The Process

Understandably, parents may be concerned about the costs of cranial therapy treatment. Actually, many insurance plans, including Medicaid, do offer reimbursement for cranial treatment. However, as with all conditions, different policies have different ranges of conditions covered; likewise, depending on your policy, there may be exclusions, deductibles, co-pays, and out-of-pocket costs.

Some insurance carriers consider plagiocephaly a medical need rather than a cosmetic condition only if measurements indicate that the baby’s head has a moderate-to-severe deformity. Likewise, carriers may require a letter from your physician stating that a custom cranial orthosis is medically necessary. This letter should also highlight potential problems that could arise if the problem is not treated expeditiously.

Before contacting your insurance carrier, the following documentation will be needed:

A prescription from your child’s physician
Documentation indicating that repositioning or physical therapy during a prescribed time period did not yield the desired results.
Specific measurements and even clinical photographs may also be necessary; we will provide these.

In the event that coverage poses an obstacle, CTC will work with you to make sure your child gets the treatment needed.

If you think that your child may require treatment, please contact us