Habilitative Questions to Ask
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Before you call your insurance company or HMO, please refer to the “Parents' Guide to Habilitative Services" available on our website.
- My child needs physical therapy and/or occupational therapy and/or speech therapy. Are these services covered under my plan?
- Do I have coverage for habilitative service benefits under my plan?
- Are there any limitations on habilitative services coverage under my plan? If so, what are they?
- Are there any exclusions from coverage under my habilitative services benefit? If so what are they?
- What cost-sharing will be applied to habilitative services for my child?
- Deductible
- Copayment amounts
- Coinsurance
- Does my deductible apply to each calendar year or to a benefit year? If it applies to a benefit year, when does the benefit year begin and end?
- Do I need a referral? If so, how do I get one?
- Do I need prior authorization? If so, how do I get prior authorization?
- Do I have better benefits if I use in-network providers? If so, who are the in-network providers in my area?
- I think I need more information; may I please speak with a supervisor? (as needed)