My son is currently in speech therapy for a developmental delay. Before we started, our provider verified with our insurance that we had 20 covered visits. I also personally called to confirm coverage because I didn’t want any surprise bills. I was told no estimate cost and was not told about any exclusions. I was shocked because I thought it would not be covered. We started services under the assumption everything was in-network and covered.
We are still within our 20-visit limit, but every single claim has been denied so far. The claims are being processed as excluded from our plan.
I began the appeal process because my provider and I were under the impression that it was covered. But it’s slow and we’re still being billed in the meantime.
I’m hoping the recorded verification call will help since the benefits were clearly misrepresented when I called to confirm coverage. Has anyone been in a similar situation?