tag:blogger.com,1999:blog-37382396.post9138464071183000211..comments2023-12-20T21:58:03.184-05:00Comments on Turn On My Ears!: Insurance Coverage for TherapyDrew's Momhttp://www.blogger.com/profile/09785837091572603406noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-37382396.post-7944200100811713262007-12-14T15:10:00.000-05:002007-12-14T15:10:00.000-05:00MB: We have Early Intervention in Ohio which provi...MB: We have Early Intervention in Ohio which provides up to one hour of service with a TOD per week. We didn't feel like that was enough therapy, so anything else is up to insurance or us.<BR/><BR/>Sheri: Thank you for posting "Let Them Hear's" website. I forgot to include that in my post. Many of our CI friends have had great help from this organization, and I forgot that it is not just for the surgery itself, but also therapy.<BR/><BR/>I think that Kauan's Mom was trying to say that Kauan is the first child in CA that has been approved for simultaneous implants. I agree - here's to many more gaining approval without a long fight!Drew's Momhttps://www.blogger.com/profile/09785837091572603406noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-47880013767798068202007-12-14T03:22:00.000-05:002007-12-14T03:22:00.000-05:00Oh, and I hate to disappoint the CCS mom, but Kaun...Oh, and I hate to disappoint the CCS mom, but Kaun may not be the first -- the foundation got CCS to cover a bilateral implant for a little girl in northern California almost two years ago.<BR/><BR/>So, there are at least two, and here's hoping to many more in the future<BR/><BR/>SheriUnknownhttps://www.blogger.com/profile/04361316822337351485noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-57562619291502723292007-12-14T03:20:00.000-05:002007-12-14T03:20:00.000-05:00You guys have been very good (and a little lucky) ...You guys have been very good (and a little lucky) to get your insurer to cover what you've been fighting for without outside assistance. For those who need help, please visit http://advocacy.letthemhear.orgUnknownhttps://www.blogger.com/profile/04361316822337351485noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-66126821515853002362007-11-04T01:28:00.000-04:002007-11-04T01:28:00.000-04:00We fight with Anthem of VA all the time. First the...We fight with Anthem of VA all the time. First they denied the MRI and then the genetic tests. Each time it just took a call from our doctor and they instantly approved it. <BR/><BR/>What about coverage under Early Intervention? I know for VA residents they have to cover up to $5k/year. I don't know how it works now that you don't live in VA, but you should ask if speech therapy would be covered under that clause until he turns 3.MBhttps://www.blogger.com/profile/07206411306306537264noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-34759285278285969592007-11-03T03:22:00.000-04:002007-11-03T03:22:00.000-04:00I guess we're very lucky here in California!! CCS ...I guess we're very lucky here in California!! CCS covers 48 hours per six months of Auditory Verbal Therapy at UCLA. Also, for the bilateral surgery (Kauan was the first child to have a bilateral implant using CCS in California)we didn't have to pay for anything - nothing - which is wonderful!!!<BR/>Kauan is also going to JTC and he has a TOD coming to our house once a week - aside of working with the therapist at UCLA. <BR/>During this journey, I've learned that if you look and fight for your child's rights you will find the support you need. I think it's important to share with other parents about the CCS, because most of them don't know that bilateral implant is now availble through CCS.<BR/>:0)<BR/>I agree with Hetha, the support you guys are giving to us parents is amazing - thank you so much!!!<BR/>Iz and Kauan.Iz and K.https://www.blogger.com/profile/02519426499598472342noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-72594613875343616342007-11-02T00:33:00.000-04:002007-11-02T00:33:00.000-04:00I didn't have the auditory therapy with my first C...I didn't have the auditory therapy with my first CI, but think I'll take advantage of it with the second one. I had such poor hearing at first that just picking up actual sounds was a challenge...let alone listening to anything! This time around, though, I expect to hear sounds...crazy though they may be...and I want to maximize my potential! :)Jenniferhttps://www.blogger.com/profile/10649007194044098187noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-28507982059113625302007-11-01T19:19:00.000-04:002007-11-01T19:19:00.000-04:00hetha,I just made my email available if you click ...hetha,<BR/><BR/>I just made my email available if you click on my profile. If Drew's Mom hasn't replied yet, feel free to email to my address and we'd be happy to help if we can.Drew's Dadhttps://www.blogger.com/profile/03006819915992621173noreply@blogger.comtag:blogger.com,1999:blog-37382396.post-37919197138588926022007-11-01T17:25:00.000-04:002007-11-01T17:25:00.000-04:00We've had a tough time since our insurance company...We've had a tough time since our insurance company only covers 20 visits to speech per year, but we actually have BCMH and they have helped cover some of the costs this year. I'll definitely look into this code that you mention! Thanks so much for the information! This makes me wonder if there is a similar procedure to get fuller coverage for his other 2 therapies (PT and OT) which BCMH doesn't help cover!<BR/><BR/>I have a question for Drew's Mom about the pockets for bilaterals, could you guys drop me an email, or leave an email address at Ethan's World?<BR/><BR/>And a big thanks for your support during Ethan's surgery and recovery. It has meant a lot to me to hear from another ci parent who knows what we've been feeling.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37382396.post-49699514465138126432007-11-01T12:29:00.000-04:002007-11-01T12:29:00.000-04:00Yes, auditory therapy is a MUST after CI surgery. ...Yes, auditory therapy is a MUST after CI surgery. I went for a year after my first CI and need to go back to learn to listen in noise. <BR/><BR/>My insurance company (AETNA) paid a certain portion for each visit. There was no maximum that I knew about but I had to pay my deductible (which was easily met with the CI surgery itself).<BR/><BR/>The deaf and hard of hearing people need people like Drew's dad to advocate and research for them. Thank you.Lauriehttps://www.blogger.com/profile/02985952566947294158noreply@blogger.com