Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 I thank you for listing your story. Just wanted to add TriCare will not cover if children have postional. I have go through this with them. They will still cover visits but not if it has to do with banding. > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > and we were told she had plagio and tort. SHe was referred to a > craniofacial plastic surgeon for an evaluation who also confirmed > severe plagio and moderate tort. He then sent us to Cranial Tech. > This is when we found out that Tricare would cover the visit to the > craniofacial plastic surgeon but would not cover the band our > daughter needed. We were angered by this. But the amount of time it > took us to get all of the visits done leading up to the cranial tech > visit we felt we were wasting time. Mya was already 8 months old so > we went ahead with the casting knowing Tricare would deny us. We > never got our first denial letter. They say they sent it but we > never got it. We requested a copy of what was covered. They said > they sent it we never got it. This frustrated us. Without that > denial letter we could not file an appeal so we decided to try > another route. We had been told that almost all appeals filed are > denied anyway. From that point on we did everything we could to BUG > Tricare to death. We contacted state representatives, congressmen, > etc.(who contacted Tricare on our behalf) We also contacted the army > hospitals IG who also made calls to tricare. We contacted the > Hospitals commander who then got the chief of pediatrics of the > hospital involved and she started making calls. During all of this > my husband and I were both calling Tricare and making visits to the > tricare office DAILY! The people in the office knew us by name! > Every time we called or went there our story was the same.. our > complaint was the same. But we had them look stuff up give us more > numbers etc. I had Generals wives calling me asking what they could > do to help which all I told them was CALL! Having all these people > call Tricare on our behalf is what I believe helped us get approved. > Mya was born with this condition. Her plagio was congenital not > positional as Tricares policy stated (not sure if it has changed > now) We pushed that issue but hadnt gotten anywhere with it. Finally > in july 2002 (mya was banded in march2002)we called Tricare like we > normally did and they told me a check had been issued to Cranial > tech. I was Like WHAT?? I called cranial tech to confirm. They said > yes and that they were issuing me a refund check for the amount we > had paid so far. I was in shock! Then in aug mya required a second > band. I went ahead with the banding.. Tricare denied us. It only > took around 5 calls with me telling them look you paid for the first > one theres no way you can deny a continuation of a treatment you > have already paid for. SO they paid. After that I found out that > anything approved by tricare that requires you to drive more then > 100 miles the military will reimburse you for your expenses. So.. we > then filed paperwork on that. They paid us back for ALL of my gas, > All of our food, and my hotel stays on the days we went for her > first fittings. > Anyway.. I cant say ours was a conventional approach. But this is > what we did and this is what worked for us. I do beleive we Bugged > Tricare to death and that is why they paid. There is no other reason > i can see that they wouldve paid out of no where. We at no time > filed ANY formal appeals. > If you have any more questions please feel free to email me at > Thezepps6 @ nc.rr.com (without spaces) > > Christi <>< > www.littlebeandiapers.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 I thank you for listing your story. Just wanted to add TriCare will not cover if children have postional. I have go through this with them. They will still cover visits but not if it has to do with banding. > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > and we were told she had plagio and tort. SHe was referred to a > craniofacial plastic surgeon for an evaluation who also confirmed > severe plagio and moderate tort. He then sent us to Cranial Tech. > This is when we found out that Tricare would cover the visit to the > craniofacial plastic surgeon but would not cover the band our > daughter needed. We were angered by this. But the amount of time it > took us to get all of the visits done leading up to the cranial tech > visit we felt we were wasting time. Mya was already 8 months old so > we went ahead with the casting knowing Tricare would deny us. We > never got our first denial letter. They say they sent it but we > never got it. We requested a copy of what was covered. They said > they sent it we never got it. This frustrated us. Without that > denial letter we could not file an appeal so we decided to try > another route. We had been told that almost all appeals filed are > denied anyway. From that point on we did everything we could to BUG > Tricare to death. We contacted state representatives, congressmen, > etc.(who contacted Tricare on our behalf) We also contacted the army > hospitals IG who also made calls to tricare. We contacted the > Hospitals commander who then got the chief of pediatrics of the > hospital involved and she started making calls. During all of this > my husband and I were both calling Tricare and making visits to the > tricare office DAILY! The people in the office knew us by name! > Every time we called or went there our story was the same.. our > complaint was the same. But we had them look stuff up give us more > numbers etc. I had Generals wives calling me asking what they could > do to help which all I told them was CALL! Having all these people > call Tricare on our behalf is what I believe helped us get approved. > Mya was born with this condition. Her plagio was congenital not > positional as Tricares policy stated (not sure if it has changed > now) We pushed that issue but hadnt gotten anywhere with it. Finally > in july 2002 (mya was banded in march2002)we called Tricare like we > normally did and they told me a check had been issued to Cranial > tech. I was Like WHAT?? I called cranial tech to confirm. They said > yes and that they were issuing me a refund check for the amount we > had paid so far. I was in shock! Then in aug mya required a second > band. I went ahead with the banding.. Tricare denied us. It only > took around 5 calls with me telling them look you paid for the first > one theres no way you can deny a continuation of a treatment you > have already paid for. SO they paid. After that I found out that > anything approved by tricare that requires you to drive more then > 100 miles the military will reimburse you for your expenses. So.. we > then filed paperwork on that. They paid us back for ALL of my gas, > All of our food, and my hotel stays on the days we went for her > first fittings. > Anyway.. I cant say ours was a conventional approach. But this is > what we did and this is what worked for us. I do beleive we Bugged > Tricare to death and that is why they paid. There is no other reason > i can see that they wouldve paid out of no where. We at no time > filed ANY formal appeals. > If you have any more questions please feel free to email me at > Thezepps6 @ nc.rr.com (without spaces) > > Christi <>< > www.littlebeandiapers.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Right after Myas bands got approved Tricare did approve several people after us. But then started denying again. Im not sure why. But the children approved after mya were all positional and not congenital. Christi > > > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > > and we were told she had plagio and tort. SHe was referred to a > > craniofacial plastic surgeon for an evaluation who also confirmed > > severe plagio and moderate tort. He then sent us to Cranial Tech. > > This is when we found out that Tricare would cover the visit to the > > craniofacial plastic surgeon but would not cover the band our > > daughter needed. We were angered by this. But the amount of time > it > > took us to get all of the visits done leading up to the cranial > tech > > visit we felt we were wasting time. Mya was already 8 months old so > > we went ahead with the casting knowing Tricare would deny us. We > > never got our first denial letter. They say they sent it but we > > never got it. We requested a copy of what was covered. They said > > they sent it we never got it. This frustrated us. Without that > > denial letter we could not file an appeal so we decided to try > > another route. We had been told that almost all appeals filed are > > denied anyway. From that point on we did everything we could to BUG > > Tricare to death. We contacted state representatives, congressmen, > > etc.(who contacted Tricare on our behalf) We also contacted the > army > > hospitals IG who also made calls to tricare. We contacted the > > Hospitals commander who then got the chief of pediatrics of the > > hospital involved and she started making calls. During all of this > > my husband and I were both calling Tricare and making visits to the > > tricare office DAILY! The people in the office knew us by name! > > Every time we called or went there our story was the same.. our > > complaint was the same. But we had them look stuff up give us more > > numbers etc. I had Generals wives calling me asking what they could > > do to help which all I told them was CALL! Having all these people > > call Tricare on our behalf is what I believe helped us get > approved. > > Mya was born with this condition. Her plagio was congenital not > > positional as Tricares policy stated (not sure if it has changed > > now) We pushed that issue but hadnt gotten anywhere with it. > Finally > > in july 2002 (mya was banded in march2002)we called Tricare like we > > normally did and they told me a check had been issued to Cranial > > tech. I was Like WHAT?? I called cranial tech to confirm. They said > > yes and that they were issuing me a refund check for the amount we > > had paid so far. I was in shock! Then in aug mya required a second > > band. I went ahead with the banding.. Tricare denied us. It only > > took around 5 calls with me telling them look you paid for the > first > > one theres no way you can deny a continuation of a treatment you > > have already paid for. SO they paid. After that I found out that > > anything approved by tricare that requires you to drive more then > > 100 miles the military will reimburse you for your expenses. So.. > we > > then filed paperwork on that. They paid us back for ALL of my gas, > > All of our food, and my hotel stays on the days we went for her > > first fittings. > > Anyway.. I cant say ours was a conventional approach. But this is > > what we did and this is what worked for us. I do beleive we Bugged > > Tricare to death and that is why they paid. There is no other > reason > > i can see that they wouldve paid out of no where. We at no time > > filed ANY formal appeals. > > If you have any more questions please feel free to email me at > > Thezepps6 @ nc.rr.com (without spaces) > > > > Christi <>< > > www.littlebeandiapers.