insurance denies/terminates our child's speech therapy-PLEASE HELP!

[Guest guest]

I am looking for advice,tips, etc. on what to do. friday i was cornered by the

receptionist and she told me that our insurance was only allowing our son a

total of 6 visits left-period! he has currently been going to clinic weekly for

3 years to same speech therapist, whom he adores and has great repoire. He has

global developmental delays and has autism, not to mention apraxia. I asked the

reason for denial and she stated that the insurance co./medical dr. who

reviewed..stated he was school-age and ready to " be released into the community "

and he has school therapy. As you all know, the sparse therapy he gets at school

is not enough. He is only 6 (not 65!) and he is in kindergarten. Early

intervention..this is the time more than ever to help him. The going rate for

this therapy is close to 300.00 an hour!!!! We do not receive any funding,

scholarship,gov.assist,etc.as we fall in that middle class area.We cannot afford

to pay out of pocket. I don't know who can at that rate! I will ask my speech

path to submit letter and we will appeal, but there is no guarantee we will be

reimbursed should we " gamble " and contine. It could take years to process

appeal?speech path said her letter won't help, as they have already reviewed her

" reports. " Communication is his biggest deficit and most important as we know.

We have many documents from school (etr,tests,etc) reaffirming that he is

functioning at very,very low levels. can anyone help give me any ideas to help

appeal or convince insurance that this is a huge mistake. he has 2 medical

disorders and i liken this to malpractice. would a doctor deny a kidney patient

dialysis? PLEASE HELP, I am devastated to think this support life-line to him

will be cut.SURE WISH WE HAD THAT AUTISM INSURANCE IN OHIO PASSED !!!feel free

to email me privately if preferred.

lisa

landjplatko@...