Aetna Insurance..therapy approved!!

[Guest guest]

Hi all! Just wanted to let those who have Aetna know how we got

therapy approved.

Since Aetna has an exclusion against Verbal Apraxia and refuses speech

therapy to anyone unless they have had speech and lost it, they told

me there must be a disease or illness that caused the lack of speech.

After talking with our therapist, she asked for my son's medical

records and went through his medical history and based on his

illnesses was able to meet the criteria for therapy. Also, because of

the exclusion, we are keeping Apraxia out of his therapy notes and

files. I sure hope Aetna doesn't look at his neurologist's notes!!

The bad thing is we will have to go through this every 13 sessions. I

guess once we have exhausted benefits this route we will have to

appeal for coverage with my husband's company since they are self

insured.

I hope this might help someone...it really is uplifting and you seem

to get a glimmer of light through what seems to be a disorder that no

one recogizes from time to time.