Re: Has anyone received approval with the initial insurance submission?

[Guest guest]

We did- I'm not really sure why we were so lucky. His asymmetry is 13mm. I've

seen some documentation on the internet saying that certain places will approve

12mm and up.

Good luck!

>

> I have been reading the past messages and see all of the comments on denials

and appeals. I am hanging on hope that we wont have to jump through hoops. Can

you please share with me if anyone recevied an approval on the initial insurance

submission? Please be honest and tell me if I need to get my head out of the

clouds.

>

>

> Thank you for your answers!

>

> Kara

> Mom of Taryn-6mo

>

[Guest guest]

We have Anthem BCBS in Virginia (through Virginia Tech), and we were approved

the first time. Because CT was out of network, we had to pay up front, and CT

filed all of the paperwork for us, and I just received a check about a week ago.

I was actually surprised that it only took about a month or so.

> >

> > I have been reading the past messages and see all of the comments on denials

and appeals. I am hanging on hope that we wont have to jump through hoops. Can

you please share with me if anyone recevied an approval on the initial insurance

submission? Please be honest and tell me if I need to get my head out of the

clouds.

> >

> >

> > Thank you for your answers!

> >

> > Kara

> > Mom of Taryn-6mo

> >

>

[Guest guest]

We live in NYC and have Oxford Freedom. We were covered 100% through our durable

medical equipment rider. I discovered that Oxford actually has a " clinical

guideline " document posted on their website about plagio and bands as well.

Apparently their requirement is asymmetry >12mm, which fortunately or

unfortunately we met without problem - Ellis was 17mm. In fact, they covered

band #2 without any issue as well. We feel very lucky since i've seen all the

posts from others about the challenges they face with their insurance!

Ophelia (Ellis 9mo, only 3 weeks left in DOCband #2)

>

> I have been reading the past messages and see all of the comments on denials

and appeals. I am hanging on hope that we wont have to jump through hoops. Can

you please share with me if anyone recevied an approval on the initial insurance

submission? Please be honest and tell me if I need to get my head out of the

clouds.

>

>

> Thank you for your answers!

>

> Kara

> Mom of Taryn-6mo

>

[Guest guest]

We have been very fortunate, also. We have Aetna and they have covered our helmet 100%. In fact our first appointment at Hanger was on Dec. 17 and by Dec. 24 we already had our helmet and Aetna has already sent the check in. I think they require >8 mm and some physical therapy first.

[Guest guest]

we were very fortunate to have my sons hanger helmet covered at 80% by blue cross/shield. in fact i thought we would have to wait for preauth befor they made the helmet but did not, they made it befor the insurance processed i think they had prior experince that the ins would cover it. i think it was covered under durable medical equipment

le

8 mos

From: Ophelia <ophelia_chiu@...>Subject: Re: Has anyone received approval with the initial insurance submission?Plagiocephaly Date: Wednesday, January 20, 2010, 6:53 AM

We live in NYC and have Oxford Freedom. We were covered 100% through our durable medical equipment rider. I discovered that Oxford actually has a "clinical guideline" document posted on their website about plagio and bands as well. Apparently their requirement is asymmetry >12mm, which fortunately or unfortunately we met without problem - Ellis was 17mm. In fact, they covered band #2 without any issue as well. We feel very lucky since i've seen all the posts from others about the challenges they face with their insurance!Ophelia (Ellis 9mo, only 3 weeks left in DOCband #2)>> I have been reading the past messages and see all of the comments on denials and appeals. I am

hanging on hope that we wont have to jump through hoops. Can you please share with me if anyone recevied an approval on the initial insurance submission? Please be honest and tell me if I need to get my head out of the clouds.> > > Thank you for your answers!> > Kara> Mom of Taryn-6mo>