Re: Insurance frustrations

[Guest guest]

,

Find a children's hospital near you that accepts your insurance, they most

likely have a developmental pediatrician on staff.

-BJ in polis, MD

[Guest guest]

I feel your pain.

I had a very similar conversation with our insurance company not to long

ago.

I want to smack all these people.

Georga

Re: Insurance frustrations

>

> Recently I called my insurance to see if they had any developmental

> pediatricians in network. The insurance rep was confused. After some

back

> and forth, the rep I talked to tried to convince me that dev peds *did not

> exist* because he had never heard of one. Who knew that dev peds were a

> figment of my imagination? So I pressed further:

>

> me: you do cover the cost of diagnosis, right?

>

> Them: we cover the costs of ruling out autism

>

> me: huh?

>

> Them: we only cover testing for medical conditions to rule out autism,

say

> like Fragile X and metabolic disorders

>

> me: this is what your website says about diagnosis autism: " The

following

> services may be included in the assessment and treatment of the patient's

> condition: A. Parent and/or child interview (including siblings of

children

> with autism) B.Medical evaluation (complete medical history and physical

> examination)

>

> me: wouldn't that include being seen by a dev ped

>

> Them: again, I don't know that there are peds who specialize in

> developmental delays, but we only cover clinical issues arising from

autism

>

> me: <sigh>

>

> In case you were wondering, according to them there are no therapies to

> treat autism that have stood up to peer review: " Aetna does not cover

> intensive intervention programs such as Lovaas Therapy (also known as

> applied behavior analysis, or discrete trial training), the Rutgers

Program,

> the LEAP Program, and the Denver Program, the Autism Pre-school Program,

and

> the TEACCH Program for the management of children with autism. The

> effectiveness of these programs has not been established in the peer

> reviewed medical literature. "

>

> ditto on ST and OT. Doesn't it just make you sick?

> (SAHM in GA)

> MSN elizabethloht@...

> n 33, mo, no formal dx

> Phoebe, 10 wks

>

>

>

>

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>

>

>

[Guest guest]

Subject: Re: Insurance frustrations

> See. It all worked out.

> Georga

Yeah, but I'm still paying $200 a month out of pocket for it with no

reimbursement. And of course we didn't get reimbursed for any of it last

year when it should have bee $400 a month. These people are so great and

knew needed the services that the school wouldn't provide that the

owner cut the hourly fee in 1/2 so I could afford to take him! How cool is

that?! He's been going for almost 2 years now.

Sue

[Guest guest]

Just put it on your taxes as medical expences. That is the best that I can

offer there.

Georga

Re: Insurance frustrations

>

>

> > See. It all worked out.

> > Georga

>

>

> Yeah, but I'm still paying $200 a month out of pocket for it with no

> reimbursement. And of course we didn't get reimbursed for any of it last

> year when it should have bee $400 a month. These people are so great and

> knew needed the services that the school wouldn't provide that the

> owner cut the hourly fee in 1/2 so I could afford to take him! How cool

is

> that?! He's been going for almost 2 years now.

> Sue

>

>

>

>

>

>

>

>

[Guest guest]

I don't even itemize my taxes. We pay nothing in Federal every year.

Actually get back more than what is taken from Marks check. What can I say?

Sue