges for this procedure is

> $1,900

> > > but she was unable to give me the " formula " used in coming up

> with

> > > this amount. I'm calling their bluff on the $1,900. The Director

> of

> > > Medical Policy for BCBSTX sent me an email saying they cut a deal

> for

> > > a significantly reduced price with a provider following the

> lawsuit

> > > in Illinois that resulted in BCBSTX to now cover the devices.

> > >

> > >

> > > My son wore 2 Doc bands and I finally received payment from BCBS

> of

> > > Texas after MONTHS of debate. However, they are still trying to

> get

> > > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800

> they

> > > owe me (80% of $6,000 which is what my policy pays for durable

> > > medical equipment). Once again, I find BCBS of Texas' business

> > > practices to be unethical and fraudulent and I will not stand for

> it.

> > >

> > >

> > > My story is quite long and I will spare you all the details.

> However,

> > > please note, if you have been denied coverage by BCBS

> (particularly

> > > in Texas, New Mexico of Illinois) or if you know of someone who

> was

> > > denied in the past, you should be able to use my situation to

> receive

> > > back payment for your denied claims. I have adequate

> documentation -

> > > from the " right " individuals within BCBS - that could be used on

> your

> > > behalf in a discrimination suit against them. I will continue to

> > > fight for the rest of the money they owe me and I hope that

> everyone

> > > out there will do the same.

> > >

> >

>

[Guest guest]

I don't think we have anything on here listing the prices. I would

imagine you'd have to call them to get that. I think those are the

only places in TX making the bands (pretty sure).

The starlight I believe is made from orthomerica,check out their

website at www.orthomerica.com, like the starband. I believe that is

a passive design that is clear.

Good luck, hope this has helped you in your quest of getting insurance

to cover!

Lacy

Waydon 1 year

DOCgrad

www.waydonsnoodle.com

> > >

> > > Hello All! It has been several months since I have posted here

> but I

> > > want to give everyone an update on Blue Cross Blue Shield Texas

> and I

> > > have several questions.

> > >

> > > I am trying to find out what bands are available in Texas, where

> they

> > > are located and what the cost is.

> > >

> > > My insurance company is trying to pull one of their stunts again.

> > > They are telling me that Cranial Tech is not a provider for

> BCBSTX

> > > but they won't tell me who is a provider. I don't think there is

> > > another provider anywhere close to me. We already travel 1 hr 45

> min

> > > to Cranial Tech in Dallas. Also the customer service supervisor

> told

> > > me that the standard/customary charges for this procedure is

> $1,900

> > > but she was unable to give me the " formula " used in coming up

> with

> > > this amount. I'm calling their bluff on the $1,900. The Director

> of

> > > Medical Policy for BCBSTX sent me an email saying they cut a deal

> for

> > > a significantly reduced price with a provider following the

> lawsuit

> > > in Illinois that resulted in BCBSTX to now cover the devices.

> > >

> > >

> > > My son wore 2 Doc bands and I finally received payment from BCBS

> of

> > > Texas after MONTHS of debate. However, they are still trying to

> get

> > > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800

> they

> > > owe me (80% of $6,000 which is what my policy pays for durable

> > > medical equipment). Once again, I find BCBS of Texas' business

> > > practices to be unethical and fraudulent and I will not stand for

> it.

> > >

> > >

> > > My story is quite long and I will spare you all the details.

> However,

> > > please note, if you have been denied coverage by BCBS

> (particularly

> > > in Texas, New Mexico of Illinois) or if you know of someone who

> was

> > > denied in the past, you should be able to use my situation to

> receive

> > > back payment for your denied claims. I have adequate

> documentation -

> > > from the " right " individuals within BCBS - that could be used on

> your

> > > behalf in a discrimination suit against them. I will continue to

> > > fight for the rest of the money they owe me and I hope that

> everyone

> > > out there will do the same.

> > >

> >

>

[Guest guest]

You can find details on the Starlight at www.orthomerica.com

I haven't heard of any local helmets being made in Texas.

Natasha

> > >

> > > Hello All! It has been several months since I have posted here

> but I

> > > want to give everyone an update on Blue Cross Blue Shield

Texas

> and I

> > > have several questions.

