Tricare Insurance for PWS

#1 11-21-2003, 01:43 AM

Apparently a dermatologist told me that Tricare Prime, our insurance supplied because my dad is retired military, won't cover laser treatment for PWS. I was wondering if there was anyone else that had this insurance and found success in getting some or all of the payment taken care of for PWS laser treatment. Thank you to anyone who can help me. I feel so depressed after visiting this doctor because he told me that it was just a cosmetic problem and the staring and judgements from people are all in my head...

nickbar · #2 11-26-2003, 04:37 PM

Hello,
I have had wonderful help from Regence Blue Cross Blue Sheild HMO. I am not sure if they are covering my child's hemangioma treatment because it is close to the eye...but so far no denials. They approved us for at least 4 laser treatments...plus countless eye exams, oral steroids, MRI...the list is huge.

I remember reading about a woman that was able to get her insurance co. to change their minds about coveage after receiving information on birthmarks. She sent them letters from Dr. Waner (why treatment was important now) and especially from a mental health professional. The letters spoke about the mental health issue when someone is forced to live with facial marks, etc. Dr. Waner has very good advice on the subject...everyone has the right to look normal!!! The problem is the term BIRTHMARK covers so many types and sizes. www.birthmarks.org is Dr. Waner's website. THere is info there about insurances... http://www.birthmarks.org/parents/book/insurance.shtml

I hope this helps. You can always email Dr. Waner's office. It take the staff awhile to get back to you..but they will. They might have more information on this fight.

Good luck.

Corinne

#3 12-18-2003, 04:17 AM

Hey, IM ON TRICARE PRIME REMOTE, AND MY DAUGHTER IS BEING SEEN AT AR, CHILDRENS HOSPITAL. I WAS TOLD BY MY WIFE THAT IT IS BEING PAID. IF NOT ALL YOU NEED IS A CHILD PSY TO SAY THAT IT WILL BE HARMFULL FOR YOUR CHILD TO GROW UP WITH THE STAIN OR EVEN FOR YOU IF THAT IS THE CASE. THERE ARE SEVERAL MENTAL HEALTH REASON WHY YOU NEED TRICARE TO TREAT PWS. GOOD LUCK.