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#122529 - 02/09/12 10:09 AM Getting Insurance to cover IQ testing
vwmommy Offline

Registered: 12/06/11
Posts: 85
Loc: Minnesota
So, is there any 'secret' that will get insurance to cover IQ testing. Ours excludes IQ testing I believe unless it is "medically necessary". I know from working in family medicine and internal medicine for a while that sometimes you can get insurance to cover certain procedures/medications/exams only if the 'right' ICD-9 diagnosis code is used. Anyone have any exeperience with this?

#122551 - 02/09/12 11:29 AM Re: Getting Insurance to cover IQ testing [Re: vwmommy]
epoh Offline

Registered: 10/31/11
Posts: 953
Loc: N. Texas
I'm sure it depends on your insurance. For us, the whole thing began with his severe behavioral problems in school. I found out our insurance covered behavioral health and we saw the psychiatrist and therapist. I then (through this site) saw the need for a neuropsychologist eval. I used my insurance's behavioral health website and found one nearby and made an appt. I would imagine other insurances might require referrals. Simply describing the behavioral problems my son was having was enough for me, but I don't know where that 'line' is, so to speak.

If the only desire is to have an IQ test, the likely hood of getting insurance to pay is probably next to zero, but, if you are like me, it's always worth a try!

Edited by epoh (02/09/12 11:29 AM)

#122553 - 02/09/12 11:37 AM Re: Getting Insurance to cover IQ testing [Re: vwmommy]
frannieandejsmom Offline

Registered: 02/01/11
Posts: 708
Loc: somewhere out there
Ours was covered 100% after co -pay. We have Blue Cross Blue Shield

#122554 - 02/09/12 11:40 AM Re: Getting Insurance to cover IQ testing [Re: frannieandejsmom]
geofizz Offline

Registered: 12/06/10
Posts: 566
Our was also covered under Behavioral Health, justified through suspected anxiety and depression.

#122570 - 02/09/12 01:10 PM Re: Getting Insurance to cover IQ testing [Re: vwmommy]
CAMom Offline

Registered: 08/13/08
Posts: 744
Ours would only cover it to rule out ADHD. We opted not to go that way because the psychologists were not familiar with testing gifted kids. They primarily specialized in identifying learning disabilities, autism and other issues that we were not concerned with at the time.


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