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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

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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.

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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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