Guest guest Posted March 27, 2008 Report Share Posted March 27, 2008 hi everyone, i'm in chicago, and just in case, does anyone know if BCBS HMO (blue advantage) covers the band? i read in the archives here that BCBS-IL does, but am not sure if it applies to HMO coverage. Also , if i were to go to cranial tech for a free evaluation, do I need my pediatrician's referral for that first? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 Hi- I'm not sure about your insurance plan specifically. But I did not need a referral to go to Cranial Tech. I'm not sure if that would depend on your insurance coverage as well, but I don't need referrals to go to other doctors and I have BCBS of NC (federal employee program). So I guess if maybe you typically need a referral to see a specialist or something, than you might need one for CT as well (and I'm speaking more of the written referral, not a verbal " go see this guy " kind of referral). But I would doubt it. I'm not sure they would fall into the same category as specialist or doctor. They did not ask me for a referral, but they would't make an appointment for the casting until I had the script in hand. Good luck with your insurance! Jake-18m (tort resolved/rt plagio/DocBand 2/11/08) Jordan-4 > > hi everyone, > > i'm in chicago, and just in case, does anyone know if BCBS HMO (blue advantage) covers the > band? i read in the archives here that BCBS-IL does, but am not sure if it applies to HMO > coverage. > Also , if i were to go to cranial tech for a free evaluation, do I need my pediatrician's referral > for that first? > > Thanks! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 I have BCBS of IL and live in Indiana. I did not need a referral to see the orthotist but did need a prescription from my ped. for my insurance to approve coverage of the helmet. We also had to prove that we had done aggressive repositioning for 2 months before they would approve my sons helmet. We were able to have our PT write a letter to the insurance company to prove this. In all it took 2 months for approval, one month for them to tell us they needed the letter from our PT and another month to approve it. The process could have been worse. > > hi everyone, > > i'm in chicago, and just in case, does anyone know if BCBS HMO (blue advantage) covers the > band? i read in the archives here that BCBS-IL does, but am not sure if it applies to HMO > coverage. > Also , if i were to go to cranial tech for a free evaluation, do I need my pediatrician's referral > for that first? > > Thanks! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 Ditto, it cleared and was covered minus our deductible. Re: Just in case -- BCBS of IL covering the DOC band? I have BCBS of IL and live in Indiana. I did not need a referral to see the orthotist but did need a prescription from my ped. for my insurance to approve coverage of the helmet. We also had to prove that we had done aggressive repositioning for 2 months before they would approve my sons helmet. We were able to have our PT write a letter to the insurance company to prove this. In all it took 2 months for approval, one month for them to tell us they needed the letter from our PT and another month to approve it. The process could have been worse.>> hi everyone,> > i'm in chicago, and just in case, does anyone know if BCBS HMO (blue advantage) covers the > band? i read in the archives here that BCBS-IL does, but am not sure if it applies to HMO > coverage.> Also , if i were to go to cranial tech for a free evaluation, do I need my pediatrician' s referral > for that first?> > Thanks!> Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2008 Report Share Posted March 29, 2008 hi i was just wondering what type of insurance do you have that took that long to get an approval?We have medicaid and i am afraid it will take a long time to get it for my daughter. Does your son have tortecollis too or just plagiocephaly? Re: Just in case -- BCBS of IL covering the DOC band? I have BCBS of IL and live in Indiana. I did not need a referral to see the orthotist but did need a prescription from my ped. for my insurance to approve coverage of the helmet. We also had to prove that we had done aggressive repositioning for 2 months before they would approve my sons helmet. We were able to have our PT write a letter to the insurance company to prove this. In all it took 2 months for approval, one month for them to tell us they needed the letter from our PT and another month to approve it. The process could have been worse.>> hi everyone,> > i'm in chicago, and just in case, does anyone know if BCBS HMO (blue advantage) covers the > band? i read in the archives here that BCBS-IL does, but am not sure if it applies to HMO > coverage.> Also , if i were to go to cranial tech for a free evaluation, do I need my pediatrician' s referral > for that first?> > Thanks!> Looking for last minute shopping deals? Find them fast with Search. Special deal for users friends - No Cost. Get a month of Blockbuster Total Access now Quote Link to comment Share on other sites More sharing options...
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