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Forum
-> Parenting our children
-> Preschoolers
amother
OP
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Thu, Jul 28 2022, 10:57 am
Can anyone advise about the process of getting speech therapy via insurance?
My child got denied from service from Board of Ed (NYC) but I still want therapy for him.
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amother
Daylily
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Thu, Jul 28 2022, 11:06 am
I got a prescription from my pediatrician.
It was that simple
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amother
OP
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Thu, Jul 28 2022, 11:09 am
amother [ Daylily ] wrote: | I got a prescription from my pediatrician.
It was that simple |
Ty. I should call the insurance company and ask them where I can send it to?
How do I find a provider? word of mouth and she sees the child in her home?
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amother
OP
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Thu, Jul 28 2022, 11:10 am
amother [ Daylily ] wrote: | I got a prescription from my pediatrician.
It was that simple |
I'm such a beginner... Do most insurance companies do this? I have Fidelis/Medicaid.
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amother
Daylily
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Thu, Jul 28 2022, 11:13 am
amother [ OP ] wrote: | Ty. I should call the insurance company and ask them where I can send it to?
How do I find a provider? word of mouth and she sees the child in her home? |
No, you don't call insurance and ask them where to send it to.
You give the prescription to the provider and they bill insurance.
Finding a provider is a different ball game.
Where are you located?
I don't think you'll find someone who will see you in your home.
The reimbursement rate doesn't make it worth it for the provider.
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amother
Daylily
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Thu, Jul 28 2022, 11:14 am
amother [ OP ] wrote: | I'm such a beginner... Do most insurance companies do this? I have Fidelis/Medicaid. |
I have Fidelis Medicaid, too.
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amother
Cornsilk
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Thu, Jul 28 2022, 11:29 am
Find a provider that accepts your insurance. Give them the prescription/referral.
They bill insurance, you pay copays etc if needed.
I dont have medicaid but this is the process I had to go through. And no one really sees in your home especially Medicaid providers. It isnt worth it financially for them.
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amother
Slategray
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Thu, Jul 28 2022, 11:33 am
I just called an in network provider and made and appt. I didn’t need a RX at all
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amother
OP
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Thu, Jul 28 2022, 11:45 am
Thank you all.
I'm in Boro Park.
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amother
Vanilla
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Thu, Jul 28 2022, 11:45 am
When my kids needed speech therapy, I asked around for recommendations, then called the places and found out if they took my insurance/were in-network.
For sure with one of my kids I needed a referral from the pediatrician.
You give your insurance info to the provider and they bill insurance, depending on your plan there may be copays/deductible/max out of pocket etc.
With one of my kids, we had to pay separately for the evaluation.
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amother
OP
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Mon, Aug 01 2022, 3:24 pm
Bumping this.
Can anyone advise on a good speech therapist in Boro Park?
Speechlearn is too far from me.
Per my insurance website, Ezra provides speech therapy. Does anyone have experience with them?
Looking for either a therapist at home or an agency that is in mid 50s and 14Ave neighborhood.
TIA!
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