Guest guest Posted March 19, 2001 Report Share Posted March 19, 2001 In a message dated 3/19/01 1:46:34 PM Pacific Standard Time, anneshenry@... writes: We are about to embark on helmet therapy. My question is this: have any of you been successful in getting your insurance to pay for the helmet? We had no problem getting our insurance company to cover both bands. My son was born with plagio/tort and I think that can often make a difference. Check out the data base. Many have their info in there for you to review! Good luck! Tammy & 12/8/99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2001 Report Share Posted March 19, 2001 --- We have Blue Cross and have not been successful so far. They say it's cosmetic and our son has both plagio and tort. What insurance company do you have? In Plagiocephaly@y..., bailykuhn@a... wrote: > In a message dated 3/19/01 1:46:34 PM Pacific Standard Time, > anneshenry@y... writes: > > > > We are about to embark on helmet therapy. My question > > is this: have any of you been successful in getting your insurance to > > ? > > > We had no problem getting our insurance company to cover both bands. My son > was born with plagio/tort and I think that can often make a difference. > Check out the data base. Many have their info in there for you to review! > Good luck! > > Tammy & 12/8/99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 > In a message dated 3/19/01 1:46:34 PM Pacific Standard Time, > anneshenry@y... writes: > > > > We are about to embark on helmet therapy. My question > > is this: have any of you been successful in getting your insurance to > > ? > > > We had no problem getting our insurance company to cover both bands. My son > was born with plagio/tort and I think that can often make a difference. > Check out the data base. Many have their info in there for you to review! > Good luck! > > Tammy & 12/8/99 We were denied preapproval by Cigna of FL, appealed once and were denied again and were on a second level appeal. Concurrently my husband's employer looked into it and I think that made the difference cause they called last week to say Cigna had decided to pay for the band. All I can say is if your insurance denys you, keep appealing and file a grievance with your state insurance commission as well. Wish you luck!! Dawn Ripley and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 We sent them two letters of medical necessity and they lost both of them.... One thing a lot of parents do, is to send EVERYTHING by certified mail. That way someone has to sign for it, and the proof is there that they have received it. Kendra in CanadaFor more plagio info, visitwww.plagiocephaly.org/support... ----- Original Message ----- From: anneshenry@... Plagiocephaly Sent: Monday, March 19, 2001 1:41 PM Subject: Paying for Helmet Hi. I am new to this group. My son Henry has a mild case of plagiocephaly. We are about to embark on helmet therapy. My question is this: have any of you been successful in getting your insurance to pay for the helmet? Aside from being about to scream at the insurance company...We sent them two letters of medical necessity and they lost both of them....I am concerned that they won't pay for it. Is there anything anyone can recommend as far as this goes. It is a sizeable expense ($1400) and I would like to get it covered if at all possible. I wonder if anyone can offer advice. Also--how well tolerated is the helmet. My son is only 3 months old and I am worried that he will have a problem adapting to it and that it will be uncomfortable. Thanks in advance for your help. AnnesHenry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 Welcome to the group - I'm glad you found us! Unfortunately I have had no luck whatsoever convincing my insurance company to pay. We have gone through all the levels of appeal and we have now filed a complaint against them with our State Department of Health. (we have an HMO) If that is unsuccessful we will probably take them to small claims court. As far as adapting goes...with your baby being so young I just can't imagine that he will have any trouble adapting. My daughter was 9 months old when she got her helmet and has had absolutely no trouble at all!! Keep us posted on your progress!! Marci (Mom to ) Oklahoma Quote Link to comment Share on other sites More sharing options...
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