Thank you everyone, & insurance denied claim for referral

May 31, 2002

Thank you everyone that responded to my posts. I've come down sick

with a bad cold (caught it from the kids) and have been unable to

respond to everyone just yet. I took to the pediatrician

yesterday as I thought she had an ear infection as she's been waking

up at night this week crying. Well, she's fine (who knows why she has

been crying) as she has no ear infection, but the doctor told me to

expect a letter from my insurance denying our request for a referral

for a speech evaluation (she used the codes I gave her too). Our

insurance (Healthnet) doesn't cover speech or other chronic

conditions despite the cause. So, we will have to pay out of pocket

for an evaluation (and any additional therapy that we can't get from

the school district when turns 3). At least our EI has allowed

us to get some OT starting next month. I am not looking

forward to our IEP this fall. I just hope we can get some decent

individual speech therapy for through them, but it doesn't look

good. I'll need to look into some creative ways to find affordable

private therapy. The sad thing is that this process shouldn't be

this difficult. Us parents already have enough stress, that EI and

the school districts should be trying to make things easier for us.

They shouldn't be adding to the stress we already face. By doing so,

they are not helping these children. In the long run, it will cost

them more money as they will need to supply special education longer

than may have been necessary if they would have given adequate

services in these early years.

Jill - 's Mom (30 months) with Hypotonia, speech delay (possible

DSI and Apraxia/Dyspraxia)

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