Employee Receives Full Coverage for Child's Plan-Excluded Speech Therapy Treatment

The Client

CPA Company with 30 enrolled employees

The Challenge

An employee’s child was diagnosed with dyslexia and as part of their treatment plan, their provider recommended speech therapy, which was listed as a treatment exclusion on the client’s plan – meaning they would be denied coverage.

The Solution

Caravus advocates worked with the employee’s medical provider and the insurance carrier to work around the exclusion through specific service coding.

The Outcome

The employee’s child received the speech therapy they needed and it was fully covered by the insurance plan.

 

Alyssa Johnson