Re: Update: We decided on CT, Paramus

[Guest guest]

Thank you all so much for your advice and sharing your experience with

me. We finally decided on CT, Paramus.

After we made the decision, I was very eager to start the treatment

for them right away as we've already wasted so much time. According

to Darren CT, Paramus, I have to schedule my appointment with them

through in their Arizona office. I've been trying to call her

since yesterday. All I got was her voicemail. Today I left 2 voice

messages for her. She hasn't got back to me. I just thought it's a

little weird. Maybe she's just too busy if she has to handle the

scheduling for all their branch offices.

When we went for our free consultation, Anastasia (CT Patient Liaison)

explained to us about the payment plans. She told us that if we pay

everything up front, we can get the twin discount of $2500 for each

helmet. 2 days later, called to inform us about our insurance

situation. We asked her about the twin discount. She said that we

would need to pay the full amount ($3600 x 2) up front to start the

treatment. After they make sure that we get no money back from our

insurance company, then they will write a check to reimburse us at the

end.

Has anyone paid for the DOC band out of pocket?

Mother of 10 months old twin boys, central NJ

> >

> > -

> > OMG, how cute is Isaac's hair when it's all dry and fluffy! It's

> > adorable!

> >

> > I do see more flatness from the side on both of them. The starscans

> > only show the shape of the head from the top, and I don't think it's

> > as noticable from that angle, so maybe Joe is depending too much on

> > the report and not enough on the head itself? I don't know. Was

> > their hair slicked down or held down with a stocking cap for the

> > scan? I agree, that from the scan alone, it looks like Garrick's

> > head is completely symmetrical. But from the side angle, it looks

> > like his flatness is slightly worse than Isaac's. Weird.

> >

> > I don't know of one baby who ended up with a worse shaped head that

> > went to CT. The worst stories I've heard have come from Danmar and

> > Hanger helmets, where some of those babies ended up with heads in

> > worse shape than they started (plagio when they started with brachy,

> > heads growing out the top of the band because they had nowhere else

> > to grow), or just no change at all and a lot of time and money

> > wasted. I personally think you couldn't go wrong with CT, but if you

> > feel more comfortable going with the STARBand, I still think it

> > would be worth a shot. Oh by the way, how much experience does Joe

> > have with the STARBand?

> >

> > CT was out of network for us, but insurance still covered 75% of the

> > cost. We haven't heard back about the second claim yet, but I was

> > told it would be covered as well at the same amount.

> >

> >

> > Jake-20m (tort resolved/rt plagio/2nd DOCBand-Day 2)

[Guest guest]

Hi ,

We just got our band from CT Paramus on Tue. According to Anastasia she and do the same thing and all their communications are shared with each other, so call her. Call Darren again if you don't hear from . She has always gotten right back to me so maybe something is up?

We paid for the band out of pocket (for now). Our ins co (CIGNA) told that it was specifically excluded (told us and our bene's manager that it was covered if medically nec), so we paid upfront (got the discount - single discount to $3300). It must be different b/c they already have a "no" from the ins co and it is up to us to fight with the co.

Good Luck

Audra

Re: Update: We decided on CT, Paramus

Thank you all so much for your advice and sharing your experience withme. We finally decided on CT, Paramus.After we made the decision, I was very eager to start the treatmentfor them right away as we've already wasted so much time. Accordingto Darren CT, Paramus, I have to schedule my appointment with themthrough in their Arizona office. I've been trying to call hersince yesterday. All I got was her voicemail. Today I left 2 voicemessages for her. She hasn't got back to me. I just thought it's alittle weird. Maybe she's just too busy if she has to handle thescheduling for all their branch offices.When we went for our free consultation, Anastasia (CT Patient Liaison)explained to us about the payment plans. She told us that if we payeverything up front, we can get the twin discount of $2500 for eachhelmet. 2 days later, called to inform us about our insurancesituation. We

asked her about the twin discount. She said that wewould need to pay the full amount ($3600 x 2) up front to start thetreatment. After they make sure that we get no money back from ourinsurance company, then they will write a check to reimburse us at theend. Has anyone paid for the DOC band out of pocket? Mother of 10 months old twin boys, central NJ> >> > -> > OMG, how cute is Isaac's hair when it's all dry and fluffy! It's > > adorable! > > > > I do see more flatness from the side on both of them. The starscans > > only show the shape of the head from the top, and I don't think it's > > as noticable from that angle, so maybe Joe is depending too much on > > the report and not enough on the head itself? I don't know. Was > > their hair slicked down or held down with a stocking cap for the > > scan? I agree, that from the scan alone, it looks like Garrick's > > head is completely symmetrical. But from the side angle, it looks > > like his flatness is slightly worse than Isaac's. Weird. > > > > I don't know of one baby who

