RE: [SPAM] Who referred you to CT in ndale, VA?

[Guest guest]

Hi Leila –

I’m not sure how Kaiser works where you are but we have

Kaiser in Northern California and the band was covered. The band was

considered Durable Medical Equipment (DME). Our specific policy covered

DME at 80% so you should check and see what, if any, DME coverage your policy

has. Our Kaiser ped referred up to a plastic surgeon at Kaiser who

evaluated my son and then he wrote us the prescription for the band and sent us

to the local STARband provider; they wouldn’t cover a band from Hanger or

CT.

Did your doctor put in a referral for you to see a specialist?

I can’t imagine that the specialist wouldn’t write you a prescription

given your daughter’s severity. Who wrote the prescription for you

when you got the band from ECA? Perhaps you can get a copy of it and take

that to CT or STAR as you will need a prescription to get a band from either

one of them. You may also want to call Kaiser and find out who their

preferred provider is for DME.

Hope this helps!

Molly

Novato, California

Nicolas, 3, tort & plagio, STARband (CIRS Oakland)

4/24/06-9/12/06, Graduate!

, 5.5

, 9

From: Plagiocephaly

[mailto:Plagiocephaly ] On Behalf Of L R

Sent: 15 October 2008 05:41

Plagiocephaly

Subject: [sPAM] Who referred you to CT in ndale, VA?

For those of you who were referred to CT in ndale, VA, could you give me

the name of the doctor who referred you and what insurance you had/have?

I took Maysa to her 9 months check up this morning at Kaiser and although the

doctor put in a referral for treatment for Maysa, she said it would most

likely be denied. I told her that we were ready to pay out of pocket

but she still wasn't sure whether or not she could write me a referral.

I can't wait any longer, I have an appointment with CT on

Monday morning.

Thanks,

Leila

[Guest guest]

ECA never asked for a referral or a prescription. Only CT or the makers of the Starband. I will call my ped tomorrow to see if she'd refer me to a specialist.

Thanks!

Leila

From: Foley, Molly <mafoley@...>Subject: RE: [sPAM] Who referred you to CT in ndale, VA?Plagiocephaly Date: Wednesday, October 15, 2008, 9:44 PM

Hi Leila –

I’m not sure how Kaiser works where you are but we have Kaiser in Northern California and the band was covered. The band was considered Durable Medical Equipment (DME). Our specific policy covered DME at 80% so you should check and see what, if any, DME coverage your policy has. Our Kaiser ped referred up to a plastic surgeon at Kaiser who evaluated my son and then he wrote us the prescription for the band and sent us to the local STARband provider; they wouldn’t cover a band from Hanger or CT.

Did your doctor put in a referral for you to see a specialist? I can’t imagine that the specialist wouldn’t write you a prescription given your daughter’s severity. Who wrote the prescription for you when you got the band from ECA? Perhaps you can get a copy of it and take that to CT or STAR as you will need a prescription to get a band from either one of them. You may also want to call Kaiser and find out who their preferred provider is for DME.

Hope this helps!

Molly

Novato, California

Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/ 06, Graduate!

, 5.5

, 9

From: Plagiocephaly [mailto:Plagiocepha lygroups (DOT) com] On Behalf Of L RSent: 15 October 2008 05:41PlagiocephalySubject: [sPAM] Who referred you to CT in ndale, VA?

For those of you who were referred to CT in ndale, VA, could you give me the name of the doctor who referred you and what insurance you had/have? I took Maysa to her 9 months check up this morning at Kaiser and although the doctor put in a referral for treatment for Maysa, she said it would most likely be denied. I told her that we were ready to pay out of pocket but she still wasn't sure whether or not she could write me a referral.

I can't wait any longer, I have an appointment with CT on Monday morning.

Thanks,

Leila

[Guest guest]

That sounds so shady. Why would ECA NOT need a script? That's very

odd to me. I've never heard of anyone NOT needing a script to get

the helmet. That's usually half the battle, getting a doctor to

write one.

Can't your ped just write the script for you? It doesn't need to

come from a specialist.

Jake-2 (DOCBand Grad 9/19/08)

Jordan-4.5

>

> From: Foley, Molly <mafoley@...>

> Subject: RE: [sPAM] Who referred you to CT in ndale,

VA?

