Re:Need Help - CIGNA members, which diagnosis codes do you use for Spee

[Guest guest]

Hi June,

We have a Cigna Open Access plan that is privately funded by my husband's

employer as well.

 

Here is what I found out when I made several rounds of phone calls.  However, I

must say that because my son is under 3, all of his therapy has been covered by

our EI program so I have not had a need to bill insurance.  So, I don't really

know how this info would hold up when it came down to paying the final bills. 

 

On 1/22/2008, I was told by Vivian C. that speech therapy is included under

short term rehabilitation.  There would be a $40 copay that is standard for all

specialist visits, and there is a maximum of 60 visits for speeech.  On

2/4/2008, M. confirmed, 60 visits under short term rebab is covered at

$40 copay/each visit.

 

Like I said, I never had to test this information, but it might be worth noting

nonetheless.  Also know that for each positive response I got, I got at least

2-3 negative responses too -- ones where I was told that unless he suffered a

stroke or severe injury that caused him stop speaking.  You just have to be

persistent until you get what you want!  Good luck to you all!