Insurance denied him additional therapy

[Guest guest]

And I couldn't help but cry at the end of the phone call... Blue Cross Blue

Shield just denied my son getting additional speech therapy (he had 30 sessions

this year), claiming it's not medically necessary. This has been dragging on for

well over 2 months (originally sent in 7/27, but they claim to have not gotten

it and that they first received paperwork on 8/6). They pushed it to priority,

then urgent status, then paused everything while they requested a ton of info

from the dr. They told me I can appeal it with another letter from my dr, but I

have no doubt they will drag it out another 60 days (12/19 or later), and I get

30 sessions in January.

At this point, I've spoken with an advocate, but was holding off doing anything

until BCBS gave an answer. I don't know what they'll do for me. His therapist

usually charges $65/ half hour in cash, but offered a rate of $50 since I can't

swing the higher rate, and I've been going for almost 1 1/2 yrs. I am waiting

for a call back from his former EI therapist. If I offer her cash, she may be

willing to work a little longer than his current therapist. I wouldn't mind the

tax break of paying regularly, but more speech is important than getting money

back at the end of the year.

I guess this is more of a rant than anything. Thanks for listening...