ended up with a worse shaped head that > > went to CT. The worst stories I've heard have come from Danmar and > > Hanger helmets, where some of those babies ended up with heads in > > worse shape than they started (plagio when they started with brachy, > > heads growing out the top of the band because they had nowhere else > > to grow), or just no change at all and a lot of time and money > > wasted. I personally think you couldn't go wrong with CT, but if you > > feel more comfortable going with the STARBand, I still think it > > would be worth a shot. Oh by the way, how much experience does Joe > > have with the STARBand? > > > > CT was out of network for us, but insurance still covered 75% of the > > cost. We haven't heard back about the second claim yet, but I was > > told it would be covered as well at the same amount.

> > > > > > Jake-20m (tort resolved/rt plagio/2nd DOCBand-Day 2)

[Guest guest]

We paid for our DOCband in installments after initial denial from insurance, but won on appeal, and the insurance company (Cigna at the time) reimbursed us.went to CT in Chicago, in 2000>------- Original Message ------->From : juliapianony[mailto:juliapianony@...]>Sent : 6/5/2008 2:41:27 AM>To : Plagiocephaly >Cc : >Subject : RE: Re: Update: We decided on CT, Paramus>>Thank you all so much for your advice and sharing your experience withme. We finally decided on CT, Paramus.After we made the decision, I was very eager to start the treatmentfor them right away as we've already wasted so much time. Accordingto Darren CT, Paramus, I have to schedule my appointment with themthrough in their Arizona office. I've been trying to c

all hersince yesterday. All I got was her voicemail. Today I left 2 voicemessages for her. She hasn't got back to me. I just thought it's alittle weird. Maybe she's just too busy if she has to handle thescheduling for all their branch offices.When we went for our free consultation, Anastasia (CT Patient Liaison)explained to us about the payment plans. She told us that if we payeverything up front, we can get the twin discount of $2500 for eachhelmet. 2 days later, called to inform us about our insurancesituation. We asked her about the twin discount. She said that wewould need to pay the full amount ($3600 x 2) up front to start thetreatment. After they make sure that we get no money back from ourinsurance company, then they will write a check to reimburse us at theend. Has anyone paid for the DOC band out of pocket? Mother of 10 months old twin boys, central NJ> >> > -> > OMG, how cute is Isaac's hair when it's all dry and fluffy! It's > > adorable! > > > > I do see more flatness from the side on both of them. The starscans > > only show the shape of the head from the top, and I don't think it's > > as noticable from that angle, so maybe Joe is depending too much on > > the report and not enough on the head itself? I don't know. Was > > their hair slicked down or held down with a stocking cap for the > > scan? I agree, that from the scan alone, it looks like Garrick's > > head is completely symmetrical. But from the side angle, it looks > > like his flatness is slightly worse than Isaac's. Weird. > > > > I don't know of one baby who ended up with a worse shaped head that > > went to CT. The worst stories I've heard have come from Danmar and > > Hanger helmets, where some of those babies ended up with heads in > > worse shape than they started (plagio when they started with brachy, > > heads growing out the top of the band because they had nowhere else > > to grow), or just no change at all and a lot of time and money > > wasted. I personally think you couldn't go wrong with CT, but if you > > feel more comfortable going with the STARBand, I still think it > > would be worth a shot. Oh by the way, how much experience does Joe > > have with the STARBand? > > > > CT was out of network for us, but insurance still covered 75% of the > > cost. We haven't heard back about the second claim yet, but I was > > told it would be covered as well at the same amount. > > > > > > Jake-20m (tort resolved/rt plagio/2nd DOCBand-Day 2) ------------------------------------For more plagio info

[Guest guest]

