RE: Infor. on how to get more OT visits thru insurance

October 1, 2010

I am not sure what insurance you have but we have Cigna (and had Aetna) and

both allow us 60 visits per year combined of OT, PT & Speech (but they

denied speech completely). We are getting close to running out of visits and

have already cut back on OT visits in preparation. I haven't had any success

in getting more approved as they told me there is no " Wiggle " room. We have

had our geneticist, neurologist, therapists and primary doctor write letters

to no avail. It's encouraging that yours has given you more though.

Hopefully they will work with you! Another option is grants. We recently

applied for two separate grants, but haven't heard back yet as we have to

wait until each meets with their board. United Healthcare Children's

Foundation is one of the them. If you want more info on this, let me know.

From:

[mailto: ] On Behalf Of Barb Balk

Sent: Friday, October 01, 2010 2:33 PM

Cc: balkangus@...

Subject: [ ] Infor. on how to get more OT visits thru

insurance

We have run out of OT visits, does anyone have any information on how to

approach the insurance company on getting more. I had called about getting

a

case worker assigned to it and she said I really couldn't appeal it at this

time

because it hadn't been denied. They have given us 2 more visits then lately

gave us 4 more, but he needs to be getting it 2x/ wk continuously. Any

ideas or

suggestions would be appreciated. The neurologist had forwarded information

to

ot to send to insurance, but hasn't seemed to do much good.

He has heterotopia(which is a rare brain disorder), mixed language disorder,

hypotonia. Thanks- Barb

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