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Does my insurance pay for cranial remolding orthoses / headbands / helmets?

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Each insurance company has different coverage and medical policy guidelines. It is best to contact your insurance company and employer benefits coordinator to determine the type and level of coverage for durable medical equipment (DME) and orthotics and prosthetics (O&P). It is not uncommon for insurance companies to require a letter of medical necessity from your referring physician stating that the Ballert cranial molding helmet (a cranial remolding orthosis) is medically necessary and is not being prescribed for cosmetic reasons. If untreated, problems that may be associated with positional plagiocephaly include vision and hearing problems, temporomandibular joint disorder (TMJ), etc. Ask your orthotist and referring physician to provide you with the necessary information (e.g., prescription, letter of medical necessity, photos) to assist you in obtaining coverage and reimbursement. Additional information can be found at www.plagiocephaly.org/ (see also Related Sites). ... more
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