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Right after Myas bands got approved Tricare did approve several people after us. But then started denying again. Im not sure why. But the children approved after mya were all positional and not congenital. Christi > > > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > > and we were told she had plagio and tort. SHe was referred to a > > craniofacial plastic surgeon for an evaluation who also confirmed > > severe plagio and moderate tort. He then sent us to Cranial Tech. > > This is when we found out that Tricare would cover the visit to the > > craniofacial plastic surgeon but would not cover the band our > > daughter needed. We were angered by this. But the amount of time > it > > took us to get all of the visits done leading up to the cranial > tech > > visit we felt we were wasting time. Mya was already 8 months old so > > we went ahead with the casting knowing Tricare would deny us. We > > never got our first denial letter. They say they sent it but we > > never got it. We requested a copy of what was covered. They said > > they sent it we never got it. This frustrated us. Without that > > denial letter we could not file an appeal so we decided to try > > another route. We had been told that almost all appeals filed are > > denied anyway. From that point on we did everything we could to BUG > > Tricare to death. We contacted state representatives, congressmen, > > etc.(who contacted Tricare on our behalf) We also contacted the > army > > hospitals IG who also made calls to tricare. We contacted the > > Hospitals commander who then got the chief of pediatrics of the > > hospital involved and she started making calls. During all of this > > my husband and I were both calling Tricare and making visits to the > > tricare office DAILY! The people in the office knew us by name! > > Every time we called or went there our story was the same.. our > > complaint was the same. But we had them look stuff up give us more > > numbers etc. I had Generals wives calling me asking what they could > > do to help which all I told them was CALL! Having all these people > > call Tricare on our behalf is what I believe helped us get > approved. > > Mya was born with this condition. Her plagio was congenital not > > positional as Tricares policy stated (not sure if it has changed > > now) We pushed that issue but hadnt gotten anywhere with it. > Finally > > in july 2002 (mya was banded in march2002)we called Tricare like we > > normally did and they told me a check had been issued to Cranial > > tech. I was Like WHAT?? I called cranial tech to confirm. They said > > yes and that they were issuing me a refund check for the amount we > > had paid so far. I was in shock! Then in aug mya required a second > > band. I went ahead with the banding.. Tricare denied us. It only > > took around 5 calls with me telling them look you paid for the > first > > one theres no way you can deny a continuation of a treatment you > > have already paid for. SO they paid. After that I found out that > > anything approved by tricare that requires you to drive more then > > 100 miles the military will reimburse you for your expenses. So.. > we > > then filed paperwork on that. They paid us back for ALL of my gas, > > All of our food, and my hotel stays on the days we went for her > > first fittings. > > Anyway.. I cant say ours was a conventional approach. But this is > > what we did and this is what worked for us. I do beleive we Bugged > > Tricare to death and that is why they paid. There is no other > reason > > i can see that they wouldve paid out of no where. We at no time > > filed ANY formal appeals. > > If you have any more questions please feel free to email me at > > Thezepps6 @ nc.rr.com (without spaces) > > > > Christi <>< > > www.littlebeandiapers.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Hey Christi! Thanks so much for taking the time to post your story! Now I remember, it was the wording. It wasn't positional plagio, Mya's was congenital. I don't know why I didn't remember that. I love the cloth diapers you're making now, how do you find the time? How are the little ones and hubby? Hugs, In Plagiocephaly , " Little Bean Diapers " <thezepps6@n...> wrote: > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > and we were told she had plagio and tort. SHe was referred to a > craniofacial plastic surgeon for an evaluation who also confirmed > severe plagio and moderate tort. He then sent us to Cranial Tech. > This is when we found out that Tricare would cover the visit to the > craniofacial plastic surgeon but would not cover the band our > daughter needed. We were angered by this. But the amount of time it > took us to get all of the visits done leading up to the cranial tech > visit we felt we were wasting time. Mya was already 8 months old so > we went ahead with the casting knowing Tricare would deny us. We > never got our first denial letter. They say they sent it but we > never got it. We requested a copy of what was covered. They said > they sent it we never got it. This frustrated us. Without that > denial letter we could not file an appeal so we decided to try > another route. We had been told that almost all appeals filed are > denied anyway. From that point on we did everything we could to BUG > Tricare to death. We contacted state representatives, congressmen, > etc.(who contacted Tricare on our behalf) We also contacted the army > hospitals IG who also made calls to tricare. We contacted the > Hospitals commander who then got the chief of pediatrics of the > hospital involved and she started making calls. During all of this > my husband and I were both calling Tricare and making visits to the > tricare office DAILY! The people in the office knew us by name! > Every time we called or went there our story was the same.. our > complaint was the same. But we had them look stuff up give us more > numbers etc. I had Generals wives calling me asking what they could > do to help which all I told them was CALL! Having all these people > call Tricare on our behalf is what I believe helped us get approved. > Mya was born with this condition. Her plagio was congenital not > positional as Tricares policy stated (not sure if it has changed > now) We pushed that issue but hadnt gotten anywhere with it. Finally > in july 2002 (mya was banded in march2002)we called Tricare like we > normally did and they told me a check had been issued to Cranial > tech. I was Like WHAT?? I called cranial tech to confirm. They said > yes and that they were issuing me a refund check for the amount we > had paid so far. I was in shock! Then in aug mya required a second > band. I went ahead with the banding.. Tricare denied us. It only > took around 5 calls with me telling them look you paid for the first > one theres no way you can deny a continuation of a treatment you > have already paid for. SO they paid. After that I found out that > anything approved by tricare that requires you to drive more then > 100 miles the military will reimburse you for your expenses. So.. we > then filed paperwork on that. They paid us back for ALL of my gas, > All of our food, and my hotel stays on the days we went for her > first fittings. > Anyway.. I cant say ours was a conventional approach. But this is > what we did and this is what worked for us. I do beleive we Bugged > Tricare to death and that is why they paid. There is no other reason > i can see that they wouldve paid out of no where. We at no time > filed ANY formal appeals. > If you have any more questions please feel free to email me at > Thezepps6 @ nc.rr.com (without spaces) > > Christi <>< > www.littlebeandiapers.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Hey Christi! Thanks so much for taking the time to post your story! Now I remember, it was the wording. It wasn't positional plagio, Mya's was congenital. I don't know why I didn't remember that. I love the cloth diapers you're making now, how do you find the time? How are the little ones and hubby? Hugs, In Plagiocephaly , " Little Bean Diapers " <thezepps6@n...> wrote: > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > and we were told she had plagio and tort. SHe was referred to a > craniofacial plastic surgeon for an evaluation who also confirmed > severe plagio and moderate tort. He then sent us to Cranial Tech. > This is when we found out that Tricare would cover the visit to the > craniofacial plastic surgeon but would not cover the band our > daughter needed. We were angered by this. But the amount of time it > took us to get all of the visits done leading up to the cranial tech > visit we felt we were wasting time. Mya was already 8 months old so > we went ahead with the casting knowing Tricare would deny us. We > never got our first denial letter. They say they sent it but we > never got it. We requested a copy of what was covered. They said > they sent it we never got it. This frustrated us. Without that > denial letter we could not file an appeal so we decided to try > another route. We had been told that almost all appeals filed are > denied anyway. From that point on we did everything we could to BUG > Tricare to death. We contacted state representatives, congressmen, > etc.