Insurance and Speech Therapy

iVillage Member
Registered: 02-20-2001
Insurance and Speech Therapy
6
Sat, 12-17-2005 - 8:50am
Bobby currently gets 30 mins indiv speech and 30 mins group a week.

 


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iVillage Member
Registered: 08-26-2005
Sat, 12-17-2005 - 10:04am
Tina,
My sister's little girl(NT) had a speech delay and needed therapy for a couple of months. Her insurance company paid but she had a copay of $5o!!!!! Her insurance company considered it like going to see a specialist. It was very expensive to say the least but she only had to do about 4 months of therapy. My insurance company will pay for 24 sessions in a year and I also have a copay of $2o which is not to bad compared to what my sister paid.
Teresa
iVillage Member
Registered: 03-26-2003
Sat, 12-17-2005 - 10:25am

I haven't but I know that you can with most insurances. By the time we realized we could Cait was about 5 and her language delay was not considered medical or enough for medical services. I forget.

We do get our play therapist/psychologist therapy paid for by insurance and it is autism related. Cait and Mike both used to go and Mike now goes every other week and he works alot on social language etc.

I think it depends on your insurance. I know some try to get away with not paying for autism services. You should look into that. I have heard of some doing that and I believe I have also heard that it is illegal since it is a medical (neurological) condition.

Renee

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iVillage Member
Registered: 09-09-2005
Sat, 12-17-2005 - 1:10pm

Ds #2 (NT) has dysarthria (low muscle tone in the tongue and mouth area) and it affects his expressive language.

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Avatar for betz67
iVillage Member
Registered: 03-26-2003
Mon, 12-19-2005 - 9:14am

ours pays for nothing! we tried to get related speech therapy and OT for Weston. We have referrals from our family Dr and from the state autism division, they will pay for none. From my understanding it is not covered unless it's due to an accident or stroke. We've tried having it submitted several different ways as well. It's just not covered, period.

Betsy

Avatar for kittikatkate
iVillage Member
Registered: 01-15-2004
Mon, 12-19-2005 - 10:21am

Our insurance co does not cover Dylan's speech therapy. ST is only covered by our insurance if the therapy is needed for treatment from an injury or birth defect. A university near us offers ST. They run on a semester schedule. It's $375 for 13 weeks of 2 x a week 1 hr sessions. Not bad really.

kate

iVillage Member
Registered: 03-26-2003
Mon, 12-19-2005 - 10:28am

I do find that often with school age kids more so. It seems to be easier to get insurance coverage on little ones. Once they are school age it is typically considered an educational issue.

I will say that when Cait was a preschooler the neurologist recomended 5 sessions per week or more of individual speech therapy. No way I was getting that through the district at the time because she was in a language based special needs preschool so in effect she was getting it 5 days a week in a group situation anyway. She was making progress with the 2 individual sessions she was getting at the time. I found that medical doctor recomendations are different than what you may be able to access and sometimes I have to find the line in between of what was best for my kids and what I could access. Also, what else will they miss out on because of the extra speech hours? Will there be enough extra progress to warrent the time (for them) and money.

With 2 days a week and the preschool class she was in Cait made all the preschool progress she needed to. Really the skills they are working on now they didn't then anyway or it didn't show up as a problem until she was older.

Renee

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