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Posted By: Chrys OT woes - 04/28/10 10:32 PM
Venting... Sorry...

I have always thought dd would benefit from OT/Sensory Integration services. Ped and neuropsych have disagreed and said she was fine, just PG and borderline ADD.

Fast forward: Last year, she received some OT for handwriting at school. Its a private school and OT costs extra and doesn't take insurance. Its $40 for 30 minutes a week at her school.

I investigated the insurance option and learned that dd was eligible for 20 visits a year for a $10 copay at a facility that accepts out insurance. So I started looking into alternative places to take dd. There is one place in town. Luckily it is very near our house. I put dd on the waiting list.

12 months later, they finally have an opening and its right after school. I sign dd up. The first 2 weeks are an evaluation. Well it turns out after our first visit, that the center told me that our insurance no longer covers OT unless it is to regain function. Out of pocket, sessions cost $140 a week.

I'm disappointed. I went ahead and had dd finish the evaluation. I guess we will get a report next week. I'm still not sure she "needs" OT ,but she has really enjoyed going the past two weeks. Maybe I can take the report back to the school and get the school OT to do whatever it suggests. Or maybe, the report will say no further action needed at this time. Or maybe, I can focus this summer on a DIY OT home program. Or maybe, we will will the lottery.

DH is so good at looking at the situation in terms of a cost to benefit analysis. My response is more emotional. Really, we can find a way to afford this if it is necessary.

My understanding of OT and PG types is that any benefits gained diminish when treatment is stopped. Can anyone speak to this? Has OT been a magic bullet for any families?

TIA!
Posted By: Grinity Re: OT woes - 04/30/10 01:24 AM
Originally Posted by Chrys
Maybe I can take the report back to the school and get the school OT to do whatever it suggests. Or maybe, the report will say no further action needed at this time. Or maybe, I can focus this summer on a DIY OT home program.

These all sound like reasonable possibilities. Sorry to hear that your insurance changed. DS13 did 6 months of private OT at age 7, and made permanent steps forward that stayed with him. His rate of growth may have gone back to baseline, but at least is started from a higher spot after his 'leap forward.'

It also helped me be more away of DIYs to try at home, and to understand what he is up against in general.

Love and More Love,
Grinity
Posted By: Kate Re: OT woes - 04/30/10 04:45 PM
DS7 has had OT both privately and through the school and I would say that OT has made permanent changes, not temporary. In fact, he is currently about to start a new private OT so he can learn "the jobs and coping skills of a 7 year old" since he has been relying on strategies for coping that he learned as a 3 year old! (4 years seems pretty permanent!) His school OT does handwriting work/fine motor skills, but the private OT seems to focus on sensory/behavior. Our insurance DOES cover OT (but does not cover speech)...I can't figure out insurance! Nan
Posted By: Chrys Re: OT woes - 04/30/10 07:59 PM
Thanks for the feedback! Hopefully it will get clearer when we get the OT evaluation back!
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