(who contacted Tricare on our behalf) We also contacted the army > hospitals IG who also made calls to tricare. We contacted the > Hospitals commander who then got the chief of pediatrics of the > hospital involved and she started making calls. During all of this > my husband and I were both calling Tricare and making visits to the > tricare office DAILY! The people in the office knew us by name! > Every time we called or went there our story was the same.. our > complaint was the same. But we had them look stuff up give us more > numbers etc. I had Generals wives calling me asking what they could > do to help which all I told them was CALL! Having all these people > call Tricare on our behalf is what I believe helped us get approved. > Mya was born with this condition. Her plagio was congenital not > positional as Tricares policy stated (not sure if it has changed > now) We pushed that issue but hadnt gotten anywhere with it. Finally > in july 2002 (mya was banded in march2002)we called Tricare like we > normally did and they told me a check had been issued to Cranial > tech. I was Like WHAT?? I called cranial tech to confirm. They said > yes and that they were issuing me a refund check for the amount we > had paid so far. I was in shock! Then in aug mya required a second > band. I went ahead with the banding.. Tricare denied us. It only > took around 5 calls with me telling them look you paid for the first > one theres no way you can deny a continuation of a treatment you > have already paid for. SO they paid. After that I found out that > anything approved by tricare that requires you to drive more then > 100 miles the military will reimburse you for your expenses. So.. we > then filed paperwork on that. They paid us back for ALL of my gas, > All of our food, and my hotel stays on the days we went for her > first fittings. > Anyway.. I cant say ours was a conventional approach. But this is > what we did and this is what worked for us. I do beleive we Bugged > Tricare to death and that is why they paid. There is no other reason > i can see that they wouldve paid out of no where. We at no time > filed ANY formal appeals. > If you have any more questions please feel free to email me at > Thezepps6 @ nc.rr.com (without spaces) > > Christi <>< > www.littlebeandiapers.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 thanks I enjoy making them and honestly I do it late at night most times. When s deployed it helps pass the time and I like making them way too much and Tira is potty trained now and i already have a million for our one that due in Aug LOL so... selling them feeds my addiction lol Kids are great is deployed again. How are your kiddos doing? getting big i bet! Christi > > > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > > and we were told she had plagio and tort. SHe was referred to a > > craniofacial plastic surgeon for an evaluation who also confirmed > > severe plagio and moderate tort. He then sent us to Cranial Tech. > > This is when we found out that Tricare would cover the visit to the > > craniofacial plastic surgeon but would not cover the band our > > daughter needed. We were angered by this. But the amount of time it > > took us to get all of the visits done leading up to the cranial tech > > visit we felt we were wasting time. Mya was already 8 months old so > > we went ahead with the casting knowing Tricare would deny us. We > > never got our first denial letter. They say they sent it but we > > never got it. We requested a copy of what was covered. They said > > they sent it we never got it. This frustrated us. Without that > > denial letter we could not file an appeal so we decided to try > > another route. We had been told that almost all appeals filed are > > denied anyway. From that point on we did everything we could to BUG > > Tricare to death. We contacted state representatives, congressmen, > > etc.(who contacted Tricare on our behalf) We also contacted the army > > hospitals IG who also made calls to tricare. We contacted the > > Hospitals commander who then got the chief of pediatrics of the > > hospital involved and she started making calls. During all of this > > my husband and I were both calling Tricare and making visits to the > > tricare office DAILY! The people in the office knew us by name! > > Every time we called or went there our story was the same.. our > > complaint was the same. But we had them look stuff up give us more > > numbers etc. I had Generals wives calling me asking what they could > > do to help which all I told them was CALL! Having all these people > > call Tricare on our behalf is what I believe helped us get approved. > > Mya was born with this condition. Her plagio was congenital not > > positional as Tricares policy stated (not sure if it has changed > > now) We pushed that issue but hadnt gotten anywhere with it. Finally > > in july 2002 (mya was banded in march2002)we called Tricare like we > > normally did and they told me a check had been issued to Cranial > > tech. I was Like WHAT?? I called cranial tech to confirm. They said > > yes and that they were issuing me a refund check for the amount we > > had paid so far. I was in shock! Then in aug mya required a second > > band. I went ahead with the banding.. Tricare denied us. It only > > took around 5 calls with me telling them look you paid for the first > > one theres no way you can deny a continuation of a treatment you > > have already paid for. SO they paid. After that I found out that > > anything approved by tricare that requires you to drive more then > > 100 miles the military will reimburse you for your expenses. So.. we > > then filed paperwork on that. They paid us back for ALL of my gas, > > All of our food, and my hotel stays on the days we went for her > > first fittings. > > Anyway.. I cant say ours was a conventional approach. But this is > > what we did and this is what worked for us. I do beleive we Bugged > > Tricare to death and that is why they paid. There is no other reason > > i can see that they wouldve paid out of no where. We at no time > > filed ANY formal appeals. > > If you have any more questions please feel free to email me at > > Thezepps6 @ nc.rr.com (without spaces) > > > > Christi <>< > > www.littlebeandiapers.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 thanks I enjoy making them and honestly I do it late at night most times. When s deployed it helps pass the time and I like making them way too much and Tira is potty trained now and i already have a million for our one that due in Aug LOL so... selling them feeds my addiction lol Kids are great is deployed again. How are your kiddos doing? getting big i bet! Christi > > > > hi! Im Christi, my daughter Mya was evaluated at our Army hospital > > and we were told she had plagio and tort. SHe was referred to a > > craniofacial plastic surgeon for an evaluation who also confirmed > > severe plagio and moderate tort. He then sent us to Cranial Tech. > > This is when we found out that Tricare would cover the visit to the > > craniofacial plastic surgeon but would not cover the band our > > daughter needed. We were angered by this. But the amount of time it > > took us to get all of the visits done leading up to the cranial tech > > visit we felt we were wasting time. Mya was already 8 months old so > > we went ahead with the casting knowing Tricare would deny us. We > > never got our first denial letter. They say they sent it but we > > never got it. We requested a copy of what was covered. They said > > they sent it we never got it. This frustrated us. Without that > > denial letter we could not file an appeal so we decided to try > > another route. We had been told that almost all appeals filed are > > denied anyway. From that point on we did everything we could to BUG > > Tricare to death. We contacted state representatives, congressmen, > > etc.(who contacted Tricare on our behalf) We also contacted the army > > hospitals IG who also made calls to tricare. We contacted the > > Hospitals commander who then got the chief of pediatrics of the > > hospital involved and she started making calls. During all of this > > my husband and I were both calling Tricare and making visits to the > > tricare office DAILY! The people in the office knew us by name! > > Every time we called or went there our story was the same.. our > > complaint was the same. But we had them look stuff up give us more > > numbers etc. I had Generals wives calling me asking what they could > > do to help which all I told them was CALL! Having all these people > > call Tricare on our behalf is what I believe helped us get approved. > > Mya was born with this condition. Her plagio was congenital not > > positional as Tricares policy stated (not sure if it has changed > > now) We pushed that issue but hadnt gotten anywhere with it. Finally > > in july 2002 (mya was banded in march2002)we called Tricare like we > > normally did and they told me a check had been issued to Cranial > > tech. I was Like WHAT?? I called cranial tech to confirm. They said > > yes and that they were issuing me a refund check for the amount we > > had paid so far. I was in shock! Then in aug mya required a second > > band. I went ahead with the banding.. Tricare denied us. It only > > took around 5 calls with me telling them look you paid for the first > > one theres no way you can deny a continuation of a treatment you > > have already paid for. SO they paid. After that I found out that > > anything approved by tricare that requires you to drive more then > > 100 miles the military will reimburse you for your expenses. So.. we > > then filed paperwork on that. They paid us back for ALL of my gas, > > All of our food, and my hotel stays on the days we went for her > > first fittings. > > Anyway.. I cant say ours was a conventional approach. But this is > > what we did and this is what worked for us. I do beleive we Bugged > > Tricare to death and that is why they paid. There is no other reason > > i can see that they wouldve paid out of no where. We at no time > > filed ANY formal appeals. > > If you have any more questions please feel free to email me at > > Thezepps6 @ nc.rr.com (without spaces) > > > > Christi <>< > > www.littlebeandiapers.