August 2011 Moms

Speech Therapy is covered!!

DS needs speech therapy once a week. Our insurance is being jerks about the amount of physical therapy visits they cover per year so I just assumed speech was going to be another battle. Most companies don't cover speech at all, which I was expecting to hear. Instead, I found out that it is not only covered, but there are no limits on how many visits they will cover!! We are currently paying about $1600 a month in PT alone. I was not looking forward to adding a speech bill. Now, it will only be a $25 co-pay per visit.

::happy dances through Aug11:: 

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Re: Speech Therapy is covered!!

  • That is excellent news!  Insurance coverage can be so darn frustrating, I'm glad it is working out for speech coverage :)
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  • Woo hoo! Awesome news!

    How is Ian, by the way? I feel like we haven't had an Ian update in a while. 

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  • Holy shizz, that's awesome. It's nice to hear a good insurance story.
  • Who would've thought insurance would cover something you need?!?
    That is awesome!!!!
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  • imageMonsieur_et_Madame_Ha:

    Woo hoo! Awesome news!

    How is Ian, by the way? I feel like we haven't had an Ian update in a while. 

    He is good, thanks for asking. He is starting aquatic therapy next week! The goal for that is just to help with body awareness, balance, and walking. He will be in PT once a week, AT once a week, and Speech Therapy once a week (as soon as a spot opens up). He is being evaluated for OT on Monday, which we are pretty sure he will qualify for. He is basically about 3-5 months behind. We will be going for a sleep study (hopefully within the next couple of weeks) because they are concerned about his sleepiness/excessive sleeping. That will be a fun night in the hospital (not). We are considering sending him to a special needs school next year. It is 3 mornings a week, and they will provide therapies for him there as well. I am feeling guilty about sending him, but I really think he will do amazingly well there. It's hard to acknowledge that your kid is significantly delayed and needs more than what you can provide at home. But, it's just the way life is.

    He loves Jake and the Neverland Pirates, especially counting gold dabloons. He loves animals and music too. He is starting to figure out how to color. He can say "Up" like it's his job, lol. He is the most fun little kid, and freaking adorable too. ::sigh:: He's a lot of work, but I sure do love him.

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  • This is awesome news :-)
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  • Awesome!  And thanks for the update.  He's lucky to have such great parents.
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  • And because I'm in a mood to AW...

    image

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  • Fantastic news!
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  • That's awesome news!!! Yay!!!
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  • imageSTuna:
    And because I'm in a mood to AW...image


    Too cute! He looks so big!! Jack has that same shirt!
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  • So cute in pic. Can I ask why you have to pay for these therapies and not have your town/county/state pay?
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  • imagenavybride06:
    So cute in pic. Can I ask why you have to pay for these therapies and not have your town/county/state pay?

     We can only get one primary service through the county at a time, and we are currently using a home-based OT through the county. She comes to our house every 3ish weeks to play with DS. We have applied for as many financial assistance programs that we have been made aware of, but have been denied/wait-listed on every one for various reasons. This is a big reason we are considering the school. It would be completely free because it is run through the county board of DD.

    ETA: For example, I called to ask if we can get speech through the county. We would lose the OT altogether, and the speech therapist only offers one sessions per month. That isn't going to be enough for him. We tried using both the county and private physical therapists together in the beginning, and it was almost counter-productive to use them both because they did not communicate with each other.

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  • Wow! What state are you in? Everything is covered here and 2 therapies in many cases get free schooling for their therapies. My friend just started her 2 year old a few weeks into their school program and still has 4 different therapist at her home weekly. I am actually in process of becoming a EI provider in NY where i live and begun the transiting process for my almost 3y son into preschool services which keep with therapist he has now but now covered by our school district.

    As for insurance. It took me forever to get my son quailified despite his hand deformity and our insurance does not cover OT unless he was "home bound/ bed ridden" which was obsurd. I had scripts from surgeons, doctors and nothing mattered. Heck our amazing insurance which I do like it didn't cover a good surgeon for his hand surgeries so we went to Shriners who did surgery without insurance. If o my I lived closer they would have provided OT free too.
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  • Thank you for the update and the adorable picture. Seriously, how handsome is he! I'm sorry things aren't exactly easy for you these days. Ian sure is one lucky little boy for having such awesome parents.
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