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Insurance Policy Links

Webmaster's Note: Send links to insurance policies to kevin-kelly@uiowa.edu.

Kevin M. Kelly, PhD  

Aetna Coverage Policy Bulletin, No. 0379
Subject: Cranial Remodeling Band/Helmet
Covered: Yes, under certain condition
Verified: 18-Aug-2002

Blue Cross/Blue Shield of North Carolina [pdf]
Subject: Cranial Banding to Treat Positional Plagiocephaly

Covered: Yes, as of Jan 1, 2003 according to page 5 of BlueLink 
Verified: 21-Oct-2004

Regence Group, DME Policy No. 17
Subject: Dynamic Orthotic Cranioplasty as a Treatment of Plagiocephaly
Covered: No
Verified: 18-Aug-2002

Wellmark BCBS of Iowa/South Dakota, Policy: DME04
Subject: Dynamic Orthotic Cranioplasty as a Treatment of Plagiocephaly
Covered: No
Verified: 18-Aug-2002

 

Advocacy/Appeals
Plagiocephaly Parents' Support: Insurance Issues

Patient Advocate Foundation: a national non-profit organization that serves as an active liaison between the patient and their insurer, employer and/or creditors to resolve insurance, job retention and/or debt crisis matters relative to their diagnosis through case managers, doctors and attorneys. Patient Advocate Foundation seeks to safeguard patients through effective mediation assuring access to care, maintenance of employment and preservation of their financial stability.

National Association of Insurance Commissioners: access to state insurance regulators and important information for consumers.

Appeal Solutions: provides medical claims resolution products and services to the healthcare community.  Their only focus is on assisting the healthcare community become more effective at overturning denied or incorrectly reimbursed medical insurance claims.

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The information provided on this web site, although based on a thorough and careful review of the medical literature, is for educational purposes only and is not intended as a substitute for the medical advice of physicians. The reader should consult a physician in matters relating to health and particularly in regards to any symptoms which may require diagnosis or medical attention. Neither the author nor the publisher shall be responsible for any harm or injury resulting from interpretations of the materials in this site.
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