Will health insurance still pay for my baby's doc band if we stop early?
June 26, 2014 5:09 PM Subscribe
The provider of my baby's flat head fixing helmet submitted an insurance claim but it has not yet processed. If we quit treatment, will the provider tell the health insurance company? Will we have to pay the full amount out of pocket?
posted by echo0720 to Health & Fitness (12 answers total)
After months of going back and forth, we got little echo (one year old) a doc band (helmet) to help correct her plagiocephaly - she has a flat spot on one side and a corresponding bulge on the other. Numerous doctors have told us since she was two months old that it would correct itself, and it has gotten better, but it is still quite noticeable. Our doctor wrote a letter for us, and my health insurance company says they will pay for 80%. The helmet company says it takes about a month for the insurance claim to go through. It's been over a week and little echo is not adjusting to her helmet and we have some concerns with it (like I actually think it is flattening her forehead. The front of her head is perfect, we don't want it to change). She's also not sleeping well in it, and it's SO hot.
Anyway - if we decide not to go ahead with treatment, and the claim was already submitted, is it possible that the provider will communicate this to the health insurance company and we will instead have to pay out of pocket? Does anyone have any experience with this sort of thing?