Re: UnitedHealthCare

[Guest guest]

Hi

Welcome to our group!! I am glad you joined us. We'd love to hear

more about your daughter's plagio story, how old is she? How'd she

develop plagio? etc.etc. etc... Has she been casted for her band

yet?

As for your insurance problem, you're unfortunately not alone. Many

of our posts in here are regarding ins. denials. It's too bad ins.

companies fight these bands and helmets. I did a search of our

archives for the past year and didn't turn anything up on UHC, but I

swear we've had posts about it before. Maybe it was on the Cranial

Technologies parents discussion board I had seen it before

(www.cranialtech.com but I know it's not current). For some reason

United Health Care of North Carolina is really sticking in my mind.

I hope one of our group members can help you more. In the mean time

check out this site for other ins. tips.

http://www.plagiocephaly.org/support/insurance.htm

Are they denying it because it is " out of network " ?? If your policy

states they cover orthotic devices, then you should have a good

case.

Again, welcome to the group. We look forward to getting to know you

& your daughter more .

Debbie Abby's mom DOCgrad

MI

> My daughter was just diagnosed with positional plagiocephaly 2

weeks

> ago. I have referrals from my pediatrician for her to receive a

DOC

> Band. I found out today that my insurance is trying to get out of

> paying. My policy covers medical supplies and equipment as well as

> orthotics. There are no places in-network. If anyone has

> suggestions, I'd love to hear them.

[Guest guest]

We have the same problem with UHC. I called several times to make

sure the DOC Band was covered. I was told it was covered 80/20 under

durable medical equipment. After we jumped through all the hoops, we

were denied because any orthotics aren't covered under our policy

(they are under some UHC policies and my doctor said she has gotten

them to pay before). Anyhow, our insurance agent is having us appeal

on the basis that we were misled by the c/s reps. We are supposed to

find out about the appeal tomorrow. I will let you know how it

goes. Were you originally told it was covered? I would keep track

of all the names and dates.

We decided to go ahead with it. Dane has been in his DOC Band since

2/14. The place we go does have payment plans, but I don't know if

they all do. It has only been 2 weeks and we have seen some

improvement since he just hit a growth spurt.

Dane's mom

Cleveland

> My daughter was just diagnosed with positional plagiocephaly 2

weeks

> ago. I have referrals from my pediatrician for her to receive a

DOC

> Band. I found out today that my insurance is trying to get out of

> paying. My policy covers medical supplies and equipment as well as

> orthotics. There are no places in-network. If anyone has

> suggestions, I'd love to hear them.

[Guest guest]

I will be taking Summer to Atlanta and the insurance coordinator

called the insurance company to find out my coverage. She said I had

orthotics and medical supply coverage. The insurance tod my ped.

yesterday that they were going to find a chaper place that was in-

network. I think once she researches she will find that there is not

a place.(I hope) The insurance lady has been rude to Cranial Tech and

my ped. I am calling her tomorrow. I'm glad you reminded me to

write everything down!

Denisha

florida

> > My daughter was just diagnosed with positional plagiocephaly 2

> weeks

> > ago. I have referrals from my pediatrician for her to receive a

> DOC

> > Band. I found out today that my insurance is trying to get out

of

> > paying. My policy covers medical supplies and equipment as well

as

> > orthotics. There are no places in-network. If anyone has

> > suggestions, I'd love to hear them.