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 CONGRATULATIONS! I hope your business is a HUGE success. :-) You're catching up to me in the baby dept. lol When is due to come back home? I hope in time for the new baby. I'll be sending baby BOY vibes yours way. :-) Yes, my kids are all getting so big. It goes by so fast, my baby will be 3 in April, I can't believe it. le will be 18 in July... blows my mind. She was just 6 and now she's going to be 18. The time really does fly by. Hugs, > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > hospital > > > and we were told she had plagio and tort. SHe was referred to a > > > craniofacial plastic surgeon for an evaluation who also > confirmed > > > severe plagio and moderate tort. He then sent us to Cranial > Tech. > > > This is when we found out that Tricare would cover the visit to > the > > > craniofacial plastic surgeon but would not cover the band our > > > daughter needed. We were angered by this. But the amount of > time it > > > took us to get all of the visits done leading up to the cranial > tech > > > visit we felt we were wasting time. Mya was already 8 months old > so > > > we went ahead with the casting knowing Tricare would deny us. We > > > never got our first denial letter. They say they sent it but we > > > never got it. We requested a copy of what was covered. They said > > > they sent it we never got it. This frustrated us. Without that > > > denial letter we could not file an appeal so we decided to try > > > another route. We had been told that almost all appeals filed > are > > > denied anyway. From that point on we did everything we could to > BUG > > > Tricare to death. We contacted state representatives, > congressmen, > > > etc.(who contacted Tricare on our behalf) We also contacted the > army > > > hospitals IG who also made calls to tricare. We contacted the > > > Hospitals commander who then got the chief of pediatrics of the > > > hospital involved and she started making calls. During all of > this > > > my husband and I were both calling Tricare and making visits to > the > > > tricare office DAILY! The people in the office knew us by name! > > > Every time we called or went there our story was the same.. our > > > complaint was the same. But we had them look stuff up give us > more > > > numbers etc. I had Generals wives calling me asking what they > could > > > do to help which all I told them was CALL! Having all these > people > > > call Tricare on our behalf is what I believe helped us get > approved. > > > Mya was born with this condition. Her plagio was congenital not > > > positional as Tricares policy stated (not sure if it has changed > > > now) We pushed that issue but hadnt gotten anywhere with it. > Finally > > > in july 2002 (mya was banded in march2002)we called Tricare like > we > > > normally did and they told me a check had been issued to Cranial > > > tech. I was Like WHAT?? I called cranial tech to confirm. They > said > > > yes and that they were issuing me a refund check for the amount > we > > > had paid so far. I was in shock! Then in aug mya required a > second > > > band. I went ahead with the banding.. Tricare denied us. It only > > > took around 5 calls with me telling them look you paid for the > first > > > one theres no way you can deny a continuation of a treatment you > > > have already paid for. SO they paid. After that I found out that > > > anything approved by tricare that requires you to drive more > then > > > 100 miles the military will reimburse you for your expenses. > So.. we > > > then filed paperwork on that. They paid us back for ALL of my > gas, > > > All of our food, and my hotel stays on the days we went for her > > > first fittings. > > > Anyway.. I cant say ours was a conventional approach. But this > is > > > what we did and this is what worked for us. I do beleive we > Bugged > > > Tricare to death and that is why they paid. There is no other > reason > > > i can see that they wouldve paid out of no where. We at no time > > > filed ANY formal appeals. > > > If you have any more questions please feel free to email me at > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > Christi <>< > > > www.littlebeandiapers.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 CONGRATULATIONS! I hope your business is a HUGE success. :-) You're catching up to me in the baby dept. lol When is due to come back home? I hope in time for the new baby. I'll be sending baby BOY vibes yours way. :-) Yes, my kids are all getting so big. It goes by so fast, my baby will be 3 in April, I can't believe it. le will be 18 in July... blows my mind. She was just 6 and now she's going to be 18. The time really does fly by. Hugs, > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > hospital > > > and we were told she had plagio and tort. SHe was referred to a > > > craniofacial plastic surgeon for an evaluation who also > confirmed > > > severe plagio and moderate tort. He then sent us to Cranial > Tech. > > > This is when we found out that Tricare would cover the visit to > the > > > craniofacial plastic surgeon but would not cover the band our > > > daughter needed. We were angered by this. But the amount of > time it > > > took us to get all of the visits done leading up to the cranial > tech > > > visit we felt we were wasting time. Mya was already 8 months old > so > > > we went ahead with the casting knowing Tricare would deny us. We > > > never got our first denial letter. They say they sent it but we > > > never got it. We requested a copy of what was covered. They said > > > they sent it we never got it. This frustrated us. Without that > > > denial letter we could not file an appeal so we decided to try > > > another route. We had been told that almost all appeals filed > are > > > denied anyway. From that point on we did everything we could to > BUG > > > Tricare to death. We contacted state representatives, > congressmen, > > > etc.(who contacted Tricare on our behalf) We also contacted the > army > > > hospitals IG who also made calls to tricare. We contacted the > > > Hospitals commander who then got the chief of pediatrics of the > > > hospital involved and she started making calls. During all of > this > > > my husband and I were both calling Tricare and making visits to > the > > > tricare office DAILY! The people in the office knew us by name! > > > Every time we called or went there our story was the same.. our > > > complaint was the same. But we had them look stuff up give us > more > > > numbers etc. I had Generals wives calling me asking what they > could > > > do to help which all I told them was CALL! Having all these > people > > > call Tricare on our behalf is what I believe helped us get > approved. > > > Mya was born with this condition. Her plagio was congenital not > > > positional as Tricares policy stated (not sure if it has changed > > > now) We pushed that issue but hadnt gotten anywhere with it. > Finally > > > in july 2002 (mya was banded in march2002)we called Tricare like > we > > > normally did and they told me a check had been issued to Cranial > > > tech. I was Like WHAT?? I called cranial tech to confirm. They > said > > > yes and that they were issuing me a refund check for the amount > we > > > had paid so far. I was in shock! Then in aug mya required a > second > > > band. I went ahead with the banding.. Tricare denied us. It only > > > took around 5 calls with me telling them look you paid for the > first > > > one theres no way you can deny a continuation of a treatment you > > > have already paid for. SO they paid. After that I found out that > > > anything approved by tricare that requires you to drive more > then > > > 100 miles the military will reimburse you for your expenses. > So.. we > > > then filed paperwork on that. They paid us back for ALL of my > gas, > > > All of our food, and my hotel stays on the days we went for her > > > first fittings. > > > Anyway.. I cant say ours was a conventional approach. But this > is > > > what we did and this is what worked for us. I do beleive we > Bugged > > > Tricare to death and that is why they paid. There is no other > reason > > > i can see that they wouldve paid out of no where. We at no time > > > filed ANY formal appeals. > > > If you have any more questions please feel free to email me at > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > Christi <>< > > > www.littlebeandiapers.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Gosh 18!! thats crazy!! How do they get that old that quick? LOL well jason will be back in april but then will be going again in the summer so theres a good chance he will miss the birth I am praying otherwise though Christi > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > > hospital > > > > and we were told she had plagio and tort. SHe was referred to a > > > > craniofacial plastic surgeon for an evaluation who also > > confirmed > > > > severe plagio and moderate tort. He then sent us to Cranial > > Tech. > > > > This is when we found out that Tricare would cover the visit to > > the > > > > craniofacial plastic surgeon but would not cover the band our > > > > daughter needed. We were angered by this. But the amount of > > time it > > > > took us to get all of the visits done leading up to the cranial > > tech > > > > visit we felt we were wasting time. Mya was already 8 months old > > so > > > > we went ahead with the casting knowing Tricare would deny us. We > > > > never got our first denial letter. They say they sent it but we > > > > never got it. We requested a copy of what was covered. They said > > > > they sent it we never got it. This frustrated us. Without that > > > > denial letter we could not file an appeal so we decided to try > > > > another route. We had been told that almost all appeals filed > > are > > > > denied anyway. From that point on we did everything we could to > > BUG > > > > Tricare to death. We contacted state representatives, > > congressmen, > > > > etc.