My son is going for an evaluation

July 8, 2002

Hi,

My name is Marilyn and I am so glad I found this group. My son Hayden

is 6 1/2 months old and fits the decription of positional

plagiocephaly. My retiring doctor was not concerned months ago when I

brought it to his attention. But my new doctor made a referal to a

neurosurgeon. I am scared, but releived that there is a way to fix

it. Any suggestions, or advise I need to know before going would be

great? I do have one concern? Does insurance usually cover this, or

is it considered cosmetic.

Sincerely,

Haydens Mom- Marilyn

North Carolina

July 8, 2002

Hi Marilyn,

Welcome to the group! I'm glad your new doctor was willing to make the

referral. Hayden is still at a very good age to get great correction with a

band or helmet. I was SO apprehensive the days and weeks leading up to the

appointment with the specialist, but just like you I was relieved to know

that I would be able to do something about it that would not require surgery.

Now that has been out of her helmet for about a year I am so thankful

that we did it and I would do it all over again if I had to.

As far as insurance goes - it really varies. Some specialists do not consider

plagio cosmetic - my specialist wrote two great letters regarding the medical

necessity of the helmet. We had to fight for about 6 months, but ultimately

the insurance co did pay. If the specialist has the mindset that it is

cosmetic it is more difficult to get approved, but not impossible. Hopefully

your insurance company will be the kind that pays for helmets/bands without

forcing appeal after appeal.

Best of wishes and let us know how things go.

Marci (Mom to )

Oklahoma

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