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trouble with insurance   Message List  
Reply | Forward Message #558 of 662 |
Re: trouble with insurance

Hi Kathy,

1. It is common for insurance policies not to cover speech therapy
except in the case of regaining speech after injury (such as a
stroke). Otherwise it is considered 'non-medical'
or 'educational'. However, as part of your appeal of the denial, if
you get a letter from the professional who diagnosed the apraxia
that it is a medical condition you may get the speech therapy
covered. Have you appealed yet?

2. Have you had your son assesed by your local school district and
does he have an IEP? School districts will provide speech therapy
for apraxia. You may also want to ask for an occupational therapy
assessment for the dyspraxia. Typical treatment for oral-motor
apraxia is 30 min. per day of individual speech therapy.

3. Sometimes state insurance law will mandate coverage for medical
conditions. Let me know what state you're in and I'll look around.

Vicki
--- In voices_group@yahoogroups.com, "kathybimit" <kathybimit@y...>
wrote:
> we are trying to figure out how to get insurance to pay for our 7
> yr. olds speechtherpy! he has been dinosed as aprixia& Dysaprixia&
> he has balance problems & etc!!
> We have been denied @ times!I dont think the insurance understands
> that if he doesnt get treatment he will not get better!He talks on
a
> 3 yrold level!!
> HELP!!Thanks,kathy




Sat Aug 7, 2004 6:27 pm

mm_mommy
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Message #558 of 662 |
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we are trying to figure out how to get insurance to pay for our 7 yr. olds speechtherpy! he has been dinosed as aprixia& Dysaprixia& he has balance problems &...
kathybimit
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Aug 7, 2004
1:36 pm

Hi Kathy, 1. It is common for insurance policies not to cover speech therapy except in the case of regaining speech after injury (such as a stroke)....
mm_mommy
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Aug 7, 2004
6:27 pm

The only time insurance paid for our 9yo son's speech therapy was when he was recovering from an illness that left him completely paralyzed when he was 7, and...
K. Weiss
kiminyme
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Aug 7, 2004
9:54 pm

Kathy: First, you need a letter of medical necessity for the services. That would come from your child's primary care physician. And, you need to get the ...
Melissa A.
mjpalexander
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Aug 14, 2004
2:27 pm
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