Anonymous
Post 10/23/2022 08:13     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

Anonymous wrote:
Anonymous wrote:GEHA standard is very good about reimbursing for out-of-network therapy of all types, mental health, physical, occupational. It won't cover the total cost, but a pretty high percentage.


Looks like GEHA has a limit of 60 sessions/year. So then she’ll pay for 40+ sessions out of pocket? Ouch.

All plans will have a stated limit, but if your clinician writes a note saying more sessions are warranted then they will usually approve it.
Anonymous
Post 10/22/2022 22:17     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

I have FEP Blue and was able to get a waiver for out of network coverage for speech therapy.
Anonymous
Post 10/21/2022 14:08     Subject: Re:Best FED insurance coverage for 100+ out of network therapy sessions for toddler

Do the provider(s) not accept any insurance at all, or are they in some network? That's what I'd look into first....
Anonymous
Post 10/21/2022 14:07     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

Anonymous wrote:GEHA standard is very good about reimbursing for out-of-network therapy of all types, mental health, physical, occupational. It won't cover the total cost, but a pretty high percentage.


Looks like GEHA has a limit of 60 sessions/year. So then she’ll pay for 40+ sessions out of pocket? Ouch.
Anonymous
Post 10/21/2022 14:05     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

Anonymous wrote:Find a different provider for therapy. In this area, they are around but sometimes you need to drive a bit.


If they found a different provider, which insurance is best?
Anonymous
Post 10/21/2022 13:46     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

GEHA standard is very good about reimbursing for out-of-network therapy of all types, mental health, physical, occupational. It won't cover the total cost, but a pretty high percentage.
Anonymous
Post 10/21/2022 13:40     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

Find a different provider for therapy. In this area, they are around but sometimes you need to drive a bit.
Anonymous
Post 10/21/2022 13:36     Subject: Best FED insurance coverage for 100+ out of network therapy sessions for toddler

I’m hoping someone here in the same boat has recommendations?

Thanks so much.