We had to pay for the docband out of pocket. I have Cigna and they have yet to approve the equipment. The cost was $3300 if we were to make payments but we elected to pay it all upfront and save $300 so our total cost was $3000. I was able to get reimbursed through my flex plan though. I am still going through the appeals process with Cigna. Its a long process. Tomorrow my son will have been in the band for 7wks. If possible, I would move forward with banding the boys, if you can. I don't get why they would wait to see if insurance would cover any of it to give you the discount. I would push that issue. More often than not insurance companies take forever to get back to you. Don't lose any more precious time on this. Good luck and God bless. Tammy (mommy to Christian, docbanded 4.18.08, plagio, tort (resolved) - Arlington, TX)juliapianony <juliapianony@...> wrote: Thank you all so much for your advice and sharing your experience withme. We finally decided on CT, Paramus.After we made the decision, I was very eager to start the treatmentfor them right away as we've already wasted so much time. Accordingto Darren CT, Paramus, I have to schedule my appointment with themthrough in their Arizona office. I've been trying to call hersince yesterday. All I got was her voicemail. Today I left 2 voicemessages for her. She hasn't got back to me. I just thought it's alittle weird. Maybe she's just too busy

if she has to handle thescheduling for all their branch offices.When we went for our free consultation, Anastasia (CT Patient Liaison)explained to us about the payment plans. She told us that if we payeverything up front, we can get the twin discount of $2500 for eachhelmet. 2 days later, called to inform us about our insurancesituation. We asked her about the twin discount. She said that wewould need to pay the full amount ($3600 x 2) up front to start thetreatment. After they make sure that we get no money back from ourinsurance company, then they will write a check to reimburse us at theend. Has anyone paid for the DOC band out of pocket? Mother of 10 months old twin boys, central NJ> >> > -> > OMG, how cute is Isaac's hair when it's all dry and fluffy! It's > > adorable! > > > > I do see more flatness from the side on both of them. The starscans > > only show the shape of the head from the top, and I don't think it's > > as noticable from that angle, so maybe Joe is depending too much on > > the report and not enough on the head itself? I don't know. Was > > their hair slicked down or held down with a stocking cap for the > > scan? I agree, that from the scan alone, it looks like Garrick's > > head is completely symmetrical. But from the

side angle, it looks > > like his flatness is slightly worse than Isaac's. Weird. > > > > I don't know of one baby who ended up with a worse shaped head that > > went to CT. The worst stories I've heard have come from Danmar and > > Hanger helmets, where some of those babies ended up with heads in > > worse shape than they started (plagio when they started with brachy, > > heads growing out the top of the band because they had nowhere else > > to grow), or just no change at all and a lot of time and money > > wasted. I personally think you couldn't go wrong with CT, but if you > > feel more comfortable going with the STARBand, I still think it > > would be worth a shot. Oh by the way, how much experience does Joe > > have with the STARBand? > > > > CT was out of network for us, but insurance still covered 75% of the > > cost.

We haven't heard back about the second claim yet, but I was > > told it would be covered as well at the same amount. > > > > > > Jake-20m (tort resolved/rt plagio/2nd DOCBand-Day 2)

[Guest guest]

We paid out of pocket I believe 3000$ up front. We paid on a credit card to get the airline miles! I found that I could make a casting appointment directly through Darren. Call back and ask him to contact for you. Once she did not get back to me when she was out sick but other than that it was fine communication wise. I would also go with Purvi for the casting, she has the most experiece. She is also great with the fittings. Tammy

From: Audra <audracox@...>Subject: Re: Re: Update: We decided on CT, ParamusPlagiocephaly Date: Thursday, June 5, 2008, 9:53 AM

Hi ,

We just got our band from CT Paramus on Tue. According to Anastasia she and do the same thing and all their communications are shared with each other, so call her. Call Darren again if you don't hear from . She has always gotten right back to me so maybe something is up?

We paid for the band out of pocket (for now). Our ins co (CIGNA) told that it was specifically excluded (told us and our bene's manager that it was covered if medically nec), so we paid upfront (got the discount - single discount to $3300). It must be different b/c they already have a "no" from the ins co and it is up to us to fight with the co.

