Re: therapy paid by insurance

[Guest guest]

Our insurance does not pay for speech but covers OT at 100%. What state do

you live in? You can email me directly to discuss this more -

kobic@....

_____

From:

[mailto: ] On Behalf Of Houry Partridge

Sent: Wednesday, March 29, 2006 6:18 PM

Subject: [ ] therapy paid by insurance

Does any of your insurances pay for speech or OT therapy foo your kids. Ours

said it is congenital and not acquired, so they will not pay for it and now

I am ready to start the process one more time but want to do it the right

way (if I can).

thanks

Houry

[Guest guest]

We're in California and the kids are on the state's Healthy Families

insurance program, through Blue Cross. It covers ST and OT.

Mariposa, CA

Houry Partridge wrote:

> Does any of your insurances pay for speech or OT therapy foo your

> kids. Ours

> said it is congenital and not acquired, so they will not pay for it

> and now

> I am ready to start the process one more time but want to do it the right

> way (if I can).

>

> thanks

>

> Houry

>

>

[Guest guest]

We are on Kaiser Permanente and our insurance does pay for speech

therapy - I think it would also pay for OT too.

>

> Does any of your insurances pay for speech or OT therapy foo your

kids. Ours

> said it is congenital and not acquired, so they will not pay for it

and now

> I am ready to start the process one more time but want to do it the

right

> way (if I can).

>

> thanks

>

> Houry

>

>

>

[Guest guest]

Hello,

I have been lurking here for a while and our insurance, Performax, does not

cover any speech therapy at all. Since our son, , did not have an

accident and suddenly lost his ability to talk the insurance company does not

pay.

We have gone through two medical reviews and still they won't pay. We are

deciding what to do next.

Teri Murray

[Guest guest]

thank you for all who replied. We have HMO and I am starting the process

knowing they will refuse so I can appeal.

Houry

[Guest guest]

Our insurance denied me at first. I then had my nuero-developmental

pediatrician write a letter of medical necessity with specific codes

indicating such and after a week's review, they approved 60 visits.

" Houry Partridge "

<noubar2@...>

< >

Sent by: cc:

@yaho Subject:

[ ] therapy paid by insurance

ogroups.com

03/29/2006 07:18 PM

Please respond to

Does any of your insurances pay for speech or OT therapy foo your kids.

Ours

said it is congenital and not acquired, so they will not pay for it and now

I am ready to start the process one more time but want to do it the right

way (if I can).

thanks

Houry

[Guest guest]

My HMO, United Healthcare, sent a letter denying the previous 20

visits they permit for speech therapy due to injury, stroke, or

congenital anomaly because they say my son's problems are

developmental and they don't cover that. Now we owe $1400 to Beckman

and Associates! Debra Beckman sent a letter to my pediatrician to

see if they can't get United to cover it.

I just got a letter from my pediatrician from yesterday's visit. I

am going to send it in and see what happens. This will be my second

attempt.

Next month I have an appt for my son to get a neuro evaluation from

a pediatric neurologist. Perhaps this will help? I don't expect my

HMO to give me more therapy visits; I'm just trying to get them to

pay for the therapy I thought we qualified for!

My son will see the neurologist to diagnose Moebius Syndrome versus

Poland's Sequence.

Hopefully in May my son will get an evaluation from the local

university's speech program (they have a 2 year waiting list). I

can't get the school behind my house to call me back but I leave

messages every day.

We are going to sell our old 89 Corvette so we can pay for therapy

for one year. After that I don't know where the money is going to

come from? Hopefully my husband's employer will switch insurance

companies next year; my husband's company is less than 100 employees

so they can't get good rates. This year they offer United HMO or

United PPO and both give 20 visits of speech therapy per year if you

have had an injury, stroke, or congenital anomaly. Aetna HMO who we

had last year was willing to pay for 99 visits!!

Best wishes!

>

> Our insurance denied me at first. I then had my nuero-

developmental pediatrician write a letter of medical necessity with

specific codes indicating such and after a week's review, they

approved 60 visits.

>> Does any of your insurances pay for speech or OT therapy foo your

kids. Ours said it is congenital and not acquired, so they will not

pay for it and now I am ready to start the process one more time but

want to do it the right way (if I can). thanks Houry

[Guest guest]

Hi, all I have to say about United HC is this...they stink....they paid for

the first 5 visits of my sons therapy, and then I continued to do the next 15

visits and they denied me, and they didnt deny me until I was 6 visits into

the next year...imagine that !!! So I had to come up with ALOT of money for

the ST - although she lowered it substantially for me...I tried to go back to

United HC for each visit they still denied. Anyway I hope you have better

luck than me !!

Michele

[Guest guest]

I sent a copy of your message to my husband at work and he got his

Human Resources Representative at work to call me! She will call

United Healthcare and she also called the company that coordinates

our *benefits* with United Healthcare! Maybe nothing will come of it

but thank you for replying or otherwise we wouldn't have thought of

other people to contact for help!

Sincerely,

Debra in Central FL

>

> Hi, all I have to say about United HC is this...they stink....they

paid for the first 5 visits of my sons therapy, and then I continued

to do the next 15 visits and they denied me, and they didnt deny me

until I was 6 visits into the next year...imagine that !!! So I had

to come up with ALOT of money for the ST - although she lowered it

substantially for me...I tried to go back to United HC for each

visit they still denied. Anyway I hope you have better luck than

me !! Michele