Re: Anyone in So. CALI with Pacificare HMO get a doc band?

June 21, 2002

Hi Lora & welcome to our group:

I just did a quick search of this year's group archives & didn't find

any previous posts mentioning Pacificare HMO. Without your Dr's

letter of medical necessity,I am sure it would be nearly impossible

to get coverage. Have you considered switching pediatricians? Or

ask for a referral to someone who will give you the needed documents

for coverage?

None of your triplets rec'd the DOCband right? Have you noticed any

improvement of their head shape over time without the use of a band?

Welcome again to our group. I really hope someone out there is

familiar with your ins. & can offer some more help.

Debbie Abby's mom DOCGrad

MI

> I been fighting this since my triplets were newborns. All there

> needed DOC bands.Now they are 22 months old. But since my smallest

> one still has a softspot she could still get some advantages from a

> DOC band. Our doctor says cosmetic so we can't get the insurance to

> pay for it. The clock is ticking. Once her softspot is gone(less

> than two months) then the chance of the DOC band working is over we

> are already pushing it with a 22 month old(born 3 months early).

It's

> to the point I either pay out of pocket or give up. I'm wondering

if

> anyone else got Pacificare HMO to pay?

>

> Lora

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