Reply to Get insurance coverage for child through both parents’ plans to help cover therapy?

Forum Index » Kids With Special Needs and Disabilities

Reply to "Get insurance coverage for child through both parents’ plans to help cover therapy?"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, we have a medically complex child who has 6 therapy appointments a week. We have Kaiser who continues to approve therapy referrals despite the fact that we blew threw the therapy limits months ago. And they’ve knowingly done this for years. If they think it’s medically necessary, they will cover it.[/quote]Out of Network?[/quote]

Therapy isn’t provided by Kaiser, if that’s what you mean by out of network. They have a list of therapists they have contracts with that you can chose from. We go to a larger center that offers OT/ST/PT with multiple therapists in each area. We picked them primarily because the location worked for us. We now realize that a larger center is more efficient to be able to double up on therapy appointments so we’re taking three separate trips each week instead of six. It’s also less administrative work to only deal with one provider, and it was easy to switch between therapists to find the right fit for our kid. Our daughter is very strong willed - has been that way since the beginning - and she runs roughshod over passive people, including adult therapists. We had to move between therapists at the center until we found good matches for her. As she’s aged, we’ve continually needed to reshuffle therapists. One therapist who was a terrible fit for her at 1.5 is now a wonderful match for her at 3.5. We wouldn’t have switched so much if we were working with solo therapists, but I see clearly that when her therapist is a good match, she makes more progress.[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics