Re: What is the cost of a helmet?

[Guest guest]

In a message dated 1/11/2006 1:24:03 PM Eastern Standard Time, ethanprecious@... writes:

>I have a dr appointment on monday to ask for a referral. If my

>insurance doesn't cover the cost of the helmet, I want to know if

>anyone has an estimate of what

>I would pay out of pocket.

>Does insurance ever cover it?

Mine is going to be covered. I have Medicaid

U'U'U'U'U'U'U

believe in the power of prayer

__

\.|  |./

`.__\|  |/__.'

---|__|....|__|---

..'..||__||..`.

/||  |.\

|  |

|__|

.....-"`' `"`'`` `"-.jmc

praying for

U'U'U'U'U'U'U

[Guest guest]

In a message dated 1/11/2006 1:24:03 PM Eastern Standard Time, ethanprecious@... writes:

>I have a dr appointment on monday to ask for a referral. If my

>insurance doesn't cover the cost of the helmet, I want to know if

>anyone has an estimate of what

>I would pay out of pocket.

>Does insurance ever cover it?

Mine is going to be covered. I have Medicaid

U'U'U'U'U'U'U

believe in the power of prayer

__

\.|  |./

`.__\|  |/__.'

---|__|....|__|---

..'..||__||..`.

/||  |.\

|  |

|__|

.....-"`' `"`'`` `"-.jmc

praying for

U'U'U'U'U'U'U

[Guest guest]

We paid $3750 for visits and helmet

[Guest guest]

We paid $3750 for visits and helmet

[Guest guest]

In a message dated 1/11/2006 4:49:58 PM Eastern Standard Time, calv1ncooler@... writes:

>

that is great! our government is supporting you while the rest of

us work hard to support ourselves!

Wow you are rude! Wake up on the wrong side of the bed?

U'U'U'U'U'U'U

believe in the power of prayer

__

\.|  |./

`.__\|  |/__.'

---|__|....|__|---

..'..||__||..`.

/||  |.\

|  |

|__|

.....-"`' `"`'`` `"-.jmc

praying for

U'U'U'U'U'U'U

[Guest guest]

In a message dated 1/11/2006 4:49:58 PM Eastern Standard Time, calv1ncooler@... writes:

>

that is great! our government is supporting you while the rest of

us work hard to support ourselves!

Wow you are rude! Wake up on the wrong side of the bed?

U'U'U'U'U'U'U

believe in the power of prayer

__

\.|  |./

`.__\|  |/__.'

---|__|....|__|---

..'..||__||..`.

/||  |.\

|  |

|__|

.....-"`' `"`'`` `"-.jmc

praying for

U'U'U'U'U'U'U

[Guest guest]

In a message dated 1/11/2006 5:05:16 PM Eastern Standard Time, taime@... writes:

Hi ,

I am so sorry for that person's rude reply! I've banned him/her and

deleted the post from the board. We don't tolerate that kind of thing.

He/she was too much of a coward to even sign his/her name. I really am

sorry.

It's ok and thank you!

U'U'U'U'U'U'U

believe in the power of prayer

__

\.|  |./

`.__\|  |/__.'

---|__|....|__|---

..'..||__||..`.

/||  |.\

|  |

|__|

.....-"`' `"`'`` `"-.jmc

praying for

U'U'U'U'U'U'U

[Guest guest]

In a message dated 1/11/2006 5:05:16 PM Eastern Standard Time, taime@... writes:

Hi ,

I am so sorry for that person's rude reply! I've banned him/her and

deleted the post from the board. We don't tolerate that kind of thing.

He/she was too much of a coward to even sign his/her name. I really am

sorry.

It's ok and thank you!

U'U'U'U'U'U'U

believe in the power of prayer

__

\.|  |./

`.__\|  |/__.'

---|__|....|__|---

..'..||__||..`.

/||  |.\

|  |

|__|

.....-"`' `"`'`` `"-.jmc

praying for

U'U'U'U'U'U'U

[Guest guest]

When I inquired I was told $1600-$2000. I really can't tell you if

this includes the many adjustments that may be necessary. I'm sure

someone in this group with more experience can help. I'm sure you will

also find that most insurances don't cover " durable medical devices " .

I was told my insurance would give us like a 15% discount if we went

with one of their providers...big whoop really!!! We were told that we

would need to begin the appeal process. You will find tons of info in

the file section to help support the appeal process if/when necessary

and even though it's a battle sounds like many people have won this

process. Good Luck.

