Re: Therapy denied saying it was restorative in nature

[Guest guest]

I had the same issue with Blue Cross.

IF your ped/neurologist is cool wiht this (mine was) call the insurance company

and get a faxed list of conditions they WILL cover. Bring the list to the

pediatrician and see what he can re-label or give as a as " a secondary

diagnosis " .

Good luck!

From: t_wawzysko <t_wawzysko@...>

Subject: [ ] Therapy denied saying it was restorative in

nature

Date: Friday, February 13, 2009, 1:51 AM

Hi I am new to the group! I was wondering if anyone has had denials

from insurance companies saying they would not cover speech therapy if

it was restorative in nature? We are fighting our insurance company

(Cigna) right now on this issue. My son has been dignosed with Apraxia

and we are doing an appeal right now. Any and all suggestions would be

greatly appreciated! I just haven't found alot of information on how

to go about fighting them on this. Please help!

[Guest guest]

I think you will find many insurance companies do not cover speech

theraoy. Our old insurance company covered apraxia or stuttering. Are

urrent insurance company has even excludedd apraxia specifically.

There are some great websites about how to appeal to an insurance

company for speech issues. Some I may have even gotten from this site.

On that same subject. Has anyone appealed to an insurance company

when they specifically state that apraxia is not covered?

Good luck to you!

>

> Hi I am new to the group! I was wondering if anyone has had denials

> from insurance companies saying they would not cover speech therapy

if

> it was restorative in nature? We are fighting our insurance company

> (Cigna) right now on this issue. My son has been dignosed with

Apraxia

> and we are doing an appeal right now. Any and all suggestions would

be

> greatly appreciated! I just haven't found alot of information on how

> to go about fighting them on this. Please help!

>