> > >

> > > I am trying to find out what bands are available in Texas,

where

> they

> > > are located and what the cost is.

> > >

> > > My insurance company is trying to pull one of their stunts

again.

> > > They are telling me that Cranial Tech is not a provider for

> BCBSTX

> > > but they won't tell me who is a provider. I don't think there

is

> > > another provider anywhere close to me. We already travel 1 hr

45

> min

> > > to Cranial Tech in Dallas. Also the customer service

supervisor

> told

> > > me that the standard/customary charges for this procedure is

> $1,900

> > > but she was unable to give me the " formula " used in coming up

> with

> > > this amount. I'm calling their bluff on the $1,900. The

Director

> of

> > > Medical Policy for BCBSTX sent me an email saying they cut a

deal

> for

> > > a significantly reduced price with a provider following the

> lawsuit

> > > in Illinois that resulted in BCBSTX to now cover the devices.

> > >

> > >

> > > My son wore 2 Doc bands and I finally received payment from

BCBS

> of

> > > Texas after MONTHS of debate. However, they are still trying

to

> get

> > > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800

> they

> > > owe me (80% of $6,000 which is what my policy pays for durable

> > > medical equipment). Once again, I find BCBS of Texas' business

> > > practices to be unethical and fraudulent and I will not stand

for

> it.

> > >

> > >

> > > My story is quite long and I will spare you all the details.

> However,

> > > please note, if you have been denied coverage by BCBS

> (particularly

> > > in Texas, New Mexico of Illinois) or if you know of someone

who

> was

> > > denied in the past, you should be able to use my situation to

> receive

> > > back payment for your denied claims. I have adequate

> documentation -

> > > from the " right " individuals within BCBS - that could be used

on

> your

> > > behalf in a discrimination suit against them. I will continue

to

> > > fight for the rest of the money they owe me and I hope that

> everyone

> > > out there will do the same.

> > >

> >

>

[Guest guest]

You can find details on the Starlight at www.orthomerica.com

I haven't heard of any local helmets being made in Texas.

Natasha

> > >

> > > Hello All! It has been several months since I have posted here

> but I

> > > want to give everyone an update on Blue Cross Blue Shield

Texas

> and I

> > > have several questions.

> > >

> > > I am trying to find out what bands are available in Texas,

where

> they

> > > are located and what the cost is.

> > >

> > > My insurance company is trying to pull one of their stunts

again.

> > > They are telling me that Cranial Tech is not a provider for

> BCBSTX

> > > but they won't tell me who is a provider. I don't think there

is

> > > another provider anywhere close to me. We already travel 1 hr

45

> min

> > > to Cranial Tech in Dallas. Also the customer service

supervisor

> told

> > > me that the standard/customary charges for this procedure is

> $1,900

> > > but she was unable to give me the " formula " used in coming up

> with

> > > this amount. I'm calling their bluff on the $1,900. The

Director

> of

> > > Medical Policy for BCBSTX sent me an email saying they cut a

deal

> for

> > > a significantly reduced price with a provider following the

> lawsuit

> > > in Illinois that resulted in BCBSTX to now cover the devices.

> > >

> > >

> > > My son wore 2 Doc bands and I finally received payment from

BCBS

> of

> > > Texas after MONTHS of debate. However, they are still trying

to

> get

> > > away with paying $2,730 (total for 2 Doc bands) vs. the $5,800

> they

> > > owe me (80% of $6,000 which is what my policy pays for durable

> > > medical equipment). Once again, I find BCBS of Texas' business

> > > practices to be unethical and fraudulent and I will not stand

for

> it.

> > >

> > >

> > > My story is quite long and I will spare you all the details.

> However,

> > > please note, if you have been denied coverage by BCBS

> (particularly

> > > in Texas, New Mexico of Illinois) or if you know of someone

who

> was

> > > denied in the past, you should be able to use my situation to

> receive

> > > back payment for your denied claims. I have adequate

> documentation -

> > > from the " right " individuals within BCBS - that could be used

on

> your

> > > behalf in a discrimination suit against them. I will continue

to

> > > fight for the rest of the money they owe me and I hope that

> everyone

> > > out there will do the same.

> > >

> >

>