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Re: All of you will hate me when you read this!!!!

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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

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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

>

>

>

>

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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> > > >

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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

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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

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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

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,

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

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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

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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

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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

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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

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