Employee Receives Full Coverage for Child's Plan-Excluded Speech Therapy Treatment
The Client
Medium-sized company in the Financial Services Industry
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.