Re: Compiling a List of insurers - Suggestion

[Guest guest]

Kendra,

I had e-mailed this suggestion to Kaycee privately, but since you put

up a database I will make the suggestion openly. I think it would be

a good idea to add whether or not the child was born with Plagio or

developed it as a result of tort, back sleeping, etc.. The reason

for this is that some insurance companies (like mine, United

HealthCare)make a distinction and will cover the cost (without a

fight) for babies that are born with Plagio, but not for babies that

developed it. If you know for sure that your insurance company has

paid in the past for children that were not born with Plagio, they

will not be able to pull a fast one on you and say that the cases you

are referring to were all babies born with the condition and that is

the only reason why they paid.

Just a suggestion. )

Sincerely,

Jaya Dong

> >

> >> I was wondering if all of you could let me know who was

successful

> >> in

> >> getting their insurance company to pay. Please just post a

message

> >> with the name of the insurance company. I think this will be

> >> helpful

> >> for those of us who didn't get insurance approval so when we

fight

> >> them we can say " Look all of the following insurers paid and so

why

> >> aren't you. " This is expecially helpful when re-enrollment comes

> >> around becuase I for one plan to notify my local media and let

them

> >> know that my insurance company didn't approve. Thanks. Kaycee

> >>

> >>

> >>

> >>

[Guest guest]

Jaya:

I will add it right away, although I think it's really ugly (on the

insurance providers end) that blame should be placed in the hands of the

parents for a baby's flat head!!!!! If a band/helmet will not be

covered if baby isn't born with a flat head, then perhaps the bill should

be sent to the pediatrician, or maternity ward nurses. After all,

they supposedly provide us with all of the information we need to keep

our babies healthy and happy. Maybe the AAP should be sucking it

up themselves?

Sorry, I'll step down now!

Kendra

Jaya Dong wrote:

Kendra,

I had e-mailed this suggestion to Kaycee privately, but since you

put

up a database I will make the suggestion openly. I think

it would be

a good idea to add whether or not the child was born with Plagio

or

developed it as a result of tort, back sleeping, etc.. The

reason

for this is that some insurance companies (like mine, United

HealthCare)make a distinction and will cover the cost (without

a

fight) for babies that are born with Plagio, but not for babies

that

developed it. If you know for sure that your insurance company

has

paid in the past for children that were not born with Plagio, they

will not be able to pull a fast one on you and say that the cases

you

are referring to were all babies born with the condition and that

is

the only reason why they paid.

Just a suggestion. )

Sincerely,

Jaya Dong

> >

> >> I was wondering if all of you could let me know who was

successful

> >> in

> >> getting their insurance company to pay. Please just

post a

message

> >> with the name of the insurance company. I think this

will be

> >> helpful

> >> for those of us who didn't get insurance approval so when

we

fight

> >> them we can say "Look all of the following insurers paid and

so

why

> >> aren't you." This is expecially helpful when re-enrollment

comes

> >> around becuase I for one plan to notify my local media and

let

them

> >> know that my insurance company didn't approve. Thanks.

Kaycee

> >>

> >>

> >>

> >>

[Guest guest]

Kendra,

I totally agree with you! It is absolutely pathetic that there is a

distinction made and that the insurance companies try to blame the

paretns!! The worse thing of all is even if there is an intial

flatness on the head NO one checks for that when the child is born

because it is assumed that an abnormal head shape will correct

itself. After looking at pictures and video of when i was born,

we can see a very large flat spot on the back of her head. That flat

spot is still present today and it is believed that this flat spot

which is high and in the middle of the occiput (NO way that back

sleep could have caused it because it is to high) is the reason why

she has developed other flat spots and ultimately Positional

Plagiocephaly. Additionaly to that I just skimmed through an article

and although I have to read it fully, it looks as though the Dr.

writting the article believes that all plagio babies are born with at

least a miniscule flatenning that ends up being perpetuated by back

sleeping. Which if you think about it makes sense because that would

explain why some babies get plagio and others don't...........so if

that is the case, can it be argued that ALL babies are born with

Plagio that just worsens over time?

So anyway, I agree with you and I am totally disgusted by the

insurance companies right now as well as the Dr that examined i

at birth and eveyone else on the planet that looked at her and told

me that she was totally fine. I plan to submit clips of our home

videos as well as some of our pictures to show the flat spot that was

present at birth. I also plan to take pictures and show that this

very large flat spot is still here today........but it is going to be

very hard to rewrite history!

Aw well, I plan to fight the good fight, and I will take this as high

as I possibly can with the insurance company. Unfortunately the one

person that I absolutely need total backing from, the doctor that

perscribed the DOC band, will not help me any further....at least

that is what his secretary says. I was told what we got is all we

are going to get! And the letter we have is only a referral to

Cranial tech that i needs DOC Band therapy...........but that is

another story, just something else to add to the stress of all of

this!

I hope that everyone has a wonderful Thanksgiving!

Sincerely,

Jaya Dong

> > > >

> > > >> I was wondering if all of you could let me know who was

> > successful

> > > >> in

> > > >> getting their insurance company to pay. Please just post a

> > message

> > > >> with the name of the insurance company. I think this will be

> > > >> helpful

> > > >> for those of us who didn't get insurance approval so when we

> > fight

> > > >> them we can say " Look all of the following insurers paid and

so

> > why

> > > >> aren't you. " This is expecially helpful when re-enrollment

comes

> >

> > > >> around becuase I for one plan to notify my local media and

let

> > them

> > > >> know that my insurance company didn't approve. Thanks.

Kaycee

> > > >>

> > > >>

> > > >>

> > > >>