Re: Insurance company not denying band but referring me to others :(

January 26, 2006

I think I may have lucked out. I got a really helpful person at my

insurance co. and she gave me 3 alternatives - 1 I ruled out they

didn't have enough experience. The second one I couldn't reach and

the 3rd seems great - Nouveau P & O in NJ. They use the starr

scanning and my baby won't have to go through the casting,

molding!!!!!!!!! So I think my insurance company actually gave me an

excellent option. I'm so excited. I was so scared they'd give me

only junk. So I'm plesantly surprised. Also I may be able to work

out transportation too for the appointments since they found it

medically necessary.

I feel really awful for all the people who have to fight for this.

It's insane. The few days that I thought I had a big fight on my

hands was tough. I can't imagine going through that for months. But

the woman at the insurance company said somthing funny when I told

her I've been working on transportion for months " it depends on who

you talk to " . I thought that was interesting.

So anyway it seems I'll get an appointment for measurements, again

with the scanning and they say he should have the band in 10 days!

Now I have to prepare for the next phase.

Thanks to all and I wish everyone luck with insurance.

Sherry

(Chase's mom 5 3/4 months, Tort. in the process of banding any day

hopefully)

- In Plagiocephaly , " stripes6060 " <taime@o...> wrote:

>

> Hi,

> It is terrible! You'd be shocked if you knew how many of our members

> have contacted people in the media. Most of them never even receive

a

> response, it stinks.

>

> -- In Plagiocephaly , mironovich@a... wrote:

> >

> > My sister is having the exact same problem with her company which

is

> > HealthNet of New Jersey/Guardian.

> >

> > First they gave her the name of the places that covered it. She

> called them

> > all and they said they no longer worked with HealthNet. So, she

> called them and

> > asked about Cranial Tech. They told her they would pay 50% since

> they are not

> > a provider.

> >

> > Now they have denied the claim altogether. Saying in wasn't

medically

> > necessary, but they listed two providers in the letter of the

> denial!!! How bizarre

> > is that?

> >

> > This is really a sin! Someone should call 60 minutes or something!

> >

>

January 26, 2006