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Kids With Special Needs and Disabilities
Reply to "Please help me not screw up in asking about coverage for neuropsych eval"
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[quote=Anonymous]Assuming you have a PPO plan that doesn't require a primary care physician referral, and your plan has decent out of network benefits, I'd call member services. They'll refer you to mental health if that's wrong. Because you have the code it should be a simple yes / no. If they ask more, I would say you are seeking the evaluation due to concerns about anxiety and attention. Don't say anything about learning disabilities. In our case, we got about $650 back out of a $3800 bill from CareFirst PPO plan. Anything that was an 'academic' concern was not reimburseable at all. [/quote]
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