Good Luck

Audra

Re: Update: We decided on CT, Paramus

Thank you all so much for your advice and sharing your experience withme. We finally decided on CT, Paramus.After we made the decision, I was very eager to start the treatmentfor them right away as we've already wasted so much time. Accordingto Darren CT, Paramus, I have to schedule my appointment with themthrough in their Arizona office. I've been trying to call hersince yesterday. All I got was her voicemail. Today I left 2 voicemessages for her. She hasn't got back to me. I just thought it's alittle weird. Maybe she's just too busy if she has to handle thescheduling for all their branch offices.When we went for our free consultation, Anastasia (CT Patient Liaison)explained to us about the payment plans. She told us that if we payeverything up front, we can get the twin discount of $2500 for eachhelmet. 2 days later, called to inform us about our insurancesituation. We

asked her about the twin discount. She said that wewould need to pay the full amount ($3600 x 2) up front to start thetreatment. After they make sure that we get no money back from ourinsurance company, then they will write a check to reimburse us at theend. Has anyone paid for the DOC band out of pocket? Mother of 10 months old twin boys, central NJ> >>

> -> > OMG, how cute is Isaac's hair when it's all dry and fluffy! It's > > adorable! > > > > I do see more flatness from the side on both of them. The starscans > > only show the shape of the head from the top, and I don't think it's > > as noticable from that angle, so maybe Joe is depending too much on > > the report and not enough on the head itself? I don't know. Was > > their hair slicked down or held down with a stocking cap for the > > scan? I agree, that from the scan alone, it looks like Garrick's > > head is completely symmetrical. But from the side angle, it looks > > like his flatness is slightly worse than Isaac's. Weird. > > > > I don't know of one baby who ended up with a worse shaped head that > > went to CT. The worst stories I've heard have come from Danmar and > > Hanger

helmets, where some of those babies ended up with heads in > > worse shape than they started (plagio when they started with brachy, > > heads growing out the top of the band because they had nowhere else > > to grow), or just no change at all and a lot of time and money > > wasted. I personally think you couldn't go wrong with CT, but if you > > feel more comfortable going with the STARBand, I still think it > > would be worth a shot. Oh by the way, how much experience does Joe > > have with the STARBand? > > > > CT was out of network for us, but insurance still covered 75% of the > > cost. We haven't heard back about the second claim yet, but I was > > told it would be covered as well at the same amount. > > > > > > Jake-20m (tort resolved/rt plagio/2nd DOCBand-Day 2)

[Guest guest]

I was able to make my appointments with CT Charlotte directly

through them, I didn't have to call AZ, so not sure what is

different about Paramus. I also didn't realize how the twin discount

worked. Hopefully someone else with twins will chime in. We did pay

up front (with the $300 discount, you should get $600 off I think

for 2) and had to file our own claim because CT was out of network

for us (but we still had out of network coverage so did get

reimbursed by our insurance; it only took about 2-3 weeks for our

claim to go through; I think we were lucky).

The good news is that Paramus is setting up their DSi this week (if

it's not already up and running), so if you get an appointment for

next week, there will be no casting! Just a split second photo and

you're done! Times 2 of course!

Keep us posted!

Jake-21m (tort resolved/rt plagio/DOCBand #2 - Day 4)

Jordan-4

> > >

> > > -

> > > OMG, how cute is Isaac's hair when it's all dry and fluffy!

It's

> > > adorable!

> > >

> > > I do see more flatness from the side on both of them. The

starscans

> > > only show the shape of the head from the top, and I don't

think it's

> > > as noticable from that angle, so maybe Joe is depending too

much on

> > > the report and not enough on the head itself? I don't know.

Was

> > > their hair slicked down or held down with a stocking cap for

the

> > > scan? I agree, that from the scan alone, it looks like

Garrick's

> > > head is completely symmetrical. But from the side angle, it

looks

> > > like his flatness is slightly worse than Isaac's. Weird.

> > >

> > > I don't know of one baby who ended up with a worse shaped head

that

> > > went to CT. The worst stories I've heard have come from Danmar

and

> > > Hanger helmets, where some of those babies ended up with heads

in

> > > worse shape than they started (plagio when they started with

brachy,

> > > heads growing out the top of the band because they had nowhere

else

> > > to grow), or just no change at all and a lot of time and money

> > > wasted. I personally think you couldn't go wrong with CT, but

if you

> > > feel more comfortable going with the STARBand, I still think

it

> > > would be worth a shot. Oh by the way, how much experience does

Joe

> > > have with the STARBand?

> > >

> > > CT was out of network for us, but insurance still covered 75%

of the

> > > cost. We haven't heard back about the second claim yet, but I

was

> > > told it would be covered as well at the same amount.

> > >

> > >

> > > Jake-20m (tort resolved/rt plagio/2nd DOCBand-Day 2)

>