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Posted By: vwmommy Getting Insurance to cover IQ testing - 02/09/12 06:09 PM
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?
Posted By: epoh Re: Getting Insurance to cover IQ testing - 02/09/12 07:29 PM
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!
Ours was covered 100% after co -pay. We have Blue Cross Blue Shield
Posted By: geofizz Re: Getting Insurance to cover IQ testing - 02/09/12 07:40 PM
Our was also covered under Behavioral Health, justified through suspected anxiety and depression.
Posted By: CAMom Re: Getting Insurance to cover IQ testing - 02/09/12 09:10 PM
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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