Guest guest Posted May 14, 2002 Report Share Posted May 14, 2002 There is still hope for me???? That is wonderful...are you on the PPO or HMO?? also how long did it take??? What has caused Grants Plagio??? Position or Tort??? sorry so many questions I am just preparing for my fight....also what state are you in???...I am happy for you guys .... Trisha -----Original Message-----From: erinjacobs [mailto:erinjacobs@...]Sent: Tuesday, May 14, 2002 3:03 PMPlagiocephaly Subject: All of you will hate me when you read this!!!!Cigna paid for Grant's helmet with no fight whatsoever!!!!!! By the grace of God, all the orthotist's office did was make a claim, and they paid!!!! I don't know how I got so lucky, and I am so sorry that some of you are having to really fight Cigna on this. Mom to GrantFor more plagio info Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2002 Report Share Posted May 14, 2002 Trisha, I am on the PPO and it took about a month for them to send me the statement that they had paid. Grant's plagio was caused from tort, which I might add is really improving because of his PT!!! I am so excited about how well he is holding up his head now. I think the helmet is making his neck a lot stronger as well. I am in Texas and if I can help you any at all, I would be happy to. The only thing that I sent Cigna was a letter of medical necessity.....I hope that you are not in for a big battle. Best of luck to you! Thanks, Mom to Grant Odessa, Texas > There is still hope for me???? That is wonderful...are you on the PPO or HMO?? also how long did it take??? What has caused Grants Plagio??? Position or Tort??? sorry so many questions I am just preparing for my fight....also what state are you in???...I am happy for you guys .... Trisha > > All of you will hate me when you read this!!!! > > > > Cigna paid for Grant's helmet with no fight whatsoever!!!!!! By the > grace of God, all the orthotist's office did was make a claim, and > they paid!!!! > > I don't know how I got so lucky, and I am so sorry that some of you > are having to really fight Cigna on this. > > > Mom to Grant > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2002 Report Share Posted May 14, 2002 I am sitting here in tears....the just gave us the official denial .... because it is not anymore affective than any other method.... All of you will hate me when you read this!!!!> > > > Cigna paid for Grant's helmet with no fight whatsoever!!!!!! By the > grace of God, all the orthotist's office did was make a claim, and > they paid!!!! > > I don't know how I got so lucky, and I am so sorry that some of you > are having to really fight Cigna on this. > > > Mom to Grant> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2002 Report Share Posted May 14, 2002 , I'm sooooo glad that Cigna paid without question! Hooray!!! Marci (Mom to ) Oklahoma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2002 Report Share Posted May 14, 2002 Trisha, Don't cry - you can fight this! You can win too - you can do it - please let me know if I can help you. I have some really good documentation and an excellent external review letter that says it is medically necessary and references some federal documentation! Please let me know if I can help - you can win and it will be a sweet victory!! Marci Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 I wish I could say the same the denied ours today saying that basically there are other things that work better than banding and that banding is only good for those who have had skull surgery...I have been sick all day...Trisha All of you will hate me when you read this!!!! Cigna paid for Grant's helmet with no fight whatsoever!!!!!! By the grace of God, all the orthotist's office did was make a claim, and they paid!!!! I don't know how I got so lucky, and I am so sorry that some of you are having to really fight Cigna on this. Mom to Grant Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 Marci....anything I can get that would work for me I would love I have a few appeals letters to work off of and things I have printed off the internet....I just feel shot down....I just want my little man to be taken care of....Just let me know if you can send me some stuff I can give you my fax or my address....anything woudl be great...Thanks a ton...Hugs and wipeing my tears away...snif snif...Trisha Re: All of you will hate me when you read this!!!! Trisha, Don't cry - you can fight this! You can win too - you can do it - please let me know if I can help you. I have some really good documentation and an excellent external review letter that says it is medically necessary and references some federal documentation! Please let me know if I can help - you can win and it will be a sweet victory!! Marci Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 , Great news!!!! I'm so glad they didn't give you a hassle! Hopefully this sets a precedent for all those fighting Cigna out there! Congrats! ' Mom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 Trisha, I think that argument about it only working for children with skull surgery has so many holes in it that an appeal would be looking really good for you. Scour the archives, I know many people have used letters and info from that great database and have won their appeal- don't give up without a fight!!!!! ' Mom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 Trisha, Oh boy- if Marci gets involved your sure to win!!! Pick her brain apart- she is the Insurance Goddess ( ' Mom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 Thanks ...I need the encouragement...I in NO WAY plan to give up...I plan on fighting until the bitter end....like I told my husband if it takes me a lifetime to prove my point it takes a life time this is now my mission .... to alert others and educate.... but I need to win my case too...so I am on a Mission...I just need supporters and encouragers to keep me going...does that make since??? Trisha -----Original Message-----From: rella1234@... [mailto:rella1234@...]Sent: Wednesday, May 15, 2002 2:32 PMPlagiocephaly Subject: Re: All of you will hate me when you read this!!!!Trisha,I think that argument about it only working for children with skull surgery has so many holes in it that an appeal would be looking really good for you. Scour the archives, I know many people have used letters and info from that great database and have won their appeal- don't give up without a fight!!!!!' MomFor more plagio info Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2002 Report Share Posted May 15, 2002 I thank God she is willing to help...it really means alot to me when I get people wanting to help me....I am NOT by anymeans good at this stuff as a matter of fact I have never done anything like this .... but I plan on taking what I learn and sharing w/others....not to mention I want to know as much as I can before the Fox 4 News calls me back....Trisha -----Original Message-----From: rella1234@... [mailto:rella1234@...]Sent: Wednesday, May 15, 2002 2:34 PMPlagiocephaly Subject: Re: All of you will hate me when you read this!!!!Trisha,Oh boy- if Marci gets involved your sure to win!!! Pick her brain apart- she is the Insurance Goddess (' MomFor more plagio info Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2002 Report Share Posted May 16, 2002 In a message dated 5/15/2002 4:01:17 PM Eastern Daylight Time, trisham@... writes: I just need supporters and encouragers to keep me going...does that make since??? Trisha Trisha, Then you've come to the right place!!!! This great bunch of parents is either going down the same road, or has already been there and know how important it is to be able to talk with someone in the same shoes- you feel sometimes like no one understands because this is not so black and white- but more gray sometimes because family, friends, Doctors may not feel the way you do about your child and the need for a helmet. Everyone was very encouraging and supportive of myself and my son and I hope to be able to allow someone else to feel that as well- so I'm with ya! As is the rest of the group I'm sure!!! Please ask away any questions, and vent if you need to- your bound to touch upon issues that we can all relate to!! ' Mom Quote Link to comment Share on other sites More sharing options...
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