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Parent Support Forums
General Parenting
pediatrician says diagnosis :V40.9 UNS MENTAL/BEHAVIORAL PROBLEM...
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<blockquote data-quote="confuzzled" data-source="post: 638843" data-attributes="member: 8831"><p><em>I have insc from their father and medicaid and the place out of town WILl do the testing for both kids! Insc covers most of the bill for both, so I will have a copay due at service and maybe a bill later</em></p><p><em></em></p><p>I highly, highly recommend working very closely with both the doctors billing people and your insurance company before doing anything. I absolutely recommend you get pre-authorization from the insurance even if you technically don't need it.</p><p></p><p>some companies will pay for certain testing regarding what they deem *medical* diagnosis, but balk at what they consider *educational* testing...which, since they are kids, a portion of it will be.</p><p></p><p>you don't want any gigantic surprises X2 and it seems to me that a large bill at the end would be stressful. dot your i's and cross your t's to make sure you know exactly what you are getting into and exactly what it will cost.</p><p></p><p>in the off chance this becomes cost prohibitive to do privately, i'd have a backup plan and call your Medicaid office and ask them for a few providers and go with someone they recommend so you wont have huge charges. they often have very long waiting lists if they are Medicaid providers.</p><p></p><p>good luck. just be crystal clear on what is and is not paid for, along with the full scope of tests they plan to offer (and they may not know as of right now until the initial consult)....no point in doing this if its limited or incorrect testing.</p></blockquote><p></p>
[QUOTE="confuzzled, post: 638843, member: 8831"] [I]I have insc from their father and medicaid and the place out of town WILl do the testing for both kids! Insc covers most of the bill for both, so I will have a copay due at service and maybe a bill later [/I] I highly, highly recommend working very closely with both the doctors billing people and your insurance company before doing anything. I absolutely recommend you get pre-authorization from the insurance even if you technically don't need it. some companies will pay for certain testing regarding what they deem *medical* diagnosis, but balk at what they consider *educational* testing...which, since they are kids, a portion of it will be. you don't want any gigantic surprises X2 and it seems to me that a large bill at the end would be stressful. dot your i's and cross your t's to make sure you know exactly what you are getting into and exactly what it will cost. in the off chance this becomes cost prohibitive to do privately, i'd have a backup plan and call your Medicaid office and ask them for a few providers and go with someone they recommend so you wont have huge charges. they often have very long waiting lists if they are Medicaid providers. good luck. just be crystal clear on what is and is not paid for, along with the full scope of tests they plan to offer (and they may not know as of right now until the initial consult)....no point in doing this if its limited or incorrect testing. [/QUOTE]
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pediatrician says diagnosis :V40.9 UNS MENTAL/BEHAVIORAL PROBLEM...
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