Re: New to group w/questions

[Guest guest]

Hi ,

It's nice to meet you. My husband is currently in the army and we have Tricare as well. We were denied for the same reason, and unfortunately, I did not file my appeal in time. We were informed by our pediatrician and Cranial Tech that Tricare would deny us up front. I personally have not heard of anyone who got them to pay unless there was surgery involved. Good luck to you and your daughter. Please let me know if they are successful.

toni

New to group w/questions

I am new here and my 9 month old grandson was just diagnosed of positional plagiocephaly. His pediatrician referred him to Cranial Tech in AZ. I was a bit put back by them in the fact they only seemed to want to talk about their financing plans rather than assisting my daughter with gathering information for an appeal to her insurance company. So this is now my destiny - to help her appeal. Has anyone had any experience with TriWest Insurance (military) in this arena? Any suggestions. They denied stating cranial remolding orthosis are excluded in the treatment of nonsynostic positional plagiocephaly. My dtr in only 21 years old and married to a military man and they do not make enough to be able to afford to "make payments" for this therefore, she must appeal in hopes of winning. Any help would be greatly appreciated. ThanksGrandma

[Guest guest]

Hi ,

Welcome, I'm surprised that CT in AZ seemed to only want to talk

about their financing plans rather than helping your daughter gather

information for an appeal. We went to CT in AZ and had a great

experience. I believe Rose or Kathy (insurance coordinators) at

Cranial Techs Headquarters in Tempe would be able to help with

insurance appeal information. They have a packet that was very

helpful. There are also appeals in the files section of this

webpage. I could send you a copy of my successful appeal to United

Health Care if you like...email me at lka_236@... At 9

months, you'd want to band sooner than later...the pediatrician just

noticed his headshape at 9 months? or did the pediatrician want

your daughter to wait hoping it would round out? Good luck.

>

> Hi ,

> It's nice to meet you. My husband is currently in the army and we

have Tricare as well. We were denied for the same reason, and

unfortunately, I did not file my appeal in time. We were informed

by our pediatrician and Cranial Tech that Tricare would deny us up

front. I personally have not heard of anyone who got them to pay

unless there was surgery involved. Good luck to you and your

daughter. Please let me know if they are successful.

> toni

> New to group w/questions

>

>

> I am new here and my 9 month old grandson was just diagnosed of

> positional plagiocephaly. His pediatrician referred him to

Cranial Tech

> in AZ. I was a bit put back by them in the fact they only seemed

to

> want to talk about their financing plans rather than assisting

my

> daughter with gathering information for an appeal to her

insurance

> company. So this is now my destiny - to help her appeal. Has

anyone had

> any experience with TriWest Insurance (military) in this arena?

Any

> suggestions. They denied stating cranial remolding orthosis are

> excluded in the treatment of nonsynostic positional

plagiocephaly. My

> dtr in only 21 years old and married to a military man and they

do not

> make enough to be able to afford to " make payments " for this

therefore,

> she must appeal in hopes of winning. Any help would be greatly

> appreciated. Thanks

> Grandma

>