Guest guest Posted April 2, 2008 Report Share Posted April 2, 2008 Totti, I hope that your son's head doesn't need a band as well but if he does, I have to tell you it isn't that bad at all. My son adjusted to it great, he just gets hot sometimes which makes him cranky so he ends up in just a onsie. I go to Cranial Technologies in NJ and I really like it a lot. I haven't had any problems and I really like the band. They adjusted it the day we got it and I went in a few days later to have it adjusted again since it was giving my son the popeye look (squishing one eye) but since then it has fit perfectly. No red spots, nothing. From what I've read on this board and from my doctor's recommendations, it appears that Cranial Technologies is preferable to Hanger in this area anyways. If I went to Hanger, insurance would have paid 70% and with CT they pay nothing (although I am going to fight that) and I still went to CT. I did just find out Hanger was covered, that is after I already had the DOCband but I still believe I would have gone with CT from what everyone on this board has said and the doctor's referral. Good luck with your decision. 70% covered is pretty good and at CT it is $3300 but you can make payments on a no interest up to 18 month payment plan. OK, I hope my rambling has helped. Good luck with your decision. Sybil totka parusheva <tparusheva@...> wrote: Hi , as i said in one of my previous postings my doctor is telling me that there is nothing wrong with my son's head, but I can see that there is a flat spot on the back. When you look at him from front or back it looks really good, but from the side you can see the spot. She is trying to convince me that it will go away once he starts sitting, etc.but I do not want to take any chances and I want him checked, especially as I have personal experience and my head is not really symmetrical either . I have an appointment with CT in NJ tomorrow, so will see what they will say, but I wanted to be prepare when I go there so I am doing all the research...So I called UnitedHealthcare and they are telling me that Hangar is covered 100%, but CT is not (only 70%). I will let you know what they says tomorrow and I guess then I will have to make a decision, but I still hope that they will give me good news, that there is no need for a band. Thanks, Totticathyl65 <cathyl65aol> wrote: Hi Parusheva (sorry i did not know your first name), I am one of the moms on this board that had a bad experience with Hanger in Long Island. My son wore an ill fitting helmet from them from the age of 5-10mo. before he went into the Doc Band at the age of 14months. Waste of valuable precious time when he was banded with Hanger. He did get pretty good correction with the Doc Band but not 100% due to his age at the time. Where in NY are you located? Which hangar facility did you plan on using?If you have any questions please feel free to ask!Best of luck 2 you! - Mom to CJ - 2yrs & 1mo oldDoc Band Graduate 9/2007So many of us in the long island nyc area went to CT after some advice and bad experiences with Hanger. I would go to CT no doubt perhaps you can talk to or on this site who both had negative, time wasting experiences at Hanger in Long Island. Tammy It is hit or miss. It all depends on your policy. UHC didn't cover our doc band. We are working on a appeal to get a reimbursement. Best of luck with UHC, let us know how it goes.LorieMom to Spencer and Alizabeth 11 moSpencer- Left Plagio- DOC Band GRAD 9/07-12/07AZ [sPAM] Re: United HealthcareWe have UnitedHealthcare too. They are a hit or miss in coverage. You will definetly want to contact them. We decided to pay upfront and try to get reimburssed after. We did that because it would take a month or longer just for the approval process. We wanted to get the band on asap before our son got older. Good luck. I hope they cover some or all of your band.Jenn>> Does anybody have UnitedHealthcare. I was trying to figure out whether > the DOC Band is covered, before we go for our appointment at CT, but I > could not find information. I am planning on calling them on Monday, > but wanted to check if anybody has had experience with them. Thank you > in advance. You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2008 Report Share Posted April 3, 2008 HI , My son is 5 months old. Yes, we saw Purvi and she was really nice. She did not push to make any decision, but she said that he is going to be a good candidate for the band. As I said all the measurements were perfect match (literally to the mm), the one she thinks needs treatment is the height to width,I believe the height is 130mm, to 136mm width. She is saying that the perfect proportion should be 1:1.3, or 130:169, so you can see we are significantly off. My husband is really skeptical, and he thinks that his head is going to fix on his own (as our doctor said), he is saying that it might have to do something with genetics as well, as our heads are not perfect proportion either (or who has perfect proportions?). I am going to try repositioning while I wait to see what the insurance says etc., so I would really appreciate if anybody has any helpful tips for dealing with brachy and repositioning. Thank you in advance. Totticathyl65 <cathyl65@...> wrote: Hi,Hoping your visit with CT went Ok?. Unfortunately I think most of us here have listened to our doctors "it will round out or there is nothing wrong with our children's head" speech. But thanks to our mommy instincts which I would say everyone on this board eventually listens to which makes us go forward with treatments, most of the time against the doctor's word. My son was the same too as far as if you looked at him from the front or back it was his profile where I saw how asymmetric he was that made me push for treatment for my son. I noticed you said you were using CT in NJ, did you by any chance see Pervi? She is one of the most senior orthotist at this location and is the one I saw as well as a couple of other mom's on this board. How old is your son ? What were his measurments according to CT's evaluation? - Mom to CJ - 2yrs 1 mo oldDoc Band Graduate 9/2007> >> > Does anybody have UnitedHealthcare. I was trying to figure out > whether > > the DOC Band is covered, before we go for our appointment at CT, > but I > > could not find information. I am planning on calling them on > Monday, > > but wanted to check if anybody has had experience with them. Thank > you > > in advance.> > > > > > > > ---------------------------------> You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost.> You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2008 Report Share Posted April 3, 2008 , I just sent a copy of my appeal to you. > > > > > > > > From: <melissakyleclark@ ...> > > > > Subject: Re: United Healthcare > > > > Plagiocephaly > > > > Date: Sunday, March 30, 2008, 2:21 PM > > > > > > > > > > > > I have just spoken to them and our plan does not cover > > > > orthotics. that is what the band is considered. you > > > > will need to specifically ask for that if it is in > > > > your plan. your plan is a contract between the > > > > employer and the insurance company and they are > > > > telling me even an appeal would not go through. > > > > > > > > United Healthcare > > > > > > > > > > > > Does anybody have UnitedHealthcare. I was trying to > > > > figure out whether > > > > the DOC Band is covered, before we go for our > > > > appointment at CT, but I > > > > could not find information. I am planning on calling > > > > them on Monday, > > > > but wanted to check if anybody has had experience with > > > > them. Thank you > > > > in advance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ _ > > > ____________ ___ > > > > Looking for last minute shopping deals? > > > > Find them fast with Search. > > > http://tools. search.. com/newsearch/ category. php? > > > category=shopping > > > > > > > > > > > > > > > > > > > > > > > > > _____________________________________________________________________ _______________ > > > No Cost - Get a month of Blockbuster Total Access now. Sweet deal > for users > > and friends. > > > http://tc.deals./tc/blockbuster/text1.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2008 Report Share Posted April 3, 2008 Hi ,thanks for sending your appeal.  However, I couldn't locate any documents attached.  Would you mind sending it again? So sorry to trouble you & I really appreciate your help! United Healthcare > > > > > > > > > > > > Does anybody have UnitedHealthcare. I was trying to > > > > figure out whether > > > > the DOC Band is covered, before we go for our > > > > appointment at CT, but I > > > > could not find information. I am planning on calling > > > > them on Monday, > > > > but wanted to check if anybody has had experience with > > > > them. Thank you > > > > in advance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ _ > > > ____________ ___ > > > > Looking for last minute shopping deals? > > > > Find them fast with Search. > > > http://tools. search.. com/newsearch/ category. php? > > > category=shopping > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ _ ____________ ___ > > > No Cost - Get a month of Blockbuster Total Access now. Sweet deal > for users > > and friends. > > > http://tc.deals. / tc/blockbuster/ text1.com > > > > > > You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2008 Report Share Posted April 3, 2008 , I just emailed you asking to send me the appeal as well. We are facing a similar situation. We found out yesterday our son is a 'brachy'. We have UHC and were told today they will not cover it. Based on what Cranial Tech told me yesterday, I didn't really expect UHC to cover it, but was hoping since we were a +4. United Healthcare> > > >> > > >> > > > Does anybody have UnitedHealthcare. I was trying to> > > > figure out whether> > > > the DOC Band is covered, before we go for our> > > > appointment at CT, but I> > > > could not find information. I am planning on calling> > > > them on Monday,> > > > but wanted to check if anybody has had experience with> > > > them. Thank you> > > > in advance.