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Kids With Special Needs and Disabilities
Reply to "Insurance Frustrations - Speech Therapy"
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[quote=Anonymous]Absolutely appeal. Also research whether your plan has exclusions for habilitative therapies - many do. That means they don’t pay for a person to acquire skills they never had (as opposed to rehabilitative-recovering what has been lost). Obviously with a child and speech that is kinda crazy, but so are insurance companies. A company will never tell you what codes are covered. Your SLP should have experience but you sometimes have to keep submitting until you find one that works. You can also talk to your HR department, assuming you have employer based coverage. What is in or not in (eg habilitated vs rehabilitative) for your specific policy is decided by your employer. Another avenue for help is your state insurance commissioner - especially if your plan has no habilitative exclusion and your are getting rejections. [/quote]
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