RE: Mommy's trailblazing for Grant

[Guest guest]

,

You can certainly call CT and they can let you know if your insurance co. has

ever given them any problems paying. This can be a sneaky way to find out

without alerting your insurance company to anything (never give the enemy any

heads up!) hehe, JK. But if that fails, I still wouldn't hesitate to call

your ins. provider, that is your right to know what coverage your dealing

with. Good for you for being very assertive with your ped (and annoying

nurse!) about what you want for Grant- I found that when you make a request

known and don't back down, you'll get what you want or they will lose a

patient! Good luck to you- please keep us posted!

' Mom

[Guest guest]

Here's the problem...we have a brand new PPO that nobody knows anything about. It's called Sprintchoice...it's a PPO owned and created by Sprint (my husband's employer). I guess I could just call them...

rella1234@... wrote: ,You can certainly call CT and they can let you know if your insurance co. has ever given them any problems paying. This can be a sneaky way to find out without alerting your insurance company to anything (never give the enemy any heads up!) hehe, JK. But if that fails, I still wouldn't hesitate to call your ins. provider, that is your right to know what coverage your dealing with. Good for you for being very assertive with your ped (and annoying nurse!) about what you want for Grant- I found that when you make a request known and don't back down, you'll get what you want or they will lose a patient! Good luck to you- please keep us posted!' MomFor more plagio info

[Guest guest]

YOU GO GIRL!!!!! Personally I would ask CT what the norm is for your policy....they hit the nail on the head w/mine...Here in Dallas it is $3000.00 Total...for everything....and they have a payment plan w/me...I am so proud of you !!! Trisha

-----Original Message-----From: Robben [mailto:kellysdogs@...]Sent: Tuesday, May 21, 2002 11:23 AMPlagiocephaly Subject: Mommy's trailblazing for Grant

Well, I'm making more progress. After our great appointment at Rehab Designs of America (CT), I left a message with my pediatrician that I did not want to wait for the specialist to get things going. I especially felt this way after I called the specialist's nurse to ask her some questions and as soon as she caught wind that I had brought Grant in for an evaluation at CT she seemed offended and put off. She said, "Well, we don't use the DOC band. We use a better product" about 5 times...pretty much in response to everything I said at that point. Ugh...I don't want this to be a brand competition...I just want to get my son taken care of ASAP. Anyway, I left the message with the ped asking if he could go ahead and order the tests to rule out Cranio and then consider writing the rx for the DOC band. I also told him I would still be glad to take Grant to the specialist appt in a few weeks, but I really wanted to start SOMETHING now. Grant's head is growing FAST. It measured 47 centimeters at CT yesterday (95 percentile!) and Bob at CT said that there are actually some orthotists that won't treat a skull once it measures 48+, because they assume the skull growth will be substantially slower from there on. But, we are hoping that since Grant's head has always measured large that it will continue along that growth rate. We are hoping. But, I just want to get things moving and not miss any more significant growth spurts. It frustrates me thinking how MUCH it has grown since we started asking, asking, asking our pediatrician about this. ANYWAY I got a call from a nurse at my ped's office today telling me to take Grant to Children's Mercy for a 'skull series' ? (CAT Skan? MRI? I'm not sure?) TOMORROW?! I asked her if he'd write the rx after the tests if they looked fine and she said she thought he was willing to go that route, but we'd talk with him after the tests come back. Halleluhah Question: Would it be a mistake for me to call my health insurance company and ask what their coverage is on DOC band therapy or should I wait and let CT do it if we go that route? I'm curious to know what we're in for, financially.

Thanks! , Mom to Grant (born 9/26/01)

[Guest guest]

Try calling the head of Human Resources and ask what the policy is on DME....they can find out for you I'm sure....I'm sure w/ a company like Sprint they would have to have excellent insurance....They would have to have some Idea...Trisha

-----Original Message-----From: Robben [mailto:kellysdogs@...]Sent: Tuesday, May 21, 2002 12:14 PMPlagiocephaly Subject: Re: Mommy's trailblazing for Grant

Here's the problem...we have a brand new PPO that nobody knows anything about. It's called Sprintchoice...it's a PPO owned and created by Sprint (my husband's employer). I guess I could just call them... rella1234@... wrote: ,You can certainly call CT and they can let you know if your insurance co. has ever given them any problems paying. This can be a sneaky way to find out without alerting your insurance company to anything (never give the enemy any heads up!) hehe, JK. But if that fails, I still wouldn't hesitate to call your ins. provider, that is your right to know what coverage your dealing with. Good for you for being very assertive with your ped (and annoying nurse!) about what you want for Grant- I found that when you make a request known and don't back down, you'll get what you want or they will lose a patient! Good luck to you- please keep us posted!' MomFor more plagio info

[Guest guest]

Hey great job being so proactive keeping the ball rolling and standing

for what you believe in for grant. You know what isbest and you are doing a

great job. Why don't you call CT and ask them if they've any experience with

your particular insurance company and ask them what they rec. as far as who

should clarify coverage? I would call or if your insurance company has a web

site go on line and get your policy guidelines on DME coverage and orthosis

coverage and start there. You are doing a really great job. Good luck with

the series of tests and give Grant the biggest good luck kisses for us. I am

praying all will be fine and you will be holding your very own helmet head

soon.

Keep us posted-you are a great rea inspiration!

Beck Mom to

Memphis, TN

doc grad