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Private Insurance

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Overview

It can be daunting trying to make sure all our kids' therapies and supports are funded, but private insurance is often the first place to start. With these resources, you can learn the ins and outs of your health plan. Read about EOBs, claims, appeals and denials, annual deductibles, and more.

What can I do if my insurance claim is denied?

If you submitted a claim for a service that your child’s doctor says is medically necessary and the claim was denied, you should appeal the decision. Check out this article for what to review before you submit your appeal and how to communicate with customer service to ensure that everything gets processed correctly.

Contents

Overview

What can I do if my insurance claim is denied?

How do I review my health plan and understand my coverage?

Where can I find an in-network provider?

What options are available if my insurance plan won’t cover the service or equipment my child needs?

Maximizing Insurance Benefits

How to Review Your Health Plan Benefits & Coverage

4 Tips for Funding Your Child's Medical and Therapeutic Needs

Explanation of Benefits 101

Insurance Claim Denials and Appeals 101

Going In-Network for Therapies? Here’s a Cheat Sheet

Out-of-Network Superbills 101

Latest Resources

Parent Question

How do I get an insurance denial letter?

Video Clip

What If a Provider You Want Is Out-of-Network?

Event Recap

3 Tips for Maximizing Your Medi-Cal Coverage

Article

Out-of-Network Superbills 101

Video Clip

Paying for Disability Services: Appeals When You’re Denied Coverage

Video Clip

How Multiple Sources Can Pay For Services For Children with Disabilities

Video Clip

Who Pays For Your Child's Medical and Therapeutic Needs?

Video

How Do We Pay For It All?

Video

UD Live with Leslie Lobel: Insurance Claims, Authorizations, and Denials...Oh, My!

Event Recap

Insurance Questions with Leslie Lobel, Director of Health Plan Advocacy Services

Video Clip

What are the chances my insurance appeal will be successful?

Video Clip

Insurance Denials to Appeals

Video Clip

Medi-Cal

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What To Do After Insurance Denies Your Claim

Video Clip

Funding Order: Private Insurance, Medi-Cal, and Regional Center

Video Clip

Steps to Take After an Insurance Claim Denial

Parent Question

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How do I research in-network options for pediatric therapy services?

Parent Question

Medi-Cal

What is coordination of benefits?

Parent Question

What is an Explanation of Benefits (EOB)?

Parent Question

What is open enrollment?

Parent Question

What if there’s a problem with an insurance claim I submitted?

Parent Question

What should I put in my appeal for an insurance claim denial?

Parent Question

Can I appeal an insurance claim denial?

Parent Question

What should I do if my insurance claim gets denied?

Article

Medi-Cal

+1more

Monthly Premiums & Annual Deductibles: Planning for the Year Ahead

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Author

Brittany OlsenUndivided Editor

An editor and cartoonist who loves using words and images to simplify and share ideas. She has ten years of experience as a copy editor and lives near Portland, Oregon. She often spends her free time going on nature walks with her dog or trying new bread recipes.

Reviewed by

Jennifer Drew, Undivided Senior Editor

Each piece of content has been rigorously researched, edited, and vetted to bring you the latest and most up-to-date information. Learn more about our content and research process here.

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