Guest guest Posted July 13, 2006 Report Posted July 13, 2006 Very frustrating. I'd call again and ask for a supervisor! Natasha > > I just got off the phone with the Medical Management review office of our > Insurance company. They are refusing coverage of Chloe Olivia's helmet. They > said the reason is the asymmetry " is only minimal " . The want us to do > repositioning for 6 more weeks and PT. That would then make her 10 months > old so then 11 months by the time we would receive the helmet. I tried to > explain I can not reposition this child.no matter how I lay her she will not > stay, she is only on the back of her head to change her diaper, and > repositioning is not affective past 6 months. They said it is effective to > 12 months!!! I don't know how to fight this. I am so mad. > > Then I said will why we given the go ahead for the helmet. The insur company > said you weren't. It is a covered benefit but you had no precertification. > Well if we had no precert then why did the orthotists office allow us to get > it. The orthotist office talked with you before we ever proceeded with the > helmet. > > Thanks and have a great day, > > > > aleyfamily@... > Quote
Guest guest Posted July 15, 2006 Report Posted July 15, 2006 How frustrating. I hope it gets better. I'm not sure what to tell you since we didn't have to fight our insurance at all. Sandy Willow's Mom Torticollis resolved Cranio germany grad 02/04 > > I just got off the phone with the Medical Management review office of our > Insurance company. They are refusing coverage of Chloe Olivia's helmet. They > said the reason is the asymmetry " is only minimal " . The want us to do > repositioning for 6 more weeks and PT. That would then make her 10 months > old so then 11 months by the time we would receive the helmet. I tried to > explain I can not reposition this child.no matter how I lay her she will not > stay, she is only on the back of her head to change her diaper, and > repositioning is not affective past 6 months. They said it is effective to > 12 months!!! I don't know how to fight this. I am so mad. > > Then I said will why we given the go ahead for the helmet. The insur company > said you weren't. It is a covered benefit but you had no precertification. > Well if we had no precert then why did the orthotists office allow us to get > it. The orthotist office talked with you before we ever proceeded with the > helmet. > > Thanks and have a great day, > > > > aleyfamily@... > Quote
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