> Plagiocephaly

> Date: Wednesday, October 15, 2008, 9:44 PM

>

>

>

>

>

>

>

>

> Hi Leila –

>  

> I'm not sure how Kaiser works where you are but we have Kaiser in

Northern California and the band was covered.  The band was

considered Durable Medical Equipment (DME).  Our specific policy

covered DME at 80% so you should check and see what, if any, DME

coverage your policy has.  Our Kaiser ped referred up to a plastic

surgeon at Kaiser who evaluated my son and then he wrote us the

prescription for the band and sent us to the local STARband

provider; they wouldn't cover a band from Hanger or CT.

>  

> Did your doctor put in a referral for you to see a specialist?  I

can't imagine that the specialist wouldn't write you a prescription

given your daughter's severity.  Who wrote the prescription for you

when you got the band from ECA?  Perhaps you can get a copy of it

and take that to CT or STAR as you will need a prescription to get a

band from either one of them.  You may also want to call Kaiser and

find out who their preferred provider is for DME.

>  

> Hope this helps!

>  

> Molly

> Novato, California

> Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/

06, Graduate!

> , 5.5

> , 9

>  

>  

>

>

> From: Plagiocephaly [mailto:Plagiocepha

lygroups (DOT) com] On Behalf Of L R

> Sent: 15 October 2008 05:41

> Plagiocephaly

> Subject: [sPAM] Who referred you to CT in ndale, VA?

>  

>

>

>

>

>

>

> For those of you who were referred to CT in ndale, VA, could

you give me the name of the doctor who referred you and what

insurance you had/have?  I took Maysa to her 9 months check up this

morning at Kaiser and although the doctor put in a referral for

treatment for Maysa, she said it would most likely be denied.  I

told her that we were ready to pay out of pocket but she still

wasn't sure whether or not she could write me a referral.

>

>  

>

> I can't wait any longer, I have an appointment with CT on Monday

morning.

>

>  

>

> Thanks,

>

> Leila

>

[Guest guest]

I think a prescription is needed for any device like this. How are

they using this device without a prescription? If you're looking for a

refund you could see if this gives you any leverage. In two years on

this board this is the first I've heard of anyone getting a

helmet/band without an Rx.

-christine

sydney 2.5 yrs starband grad

> >

> > From: Foley, Molly <mafoley@>

> > Subject: RE: [sPAM] Who referred you to CT in ndale,

> VA?

> > Plagiocephaly

> > Date: Wednesday, October 15, 2008, 9:44 PM

> >

> >

> >

> >

> >

> >

> >

> >

> > Hi Leila –

> >  

> > I'm not sure how Kaiser works where you are but we have Kaiser in

> Northern California and the band was covered.  The band was

> considered Durable Medical Equipment (DME).  Our specific policy

> covered DME at 80% so you should check and see what, if any, DME

> coverage your policy has.  Our Kaiser ped referred up to a plastic

> surgeon at Kaiser who evaluated my son and then he wrote us the

> prescription for the band and sent us to the local STARband

> provider; they wouldn't cover a band from Hanger or CT.

> >  

> > Did your doctor put in a referral for you to see a specialist?  I

> can't imagine that the specialist wouldn't write you a prescription

> given your daughter's severity.  Who wrote the prescription for you

> when you got the band from ECA?  Perhaps you can get a copy of it

> and take that to CT or STAR as you will need a prescription to get a

> band from either one of them.  You may also want to call Kaiser and

> find out who their preferred provider is for DME.

> >  

> > Hope this helps!

> >  

> > Molly

> > Novato, California

> > Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/

> 06, Graduate!

> > , 5.5

> > , 9

> >  

> >  

> >

> >

> > From: Plagiocephaly [mailto:Plagiocepha

> lygroups (DOT) com] On Behalf Of L R

> > Sent: 15 October 2008 05:41

> > Plagiocephaly

> > Subject: [sPAM] Who referred you to CT in ndale, VA?

> >  

> >

> >

> >

> >

> >

> >

> > For those of you who were referred to CT in ndale, VA, could

> you give me the name of the doctor who referred you and what

> insurance you had/have?  I took Maysa to her 9 months check up this

> morning at Kaiser and although the doctor put in a referral for

> treatment for Maysa, she said it would most likely be denied.  I

> told her that we were ready to pay out of pocket but she still

> wasn't sure whether or not she could write me a referral.

> >

> >  

> >

> > I can't wait any longer, I have an appointment with CT on Monday

> morning.

> >

> >  

> >

> > Thanks,

> >

> > Leila

> >

>