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Kids With Special Needs and Disabilities
Reply to "Therapy and insurance... how much are you paying?"
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[quote=Anonymous]I knew that most providers were out of network and went in realizing I'd have to pay 50%. Months in and I just got my explanation of benefits that says it's not actually 50% of what I'm paying, it's 50% of what they think therapy is worth (roughly $70 vs. $200). So, once I hit a completely separate deductible because the out of network deductible is completely separate and higher than my normal deductible, I'll start getting roughly $35 out of every $200 reimbursed. Is that typical? We could not find a provider in network with the right specialty and DS was reluctant so I wanted to go with a provider that came highly recommended.[/quote]
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