Kim (Ethan 3.5 mos repo)

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

When I inquired I was told $1600-$2000. I really can't tell you if

this includes the many adjustments that may be necessary. I'm sure

someone in this group with more experience can help. I'm sure you will

also find that most insurances don't cover " durable medical devices " .

I was told my insurance would give us like a 15% discount if we went

with one of their providers...big whoop really!!! We were told that we

would need to begin the appeal process. You will find tons of info in

the file section to help support the appeal process if/when necessary

and even though it's a battle sounds like many people have won this

process. Good Luck.

Kim (Ethan 3.5 mos repo)

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

Don't know what happened to my post...sorry! Anyways, when we

inquired about helmets we were told $1600-$2000. I can't tell you if

this includes the adjustments that may be necessary. I'm sure

someone with more experience can answer. There is an appeal process

you may need to begin with your insurance company, as many don't or

say they don't cover " durable medical devices. "

Kim (Ethan 3.5 mos repo)

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

Don't know what happened to my post...sorry! Anyways, when we

inquired about helmets we were told $1600-$2000. I can't tell you if

this includes the adjustments that may be necessary. I'm sure

someone with more experience can answer. There is an appeal process

you may need to begin with your insurance company, as many don't or

say they don't cover " durable medical devices. "

Kim (Ethan 3.5 mos repo)

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

Cranial Technology's DOC Band costs $3,000. $2700 if you pay it in one

lump sum, but they do offer payment plans. Insurance companies vary a

lot. A slim few say yes without a fight. We had Blue Cross Federal

Employee program and they covered the band as an out of network

benefit. There was no in-network option so we're appealing.

Cranial Tech's fee includes measurements, casting, the band (helmet)

and all adjustments for the duration of one band. Really no additional

or hidden costs.

~

Liliana DOC Band #2 12/13/05

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

Cranial Technology's DOC Band costs $3,000. $2700 if you pay it in one

lump sum, but they do offer payment plans. Insurance companies vary a

lot. A slim few say yes without a fight. We had Blue Cross Federal

Employee program and they covered the band as an out of network

benefit. There was no in-network option so we're appealing.

Cranial Tech's fee includes measurements, casting, the band (helmet)

and all adjustments for the duration of one band. Really no additional

or hidden costs.

~

Liliana DOC Band #2 12/13/05

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

My Daughter had a Hanger Cranial Band. The cost of the band was

$2500. Our Insurance did approve it (though this isn't always the

case... you'll want to check with your Ins). The Insurance approved

$2100 and paid Hanger all but $127, which was our responsibility (co-

pay). Sometimes people do have to fight the Insurance to pay for it,

but they often win. I'm sure that many members on here will give you

appeal tips if that situation arrises.

Jen

(17 mo), tort resolved, Hanger Band Grad

(4 yrs)

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

My Daughter had a Hanger Cranial Band. The cost of the band was

$2500. Our Insurance did approve it (though this isn't always the

case... you'll want to check with your Ins). The Insurance approved

$2100 and paid Hanger all but $127, which was our responsibility (co-

pay). Sometimes people do have to fight the Insurance to pay for it,

but they often win. I'm sure that many members on here will give you

appeal tips if that situation arrises.

Jen

(17 mo), tort resolved, Hanger Band Grad

(4 yrs)

>

> I have a dr appointment on monday to ask for a referral. If my

> insurance doesn't cover the cost of the helmet, I want to know if

> anyone has an estimate of what

> I would pay out of pocket.

> Does insurance ever cover it?

>

[Guest guest]

My first son it was I think $2100 including all adjustments/fittings

but not the physical therapy he needed in addition (local helmet). my

2nd son I think the price I read when I signed the paperwork at a

different clinic for a starBand was $1750 including all adjustments.

In both cases my insurance paid 90/10 after copays/deductibles and

getting a referral from my in-network ped. I have Patient

Choice/Wausau Benefits.

[Guest guest]

My first son it was I think $2100 including all adjustments/fittings

but not the physical therapy he needed in addition (local helmet). my

2nd son I think the price I read when I signed the paperwork at a

different clinic for a starBand was $1750 including all adjustments.

In both cases my insurance paid 90/10 after copays/deductibles and

getting a referral from my in-network ped. I have Patient

Choice/Wausau Benefits.