> > > >> > > >> > > >> > > >> > > >> > > >> > > >> > > >> > > >> > > > ------------ --------- --------- ---> > > > Like movies? Here's a limited-time offer: Blockbuster> > > > Total Access for one month at no cost.> > > >> > > >> > > >> > > > ------------ --------- --------- ---> > > > Like movies? Here's a limited-time offer: Blockbuster> > > > Total Access for one month at no cost.> > > >> > > >> > >> > > >> > > >> > > >> > > >> > > ____________ _________ _________ _________ _________ _________ _> > > ____________ ___> > > > Looking for last minute shopping deals?> > > > Find them fast with Search.> > > http://tools. search.. com/newsearch/ category. php?> > > category=shopping> > > >> > >> > >> > >> > >> > >> > >> >> ____________ _________ _________ _________ _________ _________ _____________ ___> > > No Cost - Get a month of Blockbuster Total Access now. Sweet deal> for users> > and friends.> > > http://tc.deals. / tc/blockbuster/ text1.com> > >> >> You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2008 Report Share Posted April 4, 2008 5 months is still young but after 6 months, I don't think repositioning works very well and at that point I would make the decision to get the band if you are still not satisfied with his head. Your insurance could take a while to approve or deny the claim so you could always pay up front and then get reimbursed later. It seems to be common for insurance to deny at first and then sometimes cover after a dispute claim is submitted. CT has a payment plan which I am doing where you have 18 months to pay it off with no interst. It's pretty good and doesn't take a big hit on you all at once. If you wait for insurance, you may lose precious time. I banded at 7.5 months because I tried repo until about 6.5 months. I am happy I tried repo but if I did it over I probably would have started a month earlier. Good luck with everything. Sybiltotka parusheva <tparusheva@...> wrote: HI , My son is 5 months old. Yes, we saw Purvi and she was really nice. She did not push to make any decision, but she said that he is going to be a good candidate for the band. As I said all the measurements were perfect match (literally to the mm), the one she thinks needs treatment is the height to width,I believe the height is 130mm, to 136mm width. She is saying that the perfect proportion should be 1:1.3, or 130:169, so you can see we are significantly off. My husband is really skeptical, and he thinks that his head is going to fix on his own (as our doctor said), he is saying that it might have to do something with genetics as well, as our heads are not perfect proportion either (or who has perfect proportions?). I am going to try repositioning while I wait to see what the insurance says etc., so I would really appreciate if anybody has any helpful tips for dealing with brachy and repositioning. Thank you in advance. Totticathyl65 <cathyl65aol> wrote: Hi,Hoping your visit with CT went Ok?. Unfortunately I think most of us here have listened to our doctors "it will round out or there is nothing wrong with our children's head" speech. But thanks to our mommy instincts which I would say everyone on this board eventually listens to which makes us go forward with treatments, most of the time against the doctor's word. My son was the same too as far as if you looked at him from the front or back it was his profile where I saw how asymmetric he was that made me push for treatment for my son. I noticed you said you were using CT in NJ, did you by any chance see Pervi? She is one of the most senior orthotist at this location and is the one I saw as well as a couple of other mom's on this board. How old is your son ? What were his measurments according to CT's evaluation? - Mom to CJ - 2yrs 1 mo oldDoc Band Graduate 9/2007> >> > Does anybody have UnitedHealthcare. I was trying to figure out > whether > > the DOC Band is covered, before we go for our appointment at CT, > but I > > could not find information. I am planning on calling them on > Monday, > > but wanted to check if anybody has had experience with them. Thank > you > > in advance.> > > > > > > > ---------------------------------> You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost.> You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2008 Report Share Posted April 4, 2008 Totti, I forget if I replied to you or not but I've heard that CT is the place to go in this area and that some people have had a bad experience with Hanger. I know at CT all they work on is the head and babies with plagio and brachy so they are experts and at Hanger they work with all types of orthotics. I go to the CT in NJ and I really like it. My son has been in his band for 3 weeks already and it is going very smooth. I barely had any problems with the fit. He had the initial fitting, I went back a few days later for another adjustment since it was squashing down the skin on his forehead on one side making him look like Popeye and ever since I've had no problems. They are very attentive and I've called with tons of questions and my orthotist, Purvi, always calls back within an hour to answer my questions. Anyways, I hope you have a good experience. Let us know how it goes. Sybiltotka parusheva <tparusheva@...> wrote: Hi , as i said in one of my previous postings my doctor is telling me that there is nothing wrong with my son's head, but I can see that there is a flat spot on the back. When you look at him from front or back it looks really good, but from the side you can see the spot. She is trying to convince me that it will go away once he starts sitting, etc.but I do not want to take any chances and I want him checked, especially as I have personal experience and my head is not really symmetrical either . I have an appointment with CT in NJ tomorrow, so will see what they will say, but I wanted to be prepare when I go there so I am doing all the research...So I called UnitedHealthcare and they are telling me that Hangar is covered 100%, but CT is not (only 70%). I will let you know what they says tomorrow and I guess then I will have to make a decision, but I still hope that they will give me good news, that there is no need for a band. Thanks, Totticathyl65 <cathyl65aol> wrote: Hi Parusheva (sorry i did not know your first name), I am one of the moms on this board that had a bad experience with Hanger in Long Island. My son wore an ill fitting helmet from them from the age of 5-10mo. before he went into the Doc Band at the age of 14months. Waste of valuable precious time when he was banded with Hanger. He did get pretty good correction with the Doc Band but not 100% due to his age at the time. Where in NY are you located? Which hangar facility did you plan on using?If you have any questions please feel free to ask!Best of luck 2 you! - Mom to CJ - 2yrs & 1mo oldDoc Band Graduate 9/2007So many of us in the long island nyc area went to CT after some advice and bad experiences with Hanger. I would go to CT no doubt perhaps you can talk to or on this site who both had negative, time wasting experiences at Hanger in Long Island. Tammy It is hit or miss. It all depends on your policy. UHC didn't cover our doc band. We are working on a appeal to get a reimbursement. Best of luck with UHC, let us know how it goes.LorieMom to Spencer and Alizabeth 11 moSpencer- Left Plagio- DOC Band GRAD 9/07-12/07AZ [sPAM] Re: United HealthcareWe have UnitedHealthcare too. They are a hit or miss in coverage. You will definetly want to contact them. We decided to pay upfront and try to get reimburssed after. We did that because it would take a month or longer just for the approval process. We wanted to get the band on asap before our son got older. Good luck. I hope they cover some or all of your band.Jenn>> Does anybody have UnitedHealthcare. I was trying to figure out whether > the DOC Band is covered, before we go for our appointment at CT, but I > could not find information. I am planning on calling them on Monday, > but wanted to check if anybody has had experience with them. Thank you > in advance. You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2008 Report Share Posted April 4, 2008 , I just emailed you back with my appeal. Good luck...let me knwo if you have any questions. > > > > > > > > > > From: <melissakyleclark@ ...> > > > > > Subject: Re: United Healthcare > > > > > Plagiocephaly > > > > > Date: Sunday, March 30, 2008, 2:21 PM > > > > > > > > > > > > > > > I have just spoken to them and our plan does not cover > > > > > orthotics. that is what the band is considered. you > > > > > will need to specifically ask for that if it is in > > > > > your plan. your plan is a contract between the > > > > > employer and the insurance company and they are > > > > > telling me even an appeal would not go through. > > > > > > > > > > United Healthcare > > > > > > > > > > > > > > > Does anybody have UnitedHealthcare. I was trying to > > > > > figure out whether > > > > > the DOC Band is covered, before we go for our > > > > > appointment at CT, but I > > > > > could