Jump to content
RemedySpot.com

So excited!! Firstcare came through!!!

Rate this topic


Guest guest

Recommended Posts

Guest guest

After months of repositioning, trying to get our ped to understand

plagio, finally going to the neurologist, getting our PT involved AND

being told several times that Firstcare would NOT cover the band....we

got confirmation today from our orthotic guy that Firstcare has

approved 's band as being medically necessary and is covering

80% of it.

WOOOOO HOOOOOOO!!!!!

We go Tuesday for our casting and she should be in her Starband by the

end of the month.

I ALMOST feel like I won the lottery!!

Dawn

(5 months old)

right side torticollis (almost resolved)

mild left side posterior plagiocephaly (slight improvement w/

repositioning)

mild brachi

Link to comment
Share on other sites

Guest guest

That is very excited on getting coverage. That will help so much.

We have already been denied by United Healthcare and now have to

appeal. I am not looking forward to the appeal process. How many

times were you denied before they would cover? Is there anything in

particular that changed their minds? I am hoping we can get UHC to

cover some of it, but I am not hopeful at this point. Congrats again

and good luck with your treatment.

Jenn

>

> After months of repositioning, trying to get our ped to understand

> plagio, finally going to the neurologist, getting our PT involved

AND

> being told several times that Firstcare would NOT cover the

band....we

> got confirmation today from our orthotic guy that Firstcare has

> approved 's band as being medically necessary and is

covering

> 80% of it.

>

> WOOOOO HOOOOOOO!!!!!

>

> We go Tuesday for our casting and she should be in her Starband by

the

> end of the month.

>

> I ALMOST feel like I won the lottery!!

>

> Dawn

> (5 months old)

> right side torticollis (almost resolved)

> mild left side posterior plagiocephaly (slight improvement w/

> repositioning)

> mild brachi

>

Link to comment
Share on other sites

Guest guest

We were approved the first time it was submited. I think what helped

the most was that we not only had documentation from her doctor but

also from a speciaist(neurologist)and a physical therapist that we

had been seeing for 2 months already for her plagio and torticollis.

The neurologist had also recommended we see a cranio/facial

specialist, which we have not done yet..but I think the combo of all

those specialist documenting that we have been seeking help for 3

months now it ultimately what did it. The crazy thing is that they

approved it and she has not been measured or anything so she has no

label like " moderate or severe " as a matter of fact I will bet she

is in the mild-moderate category.

Good luck with your appeal!!

Dawn

> >

> > After months of repositioning, trying to get our ped to

understand

> > plagio, finally going to the neurologist, getting our PT involved

> AND

> > being told several times that Firstcare would NOT cover the

> band....we

> > got confirmation today from our orthotic guy that Firstcare has

> > approved 's band as being medically necessary and is

> covering

> > 80% of it.

> >

> > WOOOOO HOOOOOOO!!!!!

> >

> > We go Tuesday for our casting and she should be in her Starband

by

> the

> > end of the month.

> >

> > I ALMOST feel like I won the lottery!!

> >

> > Dawn

> > (5 months old)

> > right side torticollis (almost resolved)

> > mild left side posterior plagiocephaly (slight improvement w/

> > repositioning)

> > mild brachi

> >

>

Link to comment
Share on other sites

Guest guest

Congratulations! What great news! Good luck with the casting and

please keep us posted on 's progress.

Jake-19m (tort resolved/rt plagio/DOCBand 8 weeks)

Jordan-4

>

> After months of repositioning, trying to get our ped to understand

> plagio, finally going to the neurologist, getting our PT involved

AND

> being told several times that Firstcare would NOT cover the

band....we

> got confirmation today from our orthotic guy that Firstcare has

> approved 's band as being medically necessary and is

covering

> 80% of it.

>

> WOOOOO HOOOOOOO!!!!!

>

> We go Tuesday for our casting and she should be in her Starband by

the

> end of the month.

>

> I ALMOST feel like I won the lottery!!

>

> Dawn

> (5 months old)

> right side torticollis (almost resolved)

> mild left side posterior plagiocephaly (slight improvement w/

> repositioning)

> mild brachi

>

Link to comment
Share on other sites

Join the conversation

You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×
×
  • Create New...