HAVE BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE INS.

[Guest guest]

My son is 13 months old and has had his DOC since 7 months.

Cranial Tech in Paramus called our insurance to see if we need pre-

authorization and they told them we didn't and that it was covered

under durable medical equipment. Low and behold we were

denied...they say it is not medically necessary even though our

neurosurgeon sent a letter of medical necessity. I have spent days

calling to find out the specialty of the " medical advisor " making

these decisions and finally found out that Agnes an RN is making the

medical decisions! I am in appeals and will fight this until they

pay something. I have posted on cranialtech.com under CIGNA case a

link to view a case in which a family sued CIGNA and won for the same

reasons. There is also a case for BCBS in Chicago.

KP