Undivided: Private Insurance Options for Kids with Disabilities
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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?

Related Parent Questions

What should I do if my insurance claim gets denied?
You'll need to know the reason for an insurance claim denial before you can appeal it. You should also know your deductible, know your benefit and session limits, and know when to submit your claim to make sure you have grounds to appeal.
What is coordination of benefits?
Coordination of benefits (COB) refers to the method that insurance plans use to provide coverage and determine payment responsibilities for someone who is covered by more than one health plan.
How do I reserarch in-network options for pediatric therapy services?
Here are the best questions to ask when looking for out-of-network pediatric therapy services,

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