What about costs and insurance?
Choosing a STARband can be a more efficient treatment option.
Once a baby is diagnosed with a head shape deformity and requires cranial remolding treatment, the Orthotist needs to capture the 3D shape of your baby’s head. Traditionally, this has meant taking a plaster cast of the baby’s head – a process that takes 15- 30 minutes and is often traumatic, tearful and messy for the baby and parents. Orthomerica’s STARscanner, by contrast, uses laser technology to scan a baby’s head in less than 2 seconds and captures 3-D head shape data that is accurate to within 0.5mm. The STARscanner expedites this part of the process. Once the data is collected, it is emailed directly to Orthomerica to begin immediate manufacturing of the custom-made STARband. STARband treatment is most effective when using the STARscanner to capture the baby’s head shape data. It is more accurate and is able to be submitted quickly, which enables the STARband to be custom-made to the actual baby’s head shape.
Only One STARband May Be Needed!
Each STARband is custom-made as specified by the practitioner with the data provided by the STARscanner. The STARband is custom-made with full correction which means less follow-up visits would be needed. One helmet will usually last the entire treatment. However, in very severe cases, a second helmet may be necessary.
More than 170 STARscanners are in use at prestigious institutions including clinics and hospitals throughout the world. Visit our STARscanner Locator Page to find a location close to you.
As you might expect, it is difficult to make any definitive statements about insurance coverage, because so much depends on individual policies, coverage and companies.
Before contacting your insurance carrier, the following documentation will be needed:
A prescription from a physician
In addition, the insurance carrier may also require this information:
Proof that repositioning or physical therapy during a prescribed time period was unsuccessful.
Specific measurements and even clinical photographs may also be necessary.
To be sure of your coverage, always contact your insurance company before your first visit with an Orthotist! Ask them if your particular policy covers Durable Medical Equipment (DME) and further, if they cover billing code S1040. They may say they cover L0100, but that is for a protective helmet, not a cranial remolding orthosis. Cranial remolding orthoses fall under orthotics and prosthetics, which typically is a sub-section under “Durable Medical Equipment” (DME) under most insurance plans. Some insurance carriers will pay for the orthosis if measurements indicate that the baby’s head has a moderate-to-severe deformity and your physician writes a letter stating that a custom cranial orthosis is medically necessary. This letter may also specify whether the deformity was present at birth and highlight potential problems that might occur if the problem is not treated at this time.
If insurance doesn’t cover cranial remolding orthoses, parents should discuss payment plans with the Orthotist and/or Clinician.
Organizations that can help
If you or your organization would be interested in helping us make STARband treatment available for babies in need, please contact us at (877) 737-8444.
CAPPS will assist you in connecting with the very best specialist and families in your area by putting them right at your fingerprints.
Share A Smile
Share A Smile is a Michigan-based charitable organization founded in 1999 to meet the needs of ordinary citizens struggling with financial crisis, due to unemployment, health crisis, or natural disaster. We strive to make a difference, one person at a time.