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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][quote=Anonymous][quote=Anonymous][quote=Anonymous]I think there needs to be federal investigation into the “allowed amount” bullshit. $80/hour is not the going rate for therapy anywhere. They should be required to reimburse based on the actual real world price paid by the insured[/quote] $80 for 30/45 minutes is reasonable. If they up the allowable charge, then the providers will just increase their rates even more. If a provider is in-network, they are required to take that amount and you co-pay and that's it. [/quote] Therapists don't generally charge for a 30 minute session. And $80 for 30 minutes = $160 for 60 minutes. My child has had psychologists at several different practices, and the charge is for an hour, usually. The insurance company will tell you $80/hour for a psychologist is the "going rate". Nope. Try $160-$200/hour. If the insurance companies' allowed rates were reality-based, more providers would take insurance! [/quote] Yes, they do. And, they charge because people are willing to pay out of pocket. Ours pay for 30 minute speech and OT sessions. We can go multiple times a week but only 30 minutes a day. Ours pay nothing for out of network or no referral.[/quote]
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