Guest guest Posted October 15, 2009 Report Share Posted October 15, 2009 Has anyone gotten Care First Blue Cross Blue Shield to cover their cranial band? What are my chances of getting it covered with an appeal? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2009 Report Share Posted October 15, 2009 It probably varies by the details of the plan. I have a contact off this board who has that insurance and said that it covered the STARband at 80 percent. Hers was the MD Carefirst plan. Insurance help Has anyone gotten Care First Blue Cross Blue Shield to cover their cranial band? What are my chances of getting it covered with an appeal? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2010 Report Share Posted May 17, 2010 Have you read over your plan? Does it actuallye exclude " orthotics " ? When I spoke to my insurance company MDIPA which is a United Healthcare Plan--it was referred to as a " durable medical equipment " . Perhaps you can ask them if they cover " durable medical equipments " . I even had a specific insurance code for it--perhaps that may help. > > I'm having problem with my UHC insurance. They are denying coverage for the DOC band because they are claiming that it is orthotic and that orthotics are not covered. Has anyone been successful arguing that the DOC band is not orthotic? Any help is appreciated. > > Thanks, > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 18, 2010 Report Share Posted May 18, 2010 I have UHC Choice Plus and orthotics are not covered either even when I told them the specific code that would be used to bill. Makes no sense but they say it's not medically necessary. From: ramonafe <ramonafe@...>Subject: Re: Insurance HelpPlagiocephaly Date: Monday, May 17, 2010, 10:24 PM Have you read over your plan? Does it actuallye exclude "orthotics"? When I spoke to my insurance company MDIPA which is a United Healthcare Plan--it was referred to as a "durable medical equipment". Perhaps you can ask them if they cover "durable medical equipments". I even had a specific insurance code for it--perhaps that may help. >> I'm having problem with my UHC insurance. They are denying coverage for the DOC band because they are claiming that it is orthotic and that orthotics are not covered. Has anyone been successful arguing that the DOC band is not orthotic? Any help is appreciated. > > Thanks,> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 18, 2010 Report Share Posted May 18, 2010 My insurance treats DOC bands as medical equipment and says that orthotics are specifically those inserts that go into your shoes. Sent from my Verizon Wireless BlackBerryFrom: "ramonafe" <ramonafe@...>Date: Tue, 18 May 2010 18:05:57 -0000<Plagiocephaly >Subject: Re: Insurance Help Wow. That is unfortunate.> >> > I'm having problem with my UHC insurance. They are denying coverage for the DOC band because they are claiming that it is orthotic and that orthotics are not covered. Has anyone been successful arguing that the DOC band is not orthotic? Any help is appreciated. > > > > Thanks,> >> Quote Link to comment Share on other sites More sharing options...
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