Re: Blue Cross Insurance covering the DOC Band

[Guest guest]

I have Anthem BCBS..and after getting letters from her craniofacial dr, pediatrician and physical therapist, we went and had the measurements from CT and she made the insurance req. They are reimbursing us 100%

Becky

Katelyn-doc band since 3/14

[Guest guest]

ours was the same situation....we had to have a "prescription" from the craniofacial dr and yes, "medical necessity" is good for them.

Becky

[Guest guest]

I too have BC/BS and would like to know this. We have our evaluation in a week for my son. Blue Cross Insurance covering the DOC BandDoes anyone have experience with getting Blue Cross to cover the Doc Band for plagiocephaly caused by torticollis?

[Guest guest]

Gosh, you spoke my mind. We also have BCBS in TN and we were immediately denied siting it was cosmetic. I am starting my appeal process having gathered a letter from our pediatrician and all the photos and original measurements. Any other guidance would be great. I'm a little intimidated b/c when I called BCBS to follow up I was advised "not to waste my time with the appeal process." Aren't they paid to say that??? I keep thinking of that Grisham book!

From: Plagiocephaly [mailto:Plagiocephaly ] On Behalf Of Larry WeidemanSent: Friday, April 14, 2006 5:36 PMPlagiocephaly Subject: Re: Blue Cross Insurance covering the DOC Band

I too have BC/BS and would like to know this. We have our evaluation in a week for my son. Blue Cross Insurance covering the DOC BandDoes anyone have experience with getting Blue Cross to cover the Doc Band for plagiocephaly caused by torticollis?

[Guest guest]

Wow, thanks for letting me know. Were there any certain language that

was used in the letter of medical necessity, etc to get it covered? I

called BCBS today (we live in Arizona and it is administered through

Zenith) and they told me they cover DOC Bands all the time. My concern

is Cranial Technologies is not contracted with them. However, we have

a BCBS PPO. Gosh, I am so hoping it is covered. I don't know what

we'll do otherwise!

>

> I have Anthem BCBS..and after getting letters from her craniofacial

dr,

> pediatrician and physical therapist, we went and had the

measurements from CT and

> she made the insurance req. They are reimbursing us 100%

>

> Becky

> Katelyn-doc band since 3/14

>