Getting Insurance to Cover a Developmental Pediatrician

You have the same options as everyone else. You either go to the in network providers or you pay the out of network price. Your son's circumstances have no bearing on the outcome.

Without taking the time to find your other post I have to wonder if you are not being too specific in your needs. My kids have all sorts of issues the worst being Autism spectrum. No one has ever recommended a developmental pediatrician.

Okay that other post wasn't helpful and really long.

Start with a neurologist to rule out issues of the structure of the brain and then most on to a psychiatrist to go with mental. You will find there are a lot more of them that are covered than some obscure title as a developmental pediatrician.

If you can find one close to you that's not covered and file a claim to have them covered because there's none around you. That's what I had to do with my son and a child pyschiatrist. The dr you want to see could help with the process, and if it's a needed survive the insurance should cover a non provider. Good luck

Did you try Dr. Anshu Batra Appointment Info
Address & Contact Information:
Batra and Griesbach Mds
11835 West Olympic Boulevard Suite 1200E
Los Angeles, CA 90064
Is there a reason you feel you need a neurologist/psychiatrist as apposed to a developmental ped?? These are two totally different fields. Let us know what happens. Also if you get a diagnosis your therapy may be covered by the regional centers.
If you need further help pls feel free to contact me at the email address below.

Penny Amic CEO/Clinical Director
Special Beginnings, Inc.
An Early Intervention Network
____@____.com
###-###-####

I haven't read your other post, but if your current pediatrician gives you a referral to a developmental pediatrician and there aren't any in your insurance carrier's network in your area, you can request an "out-of-network" referral. If granted, that means that the insurance would pay another medical provider closer to you at the same rate they would pay a regular network provider. However, in doing that, you have to understand that you would have to pay any fees above and beyond what the insurance would pay because that particular doctor is not contracted with your insurance carrier. It could help cover some of the fees.

I would contact your insurance carrier directly to ask them about how an out-of-network referral works.

Good luck.

Start with the people listed on the insurance. Try talking to someone at your insurance company. Sometimes you can get to talk to someone who knows how the system works best. Also are there evaluation programs at any nearby hospitals, particularly a childrens's hospital or a university hospital? The department in the hospital may have a person who can help you deal with the insurance issues. Good luck.