Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 Hi & welcome to our group! This is not right for your pediatrician to refuse to refer your son to a specialist. Have you considered switching pediatricians? I did a really quick search of our group archives as I know we have a lot of Detroit area group members. I live in Grand Rapids, MI - if you would like I could give you the name of our ped. neurosurgeon, but I am sure you'd like something closer in your area. I'll search the archive again a bit later to see what I can turn up. But below is a message about a clinic in the Detroit area that deals with helmets & plagio babies. I really hope this helps. I am sure some of our Detroit area members will chime in too with their advice & Drs. Welcome again - in the mean time you also might want to try repositioning your son to keep him off his flat side. Check out www.plagiocephaly.org/support for some great repositioning tips. Please keep us updated on whatever you find out! Debbie Abby's mom DOCGrad Grand Rapids, MI Here's the message #29187 From: " sambra301 " <sambra301@...> Date: Tue Mar 12, 2002 12:28 am Subject: danmarproducts out of detroit,michigan ADVERTISEMENT Hi everyone, My daughter was diagnosed with postional plagiocephaly about a month ago. She was just casted this morning for her helment. The orthodist that was there works out of The Detroit Institute for Children in Detroit, Michigan. He told me the helment she will be wearing is being made by Danmar products. Is anyone familiar with this brand of helment? > Our son has some flattening on the left side of his head and we have > noticed that his ears are misaligned. Unfortunately we are in the > HAP HMO here in the Detroit area and his PCP's will not refer us to a > specialist nor will they will prescribe a band for him. > > They have said that nobody's head is perfect, and that it will > correct itself for the most part, as he gets older. He is 4 months > old now and we want doctors who are familiar with band technology to > look at him. > > We do not agree with his pediatricians, and are interested in names > and locations of any doctors who work with band technology in the > Detroit Michigan area. > > Any suggestions and help would be appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 Hi: Ok, I searched the archives again & found the following message from another Detroit area member, she also had HAP insurance so I thought it might be of interest to you: Debbie Abby's mom DOCGrad Grand Rapids, MI From: Elena <sailadvntrs@...> Date: Wed Dec 12, 2001 11:19 am Subject: New member - update ADVERTISEMENT Hello Everyone! I joined and sent a note out with questions just before Thanksgiving. Thank you to everyone that responded and welcomed me to the group. It has been a very stressful couple of weeks, but I am happy to say that my son Jake (9 months) has an appointment with CT in Chicago 12/17 for his consult/casting. Recap - We live in the Metro Detroit area and have HAP insurance. We received a script from the neurosurgeon for a molding helmet. Then we processed the referral with HAP. It was directed toward the only in-network provider & Fillipis. The referral was denied because it was not a covered expense. However our policy states it is covered as DME but at HAP's pre-approval. With the denial we decided to check into the various helmet/band options and to proceed with treatment. We didn't want to wait any longer. I spoke to the orthotist at & Fillipis. They use the STARband. He said that the band is used up to the age of 12 months. Not feeling comfortable about this, since Jake would be almost 10 months by the time he received the band, we decided the DOCband was the way to go. Unfortunately, CT wanted us to get a specific script for the DOCband and file another referral. The neurosurgeons office was a pain because they did not know about the DOCband and were reluctant to talk to the DR about a new script. But once they did, I received the script right away. The neuro WAS familiar with the DOCband. It was frustrating to say the least to get the Ped to process the referral again. But after some constant pestering, they did. Now that we have the official denial for the DOCband we can proceed with treatment. Not excited about the out of pocket cost or the travel, but its something that has to be done for our son and well worth it. Sorry about the long winded note and many run on sentences. I have to say everyone in the group is so helpful and friendly. I have learned so much from the various notes and sites. Thank you very much. Elena mom to Jake (9 months) MI Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.