(who contacted Tricare on our behalf) We also contacted the > > army > > > > hospitals IG who also made calls to tricare. We contacted the > > > > Hospitals commander who then got the chief of pediatrics of the > > > > hospital involved and she started making calls. During all of > > this > > > > my husband and I were both calling Tricare and making visits to > > the > > > > tricare office DAILY! The people in the office knew us by name! > > > > Every time we called or went there our story was the same.. our > > > > complaint was the same. But we had them look stuff up give us > > more > > > > numbers etc. I had Generals wives calling me asking what they > > could > > > > do to help which all I told them was CALL! Having all these > > people > > > > call Tricare on our behalf is what I believe helped us get > > approved. > > > > Mya was born with this condition. Her plagio was congenital not > > > > positional as Tricares policy stated (not sure if it has changed > > > > now) We pushed that issue but hadnt gotten anywhere with it. > > Finally > > > > in july 2002 (mya was banded in march2002)we called Tricare like > > we > > > > normally did and they told me a check had been issued to Cranial > > > > tech. I was Like WHAT?? I called cranial tech to confirm. They > > said > > > > yes and that they were issuing me a refund check for the amount > > we > > > > had paid so far. I was in shock! Then in aug mya required a > > second > > > > band. I went ahead with the banding.. Tricare denied us. It only > > > > took around 5 calls with me telling them look you paid for the > > first > > > > one theres no way you can deny a continuation of a treatment you > > > > have already paid for. SO they paid. After that I found out that > > > > anything approved by tricare that requires you to drive more > > then > > > > 100 miles the military will reimburse you for your expenses. > > So.. we > > > > then filed paperwork on that. They paid us back for ALL of my > > gas, > > > > All of our food, and my hotel stays on the days we went for her > > > > first fittings. > > > > Anyway.. I cant say ours was a conventional approach. But this > > is > > > > what we did and this is what worked for us. I do beleive we > > Bugged > > > > Tricare to death and that is why they paid. There is no other > > reason > > > > i can see that they wouldve paid out of no where. We at no time > > > > filed ANY formal appeals. > > > > If you have any more questions please feel free to email me at > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > Christi <>< > > > > www.littlebeandiapers.com > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Gosh 18!! thats crazy!! How do they get that old that quick? LOL well jason will be back in april but then will be going again in the summer so theres a good chance he will miss the birth I am praying otherwise though Christi > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > > hospital > > > > and we were told she had plagio and tort. SHe was referred to a > > > > craniofacial plastic surgeon for an evaluation who also > > confirmed > > > > severe plagio and moderate tort. He then sent us to Cranial > > Tech. > > > > This is when we found out that Tricare would cover the visit to > > the > > > > craniofacial plastic surgeon but would not cover the band our > > > > daughter needed. We were angered by this. But the amount of > > time it > > > > took us to get all of the visits done leading up to the cranial > > tech > > > > visit we felt we were wasting time. Mya was already 8 months old > > so > > > > we went ahead with the casting knowing Tricare would deny us. We > > > > never got our first denial letter. They say they sent it but we > > > > never got it. We requested a copy of what was covered. They said > > > > they sent it we never got it. This frustrated us. Without that > > > > denial letter we could not file an appeal so we decided to try > > > > another route. We had been told that almost all appeals filed > > are > > > > denied anyway. From that point on we did everything we could to > > BUG > > > > Tricare to death. We contacted state representatives, > > congressmen, > > > > etc.(who contacted Tricare on our behalf) We also contacted the > > army > > > > hospitals IG who also made calls to tricare. We contacted the > > > > Hospitals commander who then got the chief of pediatrics of the > > > > hospital involved and she started making calls. During all of > > this > > > > my husband and I were both calling Tricare and making visits to > > the > > > > tricare office DAILY! The people in the office knew us by name! > > > > Every time we called or went there our story was the same.. our > > > > complaint was the same. But we had them look stuff up give us > > more > > > > numbers etc. I had Generals wives calling me asking what they > > could > > > > do to help which all I told them was CALL! Having all these > > people > > > > call Tricare on our behalf is what I believe helped us get > > approved. > > > > Mya was born with this condition. Her plagio was congenital not > > > > positional as Tricares policy stated (not sure if it has changed > > > > now) We pushed that issue but hadnt gotten anywhere with it. > > Finally > > > > in july 2002 (mya was banded in march2002)we called Tricare like > > we > > > > normally did and they told me a check had been issued to Cranial > > > > tech. I was Like WHAT?? I called cranial tech to confirm. They > > said > > > > yes and that they were issuing me a refund check for the amount > > we > > > > had paid so far. I was in shock! Then in aug mya required a > > second > > > > band. I went ahead with the banding.. Tricare denied us. It only > > > > took around 5 calls with me telling them look you paid for the > > first > > > > one theres no way you can deny a continuation of a treatment you > > > > have already paid for. SO they paid. After that I found out that > > > > anything approved by tricare that requires you to drive more > > then > > > > 100 miles the military will reimburse you for your expenses. > > So.. we > > > > then filed paperwork on that. They paid us back for ALL of my > > gas, > > > > All of our food, and my hotel stays on the days we went for her > > > > first fittings. > > > > Anyway.. I cant say ours was a conventional approach. But this > > is > > > > what we did and this is what worked for us. I do beleive we > > Bugged > > > > Tricare to death and that is why they paid. There is no other > > reason > > > > i can see that they wouldve paid out of no where. We at no time > > > > filed ANY formal appeals. > > > > If you have any more questions please feel free to email me at > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > Christi <>< > > > > www.littlebeandiapers.com > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, It is crazy, 18 already. I don't know where the time went. I'm sorry that may not be there for the birth. :-( Do you know anyone that could tape it for you, for him? At least that way he'd get to " see " the birth. I'll pray that he'll be home then. What is your due date? You know Debbie just had her son and Becky just had her daughter? Hugs, > > > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > > > hospital > > > > > and we were told she had plagio and tort. SHe was referred > to a > > > > > craniofacial plastic surgeon for an evaluation who also > > > confirmed > > > > > severe plagio and moderate tort. He then sent us to Cranial > > > Tech. > > > > > This is when we found out that Tricare would cover the visit > to > > > the > > > > > craniofacial plastic surgeon but would not cover the band > our > > > > > daughter needed. We were angered by this. But the amount of > > > time it > > > > > took us to get all of the visits done leading up to the > cranial > > > tech > > > > > visit we felt we were wasting time. Mya was already 8 months > old > > > so > > > > > we went ahead with the casting knowing Tricare would deny > us. We > > > > > never got our first denial letter. They say they sent it but > we > > > > > never got it. We requested a copy of what was covered. They > said > > > > > they sent it we never got it. This frustrated us. Without > that > > > > > denial letter we could not file an appeal so we decided to > try > > > > > another route. We had been told that almost all appeals > filed > > > are > > > > > denied anyway. From that point on we did everything we could > to > > > BUG > > > > > Tricare to death. We contacted state representatives, > > > congressmen, > > > > > etc.(who contacted Tricare on our behalf) We also contacted > the > > > army > > > > > hospitals IG who also made calls to tricare. We contacted > the > > > > > Hospitals commander who then got the chief of pediatrics of > the > > > > > hospital involved and she started making calls. During all > of > > > this > > > > > my husband and I were both calling Tricare and making visits > to > > > the > > > > > tricare office DAILY! The people in the office knew us by > name! > > > > > Every time we called or went there our story was the same.. > our > > > > > complaint was the same. But we had them look stuff up give > us > > > more > > > > > numbers etc. I had Generals wives calling me asking what > they > > > could > > > > > do to help which all I told them was CALL! Having all these > > > people > > > > > call Tricare on our behalf is what I believe helped us get > > > approved. > > > > > Mya was born with this condition. Her plagio was congenital > not > > > > > positional as Tricares policy stated (not sure if it has > changed > > > > > now) We pushed that issue but hadnt gotten anywhere with it. > > > Finally > > > > > in july 2002 (mya was banded in march2002)we called Tricare > like > > > we > > > > > normally did and they told me a check had been issued to > Cranial > > > > > tech. I was Like WHAT?? I called cranial tech to confirm. > They > > > said > > > > > yes and that they were issuing me a refund check for the > amount > > > we > > > > > had paid so far. I was in shock! Then in aug mya required a > > > second > > > > > band. I went ahead with the banding.. Tricare denied us. It > only > > > > > took around 5 calls with me telling them look you paid for > the > > > first > > > > > one theres no way you can deny a continuation of a treatment > you > > > > > have already paid for. SO they paid. After that I found out > that > > > > > anything approved by tricare that requires you to drive more > > > then > > > > > 100 miles the military will reimburse you for your expenses. > > > So.. we > > > > > then filed paperwork on that. They paid us back for ALL of > my > > > gas, > > > > > All of our food, and my hotel stays on the days we went for > her > > > > > first fittings. > > > > > Anyway.. I cant say ours was a conventional approach. But > this > > > is > > > > > what we did and this is what worked for us. I do beleive we > > > Bugged > > > > > Tricare to death and that is why they paid. There is no > other > > > reason > > > > > i can see that they wouldve paid out of no where. We at no > time > > > > > filed ANY formal appeals. > > > > > If you have any more questions please feel free to email me > at > > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > > > Christi <>< > > > > > www.littlebeandiapers.com > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, It is crazy, 18 already. I don't know where the time went. I'm sorry that may not be there for