Guest guest Posted July 16, 2009 Report Share Posted July 16, 2009 I am so happy today! Last time we went to the doctor, I took a big packet of letter from PT, from the ped, and a long letter that I wrote documenting how we got to the point of getting a helmet. They sent it off with additional paperwork to our insurance company-- And I received a letter today stating that " our medical review staff has determined that your patient's condition meets the coverage criteria for a cranial remolding orthotis " . Says we meed the medical policy criteria, but it doesn't " guarantee payment or existence of coverage under the plan " . I had called our insurance company before all this started and there IS coverage under our policy, and our doctor IS in-network, so I'm hoping that it will be smooth sailing at this point. I just didn't expect this at all, and I hope we've gotten over the biggest hump-- Betsy Quote Link to comment Share on other sites More sharing options...
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