What health insurance covers this procedure

[Guest guest]

Can anyone tell me if your health insurance cover this procedure, what

percentage of the cost and in what area of coverage (durable medical,

reconstructive, etc). I am in the process in appealing my insurance

(United Healthcare). They directly say in their insurance information

that they will not cover the cranal cap under my plan but I know under

other United Healthcare plans they may pay. Thank you.

[Guest guest]

I have Kaiser insurance in Northern California. The band was considered to

be Durable Medical Equipment (DME) and the particular Kaiser plan we had

covered 80% of DME so our out of pocket expense was 20%.

Molly

Novato, California

Nicolas, 2.5, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,

Graduate!

, 5

, 8.5

What health insurance covers this procedure

Can anyone tell me if your health insurance cover this procedure, what

percentage of the cost and in what area of coverage (durable medical,

reconstructive, etc). I am in the process in appealing my insurance

(United Healthcare). They directly say in their insurance information

that they will not cover the cranal cap under my plan but I know under

other United Healthcare plans they may pay. Thank you.

------------------------------------

For more plagio info

[Guest guest]

Hi Everyone - I just paid out of pocket to get my son's DOC band from Cranial Technologies in NJ. I have Empire Blue Cross Blue Shield (AKA Horizon Blue) and I was told by Cranial Tech that Empire would not pay at all. Empire told me that there are other participating providers in my area. I called one of them yesterday who gets their device from Orthoamerica. Although he was a participating provider, he told me that Empire Blue Cross Blue Shield/Horizon NEVER pays and it doesn't matter on the severity. They don't pay. I was just trying to see if I could make a case for appeal. The orthotist told me that my insurance will pay for surgery but not a band or helmet. How awful is that.

Does anyone live in NJ or NY with Empire Blue Cross Blue Shield or Horizon and received any coverage at all?

Thanks - le Ateniese

dcateniese@...

Mom to - 11 months with DOC band only 4 days!

What health insurance covers this procedureCan anyone tell me if your health insurance cover this procedure, what percentage of the cost and in what area of coverage (durable medical, reconstructive, etc). I am in the process in appealing my insurance (United Healthcare). They directly say in their insurance information that they will not cover the cranal cap under my plan but I know under other United Healthcare plans they may pay. Thank you.------------ --------- --------- ------For more plagio info, go to www.plagiocephaly. org/support

[Guest guest]

We have Great West in the Bay Area. (CA) Our Starband, from CIRS in Palo Alto

,was covered

under durable medical, but it had to be a certain severity, we had to show that

we tried

repositioning, and the Dr. did put in a note about her ears asymmetry and the

possible

effects it could have on hearing. The insurance covered 100% (shockingly). One

thing our

ortho said is that if you followed a long string of companies, Great West is is

owned by the

company that owns a competitor helmet company. They have clients that sometimes

have

trouble getting coverage. Might be useful to look into other brands if they are

available in

your area.

Kim

>

> Can anyone tell me if your health insurance cover this procedure, what

> percentage of the cost and in what area of coverage (durable medical,

> reconstructive, etc). I am in the process in appealing my insurance

> (United Healthcare). They directly say in their insurance information

> that they will not cover the cranal cap under my plan but I know under

> other United Healthcare plans they may pay. Thank you.

>