not find information. I am planning on calling > > > > > them on Monday, > > > > > but wanted to check if anybody has had experience with > > > > > them. Thank you > > > > > in advance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ > _ > > > > ____________ ___ > > > > > Looking for last minute shopping deals? > > > > > Find them fast with Search. > > > > http://tools. search.. com/newsearch/ category. php? > > > > category=shopping > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ _ > ____________ ___ > > > > No Cost - Get a month of Blockbuster Total Access now. Sweet > deal > > for users > > > and friends. > > > > http://tc.deals. / tc/blockbuster/ text1.com > > > > > > > > > > > > > > > _____________________________________________________________________ _______________ > You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. > http://tc.deals./tc/blockbuster/text5.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2008 Report Share Posted April 4, 2008 I just sent it again. Hopefully, it goes through. If not, let me know. > > > > > > > > > > From: <melissakyleclark@ ...> > > > > > Subject: Re: United Healthcare > > > > > Plagiocephaly > > > > > Date: Sunday, March 30, 2008, 2:21 PM > > > > > > > > > > > > > > > I have just spoken to them and our plan does not cover > > > > > orthotics. that is what the band is considered. you > > > > > will need to specifically ask for that if it is in > > > > > your plan. your plan is a contract between the > > > > > employer and the insurance company and they are > > > > > telling me even an appeal would not go through. > > > > > > > > > > United Healthcare > > > > > > > > > > > > > > > Does anybody have UnitedHealthcare. I was trying to > > > > > figure out whether > > > > > the DOC Band is covered, before we go for our > > > > > appointment at CT, but I > > > > > could not find information. I am planning on calling > > > > > them on Monday, > > > > > but wanted to check if anybody has had experience with > > > > > them. Thank you > > > > > in advance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --- > > > > > Like movies? Here's a limited-time offer: Blockbuster > > > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ > _ > > > > ____________ ___ > > > > > Looking for last minute shopping deals? > > > > > Find them fast with Search. > > > > http://tools. search.. com/newsearch/ category. php? > > > > category=shopping > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ _________ _ > ____________ ___ > > > > No Cost - Get a month of Blockbuster Total Access now. Sweet > deal > > for users > > > and friends. > > > > http://tc.deals. / tc/blockbuster/ text1.com > > > > > > > > > > > > > > > > > > > > _____________________________________________________________________ _______________ > You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. > http://tc.deals./tc/blockbuster/text5.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2008 Report Share Posted May 3, 2008 By chance, do you know how I can get in contact with that person? I have heard I will be having problems with Tricare. I just want to get a heads up on it. > > > > > > From: <melissakyleclark@> > > > Subject: Re: United Healthcare > > > Plagiocephaly > > > Date: Sunday, March 30, 2008, 2:21 PM > > > > > > > > > I have just spoken to them and our plan does not cover > > > orthotics. that is what the band is considered. you > > > will need to specifically ask for that if it is in > > > your plan. your plan is a contract between the > > > employer and the insurance company and they are > > > telling me even an appeal would not go through. > > > > > > United Healthcare > > > > > > > > > Does anybody have UnitedHealthcare. I was trying to > > > figure out whether > > > the DOC Band is covered, before we go for our > > > appointment at CT, but I > > > could not find information. I am planning on calling > > > them on Monday, > > > but wanted to check if anybody has had experience with > > > them. Thank you > > > in advance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > --------------------------------- > > > Like movies? Here's a limited-time offer: Blockbuster > > > Total Access for one month at no cost. > > > > > > > > > > > > --------------------------------- > > > Like movies? Here's a limited-time offer: Blockbuster > > > Total Access for one month at no cost. > > > > > > > > > > > > > > > > > > > > > > > _____________________________________________________________________ > > _______________ > > > Looking for last minute shopping deals? > > > Find them fast with Search. > > http://tools.search./newsearch/category.php? > > category=shopping > > > > > > Quote Link to comment Share on other sites More sharing options...
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