Re: Insurance frustrations

[Guest guest]

,

Find a children's hospital near you that accepts your insurance, they most

likely have a developmental pediatrician on staff.

-BJ in polis, MD

[Guest guest]

In a message dated 4/24/03 5:02:27 PM Eastern Daylight Time,

smgaska@... writes:

> Yep, insurance coverage for treatment of our kids sucks!

There are a couple things going on in legislation now. One is called the

Wellston Mental Health Equitable Treatment Act the HR953 (in the house)

and S486 in the Senate.

http://thomas.loc.gov/cgi-bin/queryhttp://thomas.loc.gov/cgi-bin/query</\

A>

I'm called my rep tomorrow to see what the status is and I'll let you guys

know if anyone is interested.

[Guest guest]

Did you try appealing the decision with your insurance?

[Guest guest]

Did you try appealing the decision with your insurance?

[Guest guest]

: " Aetna does not cover

> intensive intervention programs such as Lovaas Therapy (also known as

> applied behavior analysis, or discrete trial training), the Rutgers

Program,

> the LEAP Program, and the Denver Program, the Autism Pre-school Program,

and

> the TEACCH Program for the management of children with autism. The

> effectiveness of these programs has not been established in the peer

> reviewed medical literature. "

>

Oh, really? Do tell.

Whereas just letting the kids rot HAS been shown to be an effective program

in the peer reviewed medical literature.

Can we all chant " Institutionalize! " together.

AND THEN CLAP ALL THE INSURANCE COMPANIES INTO A BIG BORING INSTITUTION FOR

THE REST OF THEIR SILLY LIVES.

Geez.

Salli

[Guest guest]

Sent: Thursday, April 24, 2003 6:16 PM

Subject: Re: Insurance frustrations

> Well, if they really want to pay more for it let them.

> Idiots.

> Georga

Unfortunately, he's been going to a really good place that adores him

already and they've teamed him up with another child too so he's getting

social skills at the same time. Who wants to change that?

Sue

[Guest guest]

See. It all worked out.

Georga

Re: Insurance frustrations

>

>

> > Well, if they really want to pay more for it let them.

> > Idiots.

> > Georga

>

> Unfortunately, he's been going to a really good place that adores him

> already and they've teamed him up with another child too so he's getting

> social skills at the same time. Who wants to change that?

>

> Sue

>

>

>

>

>

>

>

>

[Guest guest]

Subject: Re: Insurance frustrations

> See. It all worked out.

> Georga

Yeah, but I'm still paying $200 a month out of pocket for it with no

reimbursement. And of course we didn't get reimbursed for any of it last

year when it should have bee $400 a month. These people are so great and

knew needed the services that the school wouldn't provide that the

owner cut the hourly fee in 1/2 so I could afford to take him! How cool is

that?! He's been going for almost 2 years now.

Sue

[Guest guest]

Just put it on your taxes as medical expences. That is the best that I can

offer there.

Georga

Re: Insurance frustrations

>

>

> > See. It all worked out.

> > Georga

>

>

> Yeah, but I'm still paying $200 a month out of pocket for it with no

> reimbursement. And of course we didn't get reimbursed for any of it last

> year when it should have bee $400 a month. These people are so great and

> knew needed the services that the school wouldn't provide that the

> owner cut the hourly fee in 1/2 so I could afford to take him! How cool

is

> that?! He's been going for almost 2 years now.

> Sue

>

>

>

>

>

>

>

>

[Guest guest]

They said I could get my ped to fill out a " non participating referal form "

stating clinical reasons why n needs to see a dev ped. I can then get

approval to go to one. See but I am on to them now. I am guess by

" clinical " they are excluding developmental issues like autism (according to

them). Grrr.

(SAHM in GA)

MSN elizabethloht@...

n 33, mo, no formal dx

Phoebe, 10 wks

Re: Insurance frustrations

> Did you try appealing the decision with your insurance?

>

>

>

>

>

[Guest guest]

They said I could get my ped to fill out a " non participating referal form "

stating clinical reasons why n needs to see a dev ped. I can then get

approval to go to one. See but I am on to them now. I am guess by

" clinical " they are excluding developmental issues like autism (according to

them). Grrr.

(SAHM in GA)

MSN elizabethloht@...

n 33, mo, no formal dx

Phoebe, 10 wks

Re: Insurance frustrations

> Did you try appealing the decision with your insurance?

>

>

>

>

>