Guest guest Posted March 24, 2011 Report Share Posted March 24, 2011 We have recently started looking into social skills groups too. In speaking with the therapists who do them locally, it sounds as if you find one which is run by an OT or a speech therapist, you may have a shot at being reimbursed by your insurance company (depending on the coverage they offer for speech/ot of course). The groups I have found do not bill insurance directly, but if you were lucky enough to find a social skills group based at a hospital (I have not found one where I live), maybe they would be able to bill insurance directly under speech or ot. If your son is already receiving speech or ot services through insurance, though, you might have to suspend them while he is in the social skills group, because it would be very difficult to get services paid for 2 different speech pathologists or 2 ots at the same time. HTH. Bridget > > My 8yo son was recently diagnosed with Aspergers and we'd like to get him into a social skills group but the groups I've found are extremely expensive $50-$75 per class (weekly). Does anyone know if health insurance ever covers a class like this? > > Thanks!! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2011 Report Share Posted March 24, 2011 I paid $100 a session for social skills, fwiw. Ins covered maybe 20%. If you've gotten some positive feedback from other parents, it could be worth a try imo. On Thu, Mar 24, 2011 at 3:42 PM, csb3872 <brooke.family@...> wrote: My 8yo son was recently diagnosed with Aspergers and we'd like to get him into a social skills group but the groups I've found are extremely expensive $50-$75 per class (weekly). Does anyone know if health insurance ever covers a class like this? Thanks!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2011 Report Share Posted March 24, 2011 Ours are covered as long as we go to someone who is a licensed family therapist. The 1st group we went to was put on by a bahevior therapist and not cover. Our mental health is through Cigna. > > My 8yo son was recently diagnosed with Aspergers and we'd like to get him into a social skills group but the groups I've found are extremely expensive $50-$75 per class (weekly). Does anyone know if health insurance ever covers a class like this? > > Thanks!! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2011 Report Share Posted March 24, 2011 What state are you in? We just found one (it took A LOT of research!!!) We are in San Diego. It is run by a licensed speech therapist so that might have something to do with it. Also she wanted all or any records, diagnoses, school IEP's to help her case when she calls the insurance company. Let me know if you are in CA. ( ) ? re social skills coverage My 8yo son was recently diagnosed with Aspergers and we'd like to get him into a social skills group but the groups I've found are extremely expensive $50-$75 per class (weekly). Does anyone know if health insurance ever covers a class like this?Thanks!! No virus found in this incoming message.Checked by AVG - www.avg.com Version: 8.5.449 / Virus Database: 271.1.1/3526 - Release Date: 03/24/11 07:34:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2011 Report Share Posted March 24, 2011 Be careful if it is through the hospital though. You'll want to check how the hospital bills it to the insurance. For O.T. services at the Children's hospital, outpatient hospital copay cost us $75 instead of the regular office visit copay at a private provider. We learned the hard way....after the bill came after 4 visits. We were stupid and never thought of there being a difference, never thought of checking first. ( ) Re: ? re social skills coverage We have recently started looking into social skills groups too. In speaking with the therapists who do them locally, it sounds as if you find one which is run by an OT or a speech therapist, you may have a shot at being reimbursed by your insurance company (depending on the coverage they offer for speech/ot of course). The groups I have found do not bill insurance directly, but if you were lucky enough to find a social skills group based at a hospital (I have not found one where I live), maybe they would be able to bill insurance directly under speech or ot. If your son is already receiving speech or ot services through insurance, though, you might have to suspend them while he is in the social skills group, because it would be very difficult to get services paid for 2 different speech pathologists or 2 ots at the same time. HTH.Bridget>> My 8yo son was recently diagnosed with Aspergers and we'd like to get him into a social skills group but the groups I've found are extremely expensive $50-$75 per class (weekly). Does anyone know if health insurance ever covers a class like this?> > Thanks!!> No virus found in this incoming message.Checked by AVG - www.avg.com Version: 8.5.449 / Virus Database: 271.1.1/3527 - Release Date: 03/24/11 19:34:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2011 Report Share Posted March 24, 2011 We are in PA, and Medical Assistance covers ours because our primary Health insurance specifically will not cover any ASD dx. We go to a center in town where they specialize in ASD, and they have qualified clinicians running the groups. They are wonderful! > > My 8yo son was recently diagnosed with Aspergers and we'd like to get him into a social skills group but the groups I've found are extremely expensive $50-$75 per class (weekly). Does anyone know if health insurance ever covers a class like this? > > Thanks!! > Quote Link to comment Share on other sites More sharing options...
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