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[quote=Anonymous]Hi. My 3.5 year-old son was recently referred by the occupational therapists that work with his preschool for a full OT evaluation and treatment to assess sensory processing, motor planning, self-regulation, and gross and fine motor development. They recommended Sensational Kids, Skills on the Hill, or Integrated Therapy Services, as well as Lynn Balzer-Martin for the evaluation, none of whom accept insurance. We now have Aetna Open Access (federal) but are expecting in March and can switch to another insurer then.

His issues seem relatively mild. He sometimes has a hard time with emotional self-regulation but socializes well with others and can keep up with most gross and fine motor activities. His pediatrician hasn't noticed anything, although she did write us a script for OT when I asked for it. We knew he had behavioral issues but had no idea there was anything sensory-related (although that's probably because we know so little about all this). We do, however, want him to be treated as soon as possible, especially if it'll help him adjust to a new sibling. I've spoken to Aetna, although they weren't very helpful in providing a list of pediatric OTs.

Questions:
1. Are there any pediatric OTs that accept Aetna?
2. Should we start immediately and just pay out of pocket for the evaluation ($650-750) and treatment sessions (approx. $130)?3
3. Should we wait 2 months when we switch over to another insurer? 
4. Which insurance company should we switch to? Aetna only covers in-network providers, and I can't even tell from their web site which of their occupational therapists are pediatric occupational therapists.
5. Any other words of wisdom?

Thank you so much in advance for your advice. I'm relatively new to this forum but have been humbled and touched by many of the posts.

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