Clarification -Re: New to group - insurance questions

[Guest guest]

Sorry it's late - the photo is in Our Plagio Babies L - Lyla Joy. =)

>

> Hi there! Our daughter just got her band two days ago and the

> insurance company has yet to clarify what they will cover. Does

> anyone have Destiny Health insurance? It's my understanding they may

> consider the entire treatment an orthotic device - for which they have

> a capped amount of $1300 - since CT is out of network, they will only

> cover 70% of the capped amount.

>

> Just curious if there is another way to bill it so the band is one

> charge and the treatment another (rather than lumping it all into one

> " orthotic device " category).

>

> The insurance company would not tell CT representatives their

> allowable amounts, but based on the codes and my company's website, I

> believe we'll be expected to pay around $3,000.

>

> If anyone has had any luck contesting this, I'd love to have your

advice.

>

> And of course, I posted photos - see Our Cranio Babies L - Lyla Joy.

>

> Thanks!

> Sandy

>

[Guest guest]

What a CUTIE! And great job decorating!

Jen and Luli - 29 months

Left tort - Right Plagio - Hanger Band Grad - CA

http://www.babiesonline.com/babies/j/jens5th/

Clarification -Re: New to group - insurance questions

Sorry it's late - the photo is in Our Plagio Babies L - Lyla Joy. =)

>

> Hi there! Our daughter just got her band two days ago and the

> insurance company has yet to clarify what they will cover. Does

> anyone have Destiny Health insurance? It's my understanding they may

> consider the entire treatment an orthotic device - for which they have

> a capped amount of $1300 - since CT is out of network, they will only

> cover 70% of the capped amount.

>

> Just curious if there is another way to bill it so the band is one

> charge and the treatment another (rather than lumping it all into one

> "orthotic device" category).

>

> The insurance company would not tell CT representatives their

> allowable amounts, but based on the codes and my company's website, I

> believe we'll be expected to pay around $3,000.

>

> If anyone has had any luck contesting this, I'd love to have your

advice.

>

> And of course, I posted photos - see Our Cranio Babies L - Lyla Joy.

>

> Thanks!

> Sandy

>

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