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

[Guest guest]

Sherry,

That's great news about your insurance company. I don't mean to bust

your bubble but do you know how much experience this ortho has

treating plagio babies? Experience is KEY when it comes to treating

plagio babies. It's super important that you throughly interview any

potential orthos. These bands and helmets in the hands of an

inexperienced ortho can and do cause more damage to the baby's head.

You really need to do your homework before you decide on a place. You

need to know how many babies they've successfully treated. Do they

have before and after pictures of babies they've treated and do they

have references. Good luck and please keep us posted.

> > >

> > > 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!

> > >

> >

>

[Guest guest]

Sherry,

That's great news about your insurance company. I don't mean to bust

your bubble but do you know how much experience this ortho has

treating plagio babies? Experience is KEY when it comes to treating

plagio babies. It's super important that you throughly interview any

potential orthos. These bands and helmets in the hands of an

inexperienced ortho can and do cause more damage to the baby's head.

You really need to do your homework before you decide on a place. You

need to know how many babies they've successfully treated. Do they

have before and after pictures of babies they've treated and do they

have references. Good luck and please keep us posted.

> > >

> > > 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!

> > >

> >

>