Re:HELP, Insurance Cutting

[Guest guest]

Joya:

Hi! I just transferred out of Aetna's PPO here in New

York. Under my company's plan, Aetna paid for only 20

sessions maximum of any therapy. My experience with

them was terrible; anytime I communicated with them, I

got a by-the-book lackey who just read my company's

plan document and said we were not covered beyond 20

consecutive sessions for ANY reason.

My advice is to speak with your company's or union's

rep at Aetna. My company's rep came in to our office

once and I grabbed her for interrogation. While in

the end, she was unable to change anything for us, she

did make calls for us and let us know of different

options at Aetna for special needs children.

Company/union reps are definitely light years ahead of

dealing with the usual insurance examiners (at least

in my experience at Aetna).

Hope that helps!

Jim Carlone, dad to ph, 2 1/2, apraxic, autistic

and SID

--- Joya111@... wrote:

> Hi Everyone:

>

> After being on Aetna (PPO) for one year and them

> paying for my boys speech

> they are now cutting me off. They say I have to

> prove to them that APRAXIA

> is NEUROLOGICAL. I have about 4 evaulations saying

> that verbal apraxia is in

> the neurological region on the boys? Is there any

> documentation? My

> benefits coordinator is behind me and I know I am

> going to go to my union

> (Who I know one of the representatives very well).

> Does anyone else have

> AETNA ppo and are they paying for speech therapy??

> Joya111@...

[Guest guest]

Suzie -

Oh, Good Luck with AETNA PPO, I hope u have better luck than I do. But my

benefit coordinator is pushing to get the insurance ok'd. I have to supply

all past and present evaluations. I will let u know. JOYA

[Guest guest]

Thanks for the information. My husband's company just switched to

Aetna PPO. I spent yesterday trying to get names of therapists and

pre-authorization.

I have lots more work to do.

Suzi

> > Hi Everyone:

> >

> > After being on Aetna (PPO) for one year and them

> > paying for my boys speech

> > they are now cutting me off. They say I have to

> > prove to them that APRAXIA

> > is NEUROLOGICAL. I have about 4 evaulations saying

> > that verbal apraxia is in

> > the neurological region on the boys? Is there any

> > documentation? My

> > benefits coordinator is behind me and I know I am

> > going to go to my union

> > (Who I know one of the representatives very well).

> > Does anyone else have

> > AETNA ppo and are they paying for speech therapy??

> > Joya111@a...