Aetna Insurance - APPROVED!

March 21, 2009

We were diligent in following through on the appeal process,

and had a Level II hearing with the panel scheduled for this coming week.

It appears that they had someone reasonable review our case again before the

review, for which we felt VERY prepared, and DOC Band 1 and DOC Band 2 were

both approved for full reimbursement! Our plan pays 100% of all approved

durable medical devices, so it appears as if we have $6,600 coming back that we

originally paid for out of pocket!

I write this to the group because at several times during

the appeal process, I truly thought that I was wasting my time and that we were

stuck. If your insurance company has denied coverage for your child’s

DOC Band or similar device, stick with it --- because if you can make a

sensible argument and lay out logical reasons as to why treatment was necessary

for your child’s health and well-being, and possible complications that

may well arise had treatment NOT occurred, then there is a good chance that they

will do what they feel is the right thing.

Of course I don’t think that we would have been reimbursed

for EITHER of our DOC Bands had they not WORKED so well as they did (especially

for an older child beginning treatment at 14 months). We continue to

highly recommend Cranial Technologies (we were cared for at their Phoenix

offices) and will forever be thankful to them for helping our little Samson!

I will drop this message board a note when we actually have

the reimbursement check in hand. Part of me still does not believe it!

As companies like Cranial Tech continue to document results and make

improvements in their treatment plans, it will be much easier for parents in

the future to avoid many of these insurance headaches that many of us have had

to endure with our children. Have a great weekend and long-live the DOC

Band!

Duval, Dada of Samson the Destroyer of All Things Not

Bolted Down!

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