the birth. :-( Do you know anyone that could tape it for you, for him? At least that way he'd get to " see " the birth. I'll pray that he'll be home then. What is your due date? You know Debbie just had her son and Becky just had her daughter? Hugs, > > > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > > > hospital > > > > > and we were told she had plagio and tort. SHe was referred > to a > > > > > craniofacial plastic surgeon for an evaluation who also > > > confirmed > > > > > severe plagio and moderate tort. He then sent us to Cranial > > > Tech. > > > > > This is when we found out that Tricare would cover the visit > to > > > the > > > > > craniofacial plastic surgeon but would not cover the band > our > > > > > daughter needed. We were angered by this. But the amount of > > > time it > > > > > took us to get all of the visits done leading up to the > cranial > > > tech > > > > > visit we felt we were wasting time. Mya was already 8 months > old > > > so > > > > > we went ahead with the casting knowing Tricare would deny > us. We > > > > > never got our first denial letter. They say they sent it but > we > > > > > never got it. We requested a copy of what was covered. They > said > > > > > they sent it we never got it. This frustrated us. Without > that > > > > > denial letter we could not file an appeal so we decided to > try > > > > > another route. We had been told that almost all appeals > filed > > > are > > > > > denied anyway. From that point on we did everything we could > to > > > BUG > > > > > Tricare to death. We contacted state representatives, > > > congressmen, > > > > > etc.(who contacted Tricare on our behalf) We also contacted > the > > > army > > > > > hospitals IG who also made calls to tricare. We contacted > the > > > > > Hospitals commander who then got the chief of pediatrics of > the > > > > > hospital involved and she started making calls. During all > of > > > this > > > > > my husband and I were both calling Tricare and making visits > to > > > the > > > > > tricare office DAILY! The people in the office knew us by > name! > > > > > Every time we called or went there our story was the same.. > our > > > > > complaint was the same. But we had them look stuff up give > us > > > more > > > > > numbers etc. I had Generals wives calling me asking what > they > > > could > > > > > do to help which all I told them was CALL! Having all these > > > people > > > > > call Tricare on our behalf is what I believe helped us get > > > approved. > > > > > Mya was born with this condition. Her plagio was congenital > not > > > > > positional as Tricares policy stated (not sure if it has > changed > > > > > now) We pushed that issue but hadnt gotten anywhere with it. > > > Finally > > > > > in july 2002 (mya was banded in march2002)we called Tricare > like > > > we > > > > > normally did and they told me a check had been issued to > Cranial > > > > > tech. I was Like WHAT?? I called cranial tech to confirm. > They > > > said > > > > > yes and that they were issuing me a refund check for the > amount > > > we > > > > > had paid so far. I was in shock! Then in aug mya required a > > > second > > > > > band. I went ahead with the banding.. Tricare denied us. It > only > > > > > took around 5 calls with me telling them look you paid for > the > > > first > > > > > one theres no way you can deny a continuation of a treatment > you > > > > > have already paid for. SO they paid. After that I found out > that > > > > > anything approved by tricare that requires you to drive more > > > then > > > > > 100 miles the military will reimburse you for your expenses. > > > So.. we > > > > > then filed paperwork on that. They paid us back for ALL of > my > > > gas, > > > > > All of our food, and my hotel stays on the days we went for > her > > > > > first fittings. > > > > > Anyway.. I cant say ours was a conventional approach. But > this > > > is > > > > > what we did and this is what worked for us. I do beleive we > > > Bugged > > > > > Tricare to death and that is why they paid. There is no > other > > > reason > > > > > i can see that they wouldve paid out of no where. We at no > time > > > > > filed ANY formal appeals. > > > > > If you have any more questions please feel free to email me > at > > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > > > Christi <>< > > > > > www.littlebeandiapers.com > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, Congratulations on your pregnancy! I'll keep my fingers and toes crossed that is home in time for the birth of your very healthy and round headed baby boy I think of you every night during Cece's tub. I always say " Don't pull a Mya! " Luckily she's never pooped in there! Thanks for your help! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, Congratulations on your pregnancy! I'll keep my fingers and toes crossed that is home in time for the birth of your very healthy and round headed baby boy I think of you every night during Cece's tub. I always say " Don't pull a Mya! " Luckily she's never pooped in there! Thanks for your help! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 ROFL!!! you know its funny you said that because I was taking a bath earlier this evening and Mya was sitting in there talking to me and she said MAMA one time I pooped in the tub and it was soo yucky! I said Girl you pooped in the tub more then one time!! LOL she was shocked to hear me tell her of all the times she would poop in the tub. She found it hilarious lol. christi > > Christi, > Congratulations on your pregnancy! > I'll keep my fingers and toes crossed that is home in time for > the birth of your very healthy and round headed baby boy > I think of you every night during Cece's tub. I always say " Don't > pull a Mya! " Luckily she's never pooped in there! > Thanks for your help! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 ROFL!!! you know its funny you said that because I was taking a bath earlier this evening and Mya was sitting in there talking to me and she said MAMA one time I pooped in the tub and it was soo yucky! I said Girl you pooped in the tub more then one time!! LOL she was shocked to hear me tell her of all the times she would poop in the tub. She found it hilarious lol. christi > > Christi, > Congratulations on your pregnancy! > I'll keep my fingers and toes crossed that is home in time for > the birth of your very healthy and round headed baby boy > I think of you every night during Cece's tub. I always say " Don't > pull a Mya! " Luckily she's never pooped in there! > Thanks for your help! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 My friend down the road has offered to come with me during labor and delivery plus Im seriously considering hiring a doula (checking on prices) so Im hoping that one of them will be able to video it for us. I told it was a MUST that we buy a new video camera with tax money. Ours broke last year and we have yet to replace it. But with the possibility of him missing the birth we need one. My due date is Aug 25. I had know idea they were even pregnant! WOW thats awesome:) christi > > > > > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > > > > hospital > > > > > > and we were told she had plagio and tort. SHe was referred > > to a > > > > > > craniofacial plastic surgeon for an evaluation who also > > > > confirmed > > > > > > severe plagio and moderate tort. He then sent us to Cranial > > > > Tech. > > > > > > This is when we found out that Tricare would cover the visit > > to > > > > the > > > > > > craniofacial plastic surgeon but would not cover the band > > our > > > > > > daughter needed. We were angered by this. But the amount of > > > > time it > > > > > > took us to get all of the visits done leading up to the > > cranial > > > > tech > > > > > > visit we felt we were wasting time. Mya was already 8 months > > old > > > > so > > > > > > we went ahead with the casting knowing Tricare would deny > > us. We > > > > > > never got our first denial letter. They say they sent it but > > we > > > > > > never got it. We requested a copy of what was covered. They > > said > > > > > > they sent it we never got it. This frustrated us. Without > > that > > > > > > denial letter we could not file an appeal so we decided to > > try > > > > > > another route. We had been told that almost all appeals > > filed > > > > are > > > > > > denied anyway. From that point on we did everything we could > > to > > > > BUG > > > > > > Tricare to death. We contacted state representatives, > > > > congressmen, > > > > > > etc.(who contacted Tricare on our behalf) We also contacted > > the > > > > army > > > > > > hospitals IG who also made calls to tricare. We contacted > > the > > > > > > Hospitals commander who then got the chief of pediatrics of > > the > > > > > > hospital involved and she started making calls. During all > > of > > > > this > > > > > > my husband and I were both calling Tricare and making visits > > to > > > > the > > > > > > tricare office DAILY! The people in the office knew us by > > name! > > > > > > Every time we called or went there our story was the same.. > > our > > > > > > complaint was the same. But we had them look stuff up give > > us > > > > more > > > > > > numbers etc. I had Generals wives calling me asking what > > they > > > > could > > > > > > do to help which all I told them was CALL! Having all these > > > > people > > > > > > call Tricare on our behalf is what I believe helped us get > > > > approved. > > > > > > Mya was born with this condition. Her plagio was congenital > > not > > > > > > positional as Tricares policy stated (not sure if it has > > changed > > > > > > now) We pushed that issue but hadnt gotten anywhere with it. > > > > Finally > > > > > > in july 2002 (mya was banded in march2002)we called Tricare > > like > > > > we > > > > > > normally did and they told me a check had been issued to > > Cranial > > > > > > tech. I was Like WHAT?? I called cranial tech to confirm. > > They > > > > said > > > > > > yes and that they were issuing me a refund check for the > > amount > > > > we > > > > > > had paid so far. I was in shock! Then in aug mya required a > > > > second > > > > > > band. I went ahead with the banding.. Tricare denied us. It > > only > > > > > > took around 5 calls with me telling them look you paid for > > the > > > > first > > > > > > one theres no way you can deny a continuation of a treatment > > you > > > > > > have already paid for. SO they paid. After that I found out > > that > > > > > > anything approved by tricare that requires you to drive more > > > > then > > > > > > 100 miles the military will reimburse you for your expenses. > > > > So.. we > > > > > > then filed paperwork on that. They paid us back for ALL of > > my > > > > gas, > > > > > > All of our food, and my hotel stays on the days we went for > > her > > > > > > first fittings. > > > > > > Anyway.. I cant say ours was a conventional approach. But > > this > > > > is > > > > > > what we did and this is what worked for us. I do beleive we > > > > Bugged > > > > > > Tricare to death and that is why they paid. There is no > > other > > > > reason > > > > > > i can see that they wouldve paid out of no where. We at no > > time > > > > > > filed ANY formal appeals. > > > > > > If you have any more questions please feel free to email me > > at > > > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > > > > > Christi <>< > > > > > > www.littlebeandiapers.com > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 My friend down the road has offered to come with me during labor and delivery plus Im seriously considering hiring a doula (checking on prices) so Im hoping that one of them will be able to video it for us. I told it was a MUST that we buy a new video camera with tax money. Ours broke last year and we have yet to replace it. But with the possibility of him missing the birth we need one. My due date is Aug 25. I had know idea they were even pregnant! WOW thats awesome:) christi > > > > > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > > > > hospital > > > > > > and we were told she had plagio and tort. SHe was referred > > to a > > > > > > craniofacial plastic surgeon for an evaluation who also > > > > confirmed > > > > > > severe plagio and moderate tort. He then sent us to Cranial > > > > Tech. > > > > > > This is when we found out that Tricare would cover the visit > > to > > > > the > > > > > > craniofacial plastic surgeon but would not cover the band > > our > > > > > > daughter needed. We were angered by this. But the amount of > > > > time it > > > > > > took us to get all of the visits done leading up to the > > cranial > > > > tech > > > > > > visit we felt we were wasting time. Mya was already 8 months > > old > > > > so > > > > > > we went ahead with the casting knowing Tricare would deny > > us. We > > > > > > never got our first denial letter. They say they sent it but > > we > > > > > > never got it. We requested a copy of what was covered. They > > said > > > > > > they sent it we never got it. This frustrated us. Without > > that > > > > > > denial letter we could not file an appeal so we decided to > > try > > > > > > another route. We had been told that almost all appeals > > filed > > > > are > > > > > > denied anyway. From that point on we did everything we could > > to > > > > BUG > > > > > > Tricare to death. We contacted state representatives, > > > > congressmen, > > > > > > etc.(who contacted Tricare on our behalf) We also contacted > > the > > > > army > > > > > > hospitals IG who also made calls to tricare. We contacted > > the > > > > > > Hospitals commander who then got the chief of pediatrics of > > the > > > > > > hospital involved and she started making calls. During all > > of > > > > this > > > > > > my husband and I were both calling Tricare and making visits > > to > > > > the > > > > > > tricare office DAILY! The people in the office knew us by > > name! > > > > > > Every time we called or went there our story was the same.. > > our > > > > > > complaint was the same. But we had them look stuff up give > > us > > > > more > > > > > > numbers etc. I had Generals wives calling me asking what > > they > > > > could > > > > > > do to help which all I told them was CALL! Having all these > > > > people > > > > > > call Tricare on our behalf is what I believe helped us get > > > > approved. > > > > > > Mya was born with this condition. Her plagio was congenital > > not > > > > > > positional as Tricares policy stated (not sure if it has > > changed > > > > > > now) We pushed that issue but hadnt gotten anywhere with it. > > > > Finally > > > > > > in july 2002 (mya was banded in march2002)we called Tricare > > like > > > > we > > > > > > normally did and they told me a check had been issued to > > Cranial > > > > > > tech. I was Like WHAT?? I called cranial tech to confirm. > > They > > > > said > > > > > > yes and that they were issuing me a refund check for the > > amount > > > > we > > > > > > had paid so far. I was in shock! Then in aug mya required a > > > > second > > > > > > band. I went ahead with the banding.. Tricare denied us. It > > only > > > > > > took around 5 calls with me telling them look you paid for > > the > > > > first > > > > > > one theres no way you can deny a continuation of a treatment > > you > > > > > > have already paid for. SO they paid. After that I found out > > that > > > > > > anything approved by tricare that requires you to drive more > > > > then > > > > > > 100 miles the military will reimburse you for your expenses. > > > > So.. we > > > > > > then filed paperwork on that. They paid us back for ALL of > > my > > > > gas, > > > > > > All of our food, and my hotel stays on the days we went for > > her > > > > > > first fittings. > > > > > > Anyway.. I cant say ours was a conventional approach. But > > this > > > > is > > > > > > what we did and this is what worked for us. I do beleive we > > > > Bugged > > > > > > Tricare to death and that is why they paid. There is no > > other > > > > reason > > > > > > i can see that they wouldve paid out of no where. We at no > > time > > > > > > filed ANY formal appeals. > > > > > > If you have any more questions please feel free to email me > > at > > > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > > > > > Christi <>< > > > > > > www.littlebeandiapers.com > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 LOL I remember those posts! hahhaaha > > > > Christi, > > Congratulations on your pregnancy! > > I'll keep my fingers and toes crossed that is home in time for > > the birth of your very healthy and round headed baby boy > > I think of you every night during Cece's tub. I always say " Don't > > pull a Mya! " Luckily she's never pooped in there! > > Thanks for your help! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, Good old tax money! ;-) Yes, they both just had their little ones, both so beautiful. What exaclty is a doula? Hugs, > > > > > > > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our > Army > > > > > hospital > > > > > > > and we were told she had plagio and tort. SHe was > referred > > > to a > > > > > > > craniofacial plastic surgeon for an evaluation who also > > > > > confirmed > > > > > > > severe plagio and moderate tort. He then sent us to > Cranial > > > > > Tech. > > > > > > > This is when we found out that Tricare would cover the > visit > > > to > > > > > the > > > > > > > craniofacial plastic surgeon but would not cover the > band > > > our > > > > > > > daughter needed. We were angered by this. But the > amount of > > > > > time it > > > > > > > took us to get all of the visits done leading up to the > > > cranial > > > > > tech > > > > > > > visit we felt we were wasting time. Mya was already 8 > months > > > old > > > > > so > > > > > > > we went ahead with the casting knowing Tricare would > deny > > > us. We > > > > > > > never got our first denial letter. They say they sent it > but > > > we > > > > > > > never got it. We requested a copy of what was covered. > They > > > said > > > > > > > they sent it we never got it. This frustrated us. > Without > > > that > > > > > > > denial letter we could not file an appeal so we decided > to > > > try > > > > > > > another route. We had been told that almost all appeals > > > filed > > > > > are > > > > > > > denied anyway. From that point on we did everything we > could > > > to > > > > > BUG > > > > > > > Tricare to death. We contacted state representatives, > > > > > congressmen, > > > > > > > etc.(who contacted Tricare on our behalf) We also > contacted > > > the > > > > > army > > > > > > > hospitals IG who also made calls to tricare. We > contacted > > > the > > > > > > > Hospitals commander who then got the chief of pediatrics > of > > > the > > > > > > > hospital involved and she started making calls. During > all > > > of > > > > > this > > > > > > > my husband and I were both calling Tricare and making > visits > > > to > > > > > the > > > > > > > tricare office DAILY! The people in the office knew us > by > > > name! > > > > > > > Every time we called or went there our story was the > same.. > > > our > > > > > > > complaint was the same. But we had them look stuff up > give > > > us > > > > > more > > > > > > > numbers etc. I had Generals wives calling me asking what > > > they > > > > > could > > > > > > > do to help which all I told them was CALL! Having all > these > > > > > people > > > > > > > call Tricare on our behalf is what I believe helped us > get > > > > > approved. > > > > > > > Mya was born with this condition. Her plagio was > congenital > > > not > > > > > > > positional as Tricares policy stated (not sure if it has > > > changed > > > > > > > now) We pushed that issue but hadnt gotten anywhere with > it. > > > > > Finally > > > > > > > in july 2002 (mya was banded in march2002)we called > Tricare > > > like > > > > > we > > > > > > > normally did and they told me a check had been issued to > > > Cranial > > > > > > > tech. I was Like WHAT?? I called cranial tech to > confirm. > > > They > > > > > said > > > > > > > yes and that they were issuing me a refund check for the > > > amount > > > > > we > > > > > > > had paid so far. I was in shock! Then in aug mya > required a > > > > > second > > > > > > > band. I went ahead with the banding.. Tricare denied us. > It > > > only > > > > > > > took around 5 calls with me telling them look you paid > for > > > the > > > > > first > > > > > > > one theres no way you can deny a continuation of a > treatment > > > you > > > > > > > have already paid for. SO they paid. After that I found > out > > > that > > > > > > > anything approved by tricare that requires you to drive > more > > > > > then > > > > > > > 100 miles the military will reimburse you for your > expenses. > > > > > So.. we > > > > > > > then filed paperwork on that. They paid us back for ALL > of > > > my > > > > > gas, > > > > > > > All of our food, and my hotel stays on the days we went > for > > > her > > > > > > > first fittings. > > > > > > > Anyway.. I cant say ours was a conventional approach. > But > > > this > > > > > is > > > > > > > what we did and this is what worked for us. I do beleive > we > > > > > Bugged > > > > > > > Tricare to death and that is why they paid. There is no > > > other > > > > > reason > > > > > > > i can see that they wouldve paid out of no where. We at > no > > > time > > > > > > > filed ANY formal appeals. > > > > > > > If you have any more questions please feel free to email > me > > > at > > > > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > > > > > > > Christi <>< > > > > > > > www.littlebeandiapers.com > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 LOL I remember those posts! hahhaaha > > > > Christi, > > Congratulations on your pregnancy! > > I'll keep my fingers and toes crossed that is home in time for > > the birth of your very healthy and round headed baby boy > > I think of you every night during Cece's tub. I always say " Don't > > pull a Mya! " Luckily she's never pooped in there! > > Thanks for your help! