In vs Out-of-Network costs

[Guest guest]

After much reading of your many helpful posts, my question is:

StarBand is " in-network " while Cranial Tech is " out-of-network " for my BCBS TX

insurance.

Is there anything I can do/appeal/submit if I want to use CT instead of StarBand

and have more of my costs reimbursed?

TIA!

[Guest guest]

We have BCBS and we requested a waiver. The DOC Band was approved by them for

treatment, but the location, Cranial Tech, was " out of network. " Was the Doc

Band itself approved by them for you? If so you will have a good chance of them

granting you the waiver. If you don't know, call the insurance coordinator for

Cranial Tech and/or your insurance company to find out. About getting the

waiver: Call BCBS and ask to be transferred to the waiver department. Tell them

you want to request a waiver to go to Cranial Technologies. If you had the DOC

Band approved, that means they will have to find another location within 50

miles that also has the DOC Band, which they won't, so therefore your waiver

should be granted. At least that's how it worked with us (I'm pretty sure at

least). Oh, and keep calling the waiver department after you make the request,

because they seem to be very lazy over there and won't get back to you unless

you keep calling them. Good luck!

>

> After much reading of your many helpful posts, my question is:

> StarBand is " in-network " while Cranial Tech is " out-of-network " for my BCBS TX

insurance.

> Is there anything I can do/appeal/submit if I want to use CT instead of

StarBand and have more of my costs reimbursed?

>

> TIA!

>

>