Re: OT: California Insurance Help

[Guest guest]

Hi,

the thing is that every insurance has a maximum of therapy sessions

(OT, Speech, or anything else together) in a year. In our case is

maximum of 60 sessions, that gives us about 1 hour a week, and we

have to pay the copayment of $30 each time, like for a specialist

visit. That is $1800 a year, which is ok, but if I would get a few

hours a week because just one hour is not enough times 30 it will go

up in a year to a very large amount. Which is still be ok I guess if

we would't have any other option. Still the RC and the school should

pay for most of it, beacuse with 60 sessions in a year you're not

doing too much.

On the other hand, the therapy that a child gats trough the school

district is not as good as a private one (those therapists at school

do not do too much with your child).

>

> NEW ASD INSURANCE SUPPORT GROUPS

>

> WE CAN HELP YOU GET THE COVERAGE YOU DESERVE

>

> Did you know that it is possible to get OT, ST, PT and ABA covered

> and paid for by your insurance provider? Current California law

> requires it – and families are starting to win their appeals.

Fellow

> parent advocates are ready and willing to help. For further

> information join this group:

>

> California ASD Insurance Help

>

> To subscribe send an e-mail to:

>

> ASDInsuranceHelp-subscribe

>

> If you have Kaiser as your HMO join this group:

>

> Kaiser Spectrum Kids

>

> To subscribe send an e-mail to:

>

> kaiserspectrumkids-subscribe

>

>

> Or just go to and search for the group name and click

> join on the homepage.

>

>

> The news media has started to pay attention to the injustice and

> discrimination our families are facing. To watch a recent ABC news

> show, click both the links below. Make sure to watch both parts of

> the story – don't get confused and think the story is the 30 minute

> interview with the Kaiser spokesperson. If you want to see more

media

> coverage on this topic, be sure to add a comment to ABC's web page –

> the more interest a story generates, the more likely follow up

> stories are.

>

> Part 1 Woman Fights Kaiser on Autism Policy

>

> http://abclocal.go.com/kgo/story?section=news/health & id=6493262

>

> Part 2 Insurance Companies won't pay for autism

>

> http://abclocal.go.com/kgo/story?

section=news/assignment_7 & id=6493263

>

[Guest guest]

Hi,

I posted this because these groups can help you through the process

to get whatever your insurance is required to give. Many parents have

been told there's nothing they can have from their insurance, which

is a lie. Then, even if they try to get coverage, the insurance

companies make it incredibly difficult to get and try to hide what is

truly your right to receive. These groups are made up of and run by

parents who managed the insurance nightmare, know who to call and how

to get help and services. They can help parents to know what is truly

available to them and their children.

When a school district has little to offer, anything else is a

godsend. Are kids have a right to services we as parents pay for when

we shell out money every month to the insurance companies. The goal

of these groups is to help families get what they have paid for.

In this day and age, I don't reccomend anyone saying no to any

services, especially if you've already paid for them with your

monthly premium.