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 he had to relearn how to eat and talk. He is hearing impaired, so
his speech has always been bad, but the clause in the insurance is that
therapy is only covered to restore abilities lost due to illness or
accident, but they do not pay if the child never had those abilities in the
first place. (This applies to physical therapy and occupational therapy,
too, BTW.) He received therapy through first steps until he was three, and
now receives therapy through the school system. Any additional therapy would
come out of our pocket.

If anyone would know a way around those restrictions, the therapist would.

It's amazing to me though that the insurance has no problems paying for an
older person who is dying to receive speech and occupational therapy, but
they will not pay for a child who still hasn't learned any of those skills
because of inborn disabilities....

Kim

-----Original Message-----
From: kathybimit [mailto:kathybimit@...]
Sent: Saturday, August 07, 2004 00:24
To: voices_group@yahoogroups.com
Subject: [voices_group] trouble with insurance

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






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