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, Good old tax money! ;-) Yes, they both just had their little ones, both so beautiful. What exaclty is a doula? Hugs, > > > > > > > > > > > > > > hi! Im Christi, my daughter Mya was evaluated at our > Army > > > > > hospital > > > > > > > and we were told she had plagio and tort. SHe was > referred > > > to a > > > > > > > craniofacial plastic surgeon for an evaluation who also > > > > > confirmed > > > > > > > severe plagio and moderate tort. He then sent us to > Cranial > > > > > Tech. > > > > > > > This is when we found out that Tricare would cover the > visit > > > to > > > > > the > > > > > > > craniofacial plastic surgeon but would not cover the > band > > > our > > > > > > > daughter needed. We were angered by this. But the > amount of > > > > > time it > > > > > > > took us to get all of the visits done leading up to the > > > cranial > > > > > tech > > > > > > > visit we felt we were wasting time. Mya was already 8 > months > > > old > > > > > so > > > > > > > we went ahead with the casting knowing Tricare would > deny > > > us. We > > > > > > > never got our first denial letter. They say they sent it > but > > > we > > > > > > > never got it. We requested a copy of what was covered. > They > > > said > > > > > > > they sent it we never got it. This frustrated us. > Without > > > that > > > > > > > denial letter we could not file an appeal so we decided > to > > > try > > > > > > > another route. We had been told that almost all appeals > > > filed > > > > > are > > > > > > > denied anyway. From that point on we did everything we > could > > > to > > > > > BUG > > > > > > > Tricare to death. We contacted state representatives, > > > > > congressmen, > > > > > > > etc.(who contacted Tricare on our behalf) We also > contacted > > > the > > > > > army > > > > > > > hospitals IG who also made calls to tricare. We > contacted > > > the > > > > > > > Hospitals commander who then got the chief of pediatrics > of > > > the > > > > > > > hospital involved and she started making calls. During > all > > > of > > > > > this > > > > > > > my husband and I were both calling Tricare and making > visits > > > to > > > > > the > > > > > > > tricare office DAILY! The people in the office knew us > by > > > name! > > > > > > > Every time we called or went there our story was the > same.. > > > our > > > > > > > complaint was the same. But we had them look stuff up > give > > > us > > > > > more > > > > > > > numbers etc. I had Generals wives calling me asking what > > > they > > > > > could > > > > > > > do to help which all I told them was CALL! Having all > these > > > > > people > > > > > > > call Tricare on our behalf is what I believe helped us > get > > > > > approved. > > > > > > > Mya was born with this condition. Her plagio was > congenital > > > not > > > > > > > positional as Tricares policy stated (not sure if it has > > > changed > > > > > > > now) We pushed that issue but hadnt gotten anywhere with > it. > > > > > Finally > > > > > > > in july 2002 (mya was banded in march2002)we called > Tricare > > > like > > > > > we > > > > > > > normally did and they told me a check had been issued to > > > Cranial > > > > > > > tech. I was Like WHAT?? I called cranial tech to > confirm. > > > They > > > > > said > > > > > > > yes and that they were issuing me a refund check for the > > > amount > > > > > we > > > > > > > had paid so far. I was in shock! Then in aug mya > required a > > > > > second > > > > > > > band. I went ahead with the banding.. Tricare denied us. > It > > > only > > > > > > > took around 5 calls with me telling them look you paid > for > > > the > > > > > first > > > > > > > one theres no way you can deny a continuation of a > treatment > > > you > > > > > > > have already paid for. SO they paid. After that I found > out > > > that > > > > > > > anything approved by tricare that requires you to drive > more > > > > > then > > > > > > > 100 miles the military will reimburse you for your > expenses. > > > > > So.. we > > > > > > > then filed paperwork on that. They paid us back for ALL > of > > > my > > > > > gas, > > > > > > > All of our food, and my hotel stays on the days we went > for > > > her > > > > > > > first fittings. > > > > > > > Anyway.. I cant say ours was a conventional approach. > But > > > this > > > > > is > > > > > > > what we did and this is what worked for us. I do beleive > we > > > > > Bugged > > > > > > > Tricare to death and that is why they paid. There is no > > > other > > > > > reason > > > > > > > i can see that they wouldve paid out of no where. We at > no > > > time > > > > > > > filed ANY formal appeals. > > > > > > > If you have any more questions please feel free to email > me > > > at > > > > > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > > > > > > > > > Christi <>< > > > > > > > www.littlebeandiapers.com > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2006 Report Share Posted January 8, 2006 Christi, When are you going to have training pants??? I need some in a big way. na doesn't fit most because she is like in the 125% for size! She is 2 1/2, 36 lbs and ~40 " . She loves her diapers so I have to go cold turkey with her but I want to protect my house na, 2 1/2 DOC Grad Feb 04 Kiersten, 7 months, DOC band 1/10/06, Tort www.thefilyaws.com > > > > > > hi! Im Christi, my daughter Mya was evaluated at our Army > hospital > > > and we were told she had plagio and tort. SHe was referred to a > > > craniofacial plastic surgeon for an evaluation who also > confirmed > > > severe plagio and moderate tort. He then sent us to Cranial > Tech. > > > This is when we found out that Tricare would cover the visit to > the > > > craniofacial plastic surgeon but would not cover the band our > > > daughter needed. We were angered by this. But the amount of > time it > > > took us to get all of the visits done leading up to the cranial > tech > > > visit we felt we were wasting time. Mya was already 8 months old > so > > > we went ahead with the casting knowing Tricare would deny us. We > > > never got our first denial letter. They say they sent it but we > > > never got it. We requested a copy of what was covered. They said > > > they sent it we never got it. This frustrated us. Without that > > > denial letter we could not file an appeal so we decided to try > > > another route. We had been told that almost all appeals filed > are > > > denied anyway. From that point on we did everything we could to > BUG > > > Tricare to death. We contacted state representatives, > congressmen, > > > etc.(who contacted Tricare on our behalf) We also contacted the > army > > > hospitals IG who also made calls to tricare. We contacted the > > > Hospitals commander who then got the chief of pediatrics of the > > > hospital involved and she started making calls. During all of > this > > > my husband and I were both calling Tricare and making visits to > the > > > tricare office DAILY! The people in the office knew us by name! > > > Every time we called or went there our story was the same.. our > > > complaint was the same. But we had them look stuff up give us > more > > > numbers etc. I had Generals wives calling me asking what they > could > > > do to help which all I told them was CALL! Having all these > people > > > call Tricare on our behalf is what I believe helped us get > approved. > > > Mya was born with this condition. Her plagio was congenital not > > > positional as Tricares policy stated (not sure if it has changed > > > now) We pushed that issue but hadnt gotten anywhere with it. > Finally > > > in july 2002 (mya was banded in march2002)we called Tricare like > we > > > normally did and they told me a check had been issued to Cranial > > > tech. I was Like WHAT?? I called cranial tech to confirm. They > said > > > yes and that they were issuing me a refund check for the amount > we > > > had paid so far. I was in shock! Then in aug mya required a > second > > > band. I went ahead with the banding.. Tricare denied us. It only > > > took around 5 calls with me telling them look you paid for the > first > > > one theres no way you can deny a continuation of a treatment you > > > have already paid for. SO they paid. After that I found out that > > > anything approved by tricare that requires you to drive more > then > > > 100 miles the military will reimburse you for your expenses. > So.. we > > > then filed paperwork on that. They paid us back for ALL of my > gas, > > > All of our food, and my hotel stays on the days we went for her > > > first fittings. > > > Anyway.. I cant say ours was a conventional approach. But this > is > > > what we did and this is what worked for us. I do beleive we > Bugged > > > Tricare to death and that is why they paid. There is no other > reason > > > i can see that they wouldve paid out of no where. We at no time > > > filed ANY formal appeals. > > > If you have any more questions please feel free to email me at > > > Thezepps6 @ nc.rr.com (without spaces) > > > > > > Christi <>< > > > www.littlebeandiapers.com > > > > > > Quote Link to comment Share on other sites More sharing options...
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