Re: Excited But Worried - MARTIN'S POINT /TRICARE

[Guest guest]

Hi! We have tri-care prime and they DO NOT cover it at all. My mom is

a nurse for the insurance company and she has done a lot of research

about tricare and the band and there is no way the pay for it. We

have fillied our appeal and we know its going to be denied. My son

get his helmet about a month and a half ago. We used the Navy Marine

Corps Relief Society to help us pay for it. They gave us a grant to

pay for it. I am sure there is some kind of organization u can use.

What branch is your husband with and I can look cuz i found one for

someone in the Airforce. My husband is in the Marine Corps.

The Relief Society cut Doc Band a check for $3000 cuz they took off

$500 if you pay in full. I have seen some results with my son so far

and he was 11 months when he got his band. We were told the older the

child the slower it goes. We got to Phoenix, Az every other week for

his band, its a 3 hour drive.

Feel free to email me cuz I know what you are going thru with Tricare

and its sad because one of their mottos is " Whatever it takes " yeah

right.

-

Logan 13 months Plagio

> >

> > Hi~

> > I posted questions before about positioning vs. helmet. My

> son

> > is almost 8 months old. Yesterday we went to a follow up appt.

> for

> > my son's plagio and they gave us a prescription for the

Starband.

> I

> > was so excited b/c that is what I really wanted. We have our

> casting

> > appt. next friday and then our follow-up appt. to get the band is

> two

> > weeks later. However, I am worried b/c I dont think it looks

> > promising with our insurance. We have 's Point (a ticare

> prime

> > option) for active duty families. They asked me if I wanted to

> wait

> > for the authorization or go ahead with the banding. I opted to

go

> > ahead with the banding b/c he is already almost 8 months old. I

> am

> > skepticle that it will be authorized anyways. I think it is

> > rediculous that insurance pays for braces and such but won't pay

> for

> > cranial remolding helmets. I was hoping that they would charge

> less

> > if insurance wouldn't cover it. The cost is 3500.00. So I am

> > worried about the money, but how can I not do this for my child

> when

> > I know he needs it. Then in the back of my mind I am thinking

> maybe

> > it will correct itself, but then maybe not. My husband is

> deployed

> > and my family in chicago so I am doing this by myself. So my

> > questions are:

> >

> > Has anyone ever second guessed their decision befor they go

> through

> > with it?

> > Is anyone familiar with martin's point or tricare?

> > Do you always see results with banding? He has brachy and plagio.

> > Is 3500.00 reasonable cost?

> > How long does it usually take for authorization?

> > Thankyou,

> > Amy (aiden 8 mo., tort, plagio and brachy)

> > Watertown NY

> >

>

[Guest guest]

Sorry I missed the original post, but Tricare caught my eye

We are military overseas (Korea) and have Tricare prime.

Our youngest son (a twin, now 10 months) is in Starband (for right side

plagio, bossing and ear misallignment) and we literally saw improvement

within the first week (one month later his numbers have improved 7mm

and counting!!)!

The second guessing was short lived on our part due to the very obvious

improvements (hey, we started having a hard time telling them apart

again!).

Our on-post Tricare office explained that because we are overseas,

Tricare will cover the helmet... but we mailed the request for

reimbursement (with copies of the scan to prove severity and receipt) a

month ago and... nothing.

Oh, our cost was over 4K (for the starscan, helmet and ajustments), and

that doesn't include the specialist at the hospital (we see him every 2-

3 weeks and Tricare IS paying for that).

Jo

Christian (twin right side plagio, in starband