Today was the day we were supposed to get Leah's helmet, but a denial by the insurance company has put a stop to those plans. Hopefully, it's just a delay. Apparently, their policy is to cover the helmet only in cases of severe non-synostotic plagiocephaly. That means that Leah's cranial vault asymmetry would need to be greater than 12 mm, or her asymmetry index would need to be greater than or equal to 8.75%. I know her asymmetry is 6mm, and while I am not sure of her index, I assume it's less than 8.75% at this point as well. Our cranial orthotic tech has suggested we involve Dr. Taylor, so we are asking him to schedule a "peer to peer" discussion with the folks at Blue Cross. Perhaps if he can convince them that the helmet is the last step in the whole procedure and is therefore necessary, they will reverse their decision.
In the meantime, we have an appointment set for next Wednesday, and will just plan to pay cash for the helmet (which...yikes..is not cheap!), then hope that the insurance company will still come around and the helmet company can reimburse us for some of the cost.
Here's another before and after photo of Leah that I took today (the before is on the left, the one taken this morning is on the right). Hopefully we will get the helmet and will have an even better series of before and after shots to post in about three months!
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