Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 Hi: My insurance covered Abby's 1st STARband 50%, they considered it durable medical equipment. We have since switched to the DOC band, which they refused to cover any of, becuz they already paid for one. I have fought & fought and gotten no where! If you do have problems with your ins., keep fighting and fighting and fighting. Right now I'm fighting with my silly dental ins., they won't cover my impacted wisdom tooth extraction or the anesthesia for it! I'm soooo mad. I cannot relay my disgust for insurance companies right now. As far as him adapting to it, it shouldn't be a problem, especially with as young as he is. I cannot imagine a baby that young even realizing it's there, Abby started her treatment at 8 mos. and it was NO problem whatsoever. I havent' heard of too many parents experiencing problems with their baby accepting the band. Good luck! Debbie Abby's mom 3/1/00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 I am in the very early stages of trying to get our insurance to pay for this, but one thing which has already come up is measurements. Apparently Aetna has just released new guidelines for payment whereby approval depends upon mathmatical computations to determine how severe the plagio is. They have said that they will only pay for a helmet in cases where the asymmetry between the high spot and low spot is greater than 6mm. Our doctor therefore suggested that we send them some measurements from nose to ear on each side, to show the asymmetry is that great. It might be worth trying to get that added to your letters, but I guess it depends on the insurance company. Good luck with it anyway. Kimberley > 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...
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