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Speech Therapy Via Insurance

 
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amother




OP
 

Post 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
 

Post Thu, Jul 28 2022, 11:06 am
I got a prescription from my pediatrician.
It was that simple
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amother




OP
 

Post 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
 

Post 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
 

Post 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
 

Post 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
 

Post 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
 

Post 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
 

Post Thu, Jul 28 2022, 11:45 am
Thank you all.

I'm in Boro Park.
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amother




Vanilla
 

Post 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
 

Post 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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