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Forum
-> Inquiries & Offers
-> Lakewood, Toms River & Jackson related Inquiries
amother
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 Sun, Jan 05 2025, 11:26 am
Is there such a thing or I have to go through EI from the state?
We have private insurance (Aetna). If this is a thing, can anyone recommend someone excellent for a 1.5yo?
If not, can someone walk me through how to get eval'd for EI services from the state?
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yofi
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Sun, Jan 05 2025, 11:52 am
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Call the early intervention line to set up a evaluation..8886534463
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amother
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Sun, Jan 05 2025, 11:54 am
| yofi wrote: | | Call the early intervention line to set up a evaluation..8886534463 |
Thanks! Do you know anything about getting PT through insurance?
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yofi
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Sun, Jan 05 2025, 12:01 pm
Early intervention comes to the house, where insurance not..
You can try therapy place, Childrens specialized..
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oneofakind
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Sun, Jan 05 2025, 12:01 pm
You'll do better through insurance - you can choose your provider.
Call your insurance and ask if you need a referral and who is on their list. Bounce those names off your pediatrician, neighbors friends etc.
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amother
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Sun, Jan 05 2025, 12:04 pm
| oneofakind wrote: | You'll do better through insurance - you can choose your provider.
Call your insurance and ask if you need a referral and who is on their list. Bounce those names off your pediatrician, neighbors friends etc. |
That's what I thought. Thanks!
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amother
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Sun, Jan 05 2025, 12:25 pm
Ei and insurance are different. They're not mutually exclusive. You can do either one or both. EI is generally paid for by the state. Unless you make a lot of money then you have a copay. EI comes to your house or daycare. EI are contracted with an agency and don't choose your provider. But you can ask for someone new. If you don't like the person you have. Qualify for EI. You need to call the main line and they'll set up the appointments. To get insurance covered therapy you go to your pediatrician and get a referral.
I did both for a time and that's not a problem with us. If you have the time and energy for it. Because the EI was in-home it wasn't so hard
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amother
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Sun, Jan 05 2025, 12:29 pm
| amother Pewter wrote: | Ei and insurance are different. They're not mutually exclusive. You can do either one or both. EI is generally paid for by the state. Unless you make a lot of money then you have a copay. EI comes to your house or daycare. EI are contracted with an agency and don't choose your provider. But you can ask for someone new. If you don't like the person you have. Qualify for EI. You need to call the main line and they'll set up the appointments. To get insurance covered therapy you go to your pediatrician and get a referral.
I did both for a time and that's not a problem with us. If you have the time and energy for it. Because the EI was in-home it wasn't so hard |
Interesting idea
Who did you use through insurance?
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oneofakind
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Sun, Jan 05 2025, 12:29 pm
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True. Unless you are poor, you pay a copay for EI. Often it's not worth the hassle even if they come to the house but by all means, if you have the time and patience, get both.
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amother
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Sun, Jan 05 2025, 1:13 pm
| oneofakind wrote: | | True. Unless you are poor, you pay a copay for EI. Often it's not worth the hassle even if they come to the house but by all means, if you have the time and patience, get both. |
Depends what you mean by poor . Most young Jewish families are going to qualify with no or a very low low copay. Yes poor by Frum standards which means not earning six digits.
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amother
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Sun, Jan 05 2025, 2:42 pm
since there is a backlog in pt now- abt 6 months. once approved they will reimburse your private provider until one is found thru EI. I did that and was a win win!
fyi you can absolutely request a specific pt within the agency you have been assigned to.
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amother
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Sun, Jan 05 2025, 2:57 pm
| amother Pewter wrote: | | Depends what you mean by poor . Most young Jewish families are going to qualify with no or a very low low copay. Yes poor by Frum standards which means not earning six digits. |
We are earning 6 figures and have a small family. What kind of copay would I be looking at?
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amother
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Sun, Jan 05 2025, 2:58 pm
| amother Opal wrote: | since there is a backlog in pt now- abt 6 months. once approved they will reimburse your private provider until one is found thru EI. I did that and was a win win!
fyi you can absolutely request a specific pt within the agency you have been assigned to. |
Ok this is good to know I will definitely get started looking for someone through insurance.
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amother
Sienna
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Sun, Jan 05 2025, 3:03 pm
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amother
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Sun, Jan 05 2025, 3:33 pm
| amother OP wrote: | | Ok this is good to know I will definitely get started looking for someone through insurance. |
ei proccess takes time too. and there is a 30 day wait before private pt is approved once your services are approved.
hatzlacha!
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amother
Ultramarine
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Sun, Jan 05 2025, 4:29 pm
| amother OP wrote: | | Ok this is good to know I will definitely get started looking for someone through insurance. |
Beware, they will only reimburse at the EI rate, NOT private pay rates. In my experience they pay around half of what private PTs charge
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amother
Gladiolus
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Sun, Jan 05 2025, 4:32 pm
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There’s a shortage of good pts private or EI. I ended paying out of pocket because took too long for EI to get me someone for my baby
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amother
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Sun, Jan 05 2025, 8:38 pm
| amother Gladiolus wrote: | | There’s a shortage of good pts private or EI. I ended paying out of pocket because took too long for EI to get me someone for my baby |
Who did you use?
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amother
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Sun, Jan 05 2025, 8:39 pm
| amother Opal wrote: | ei proccess takes time too. and there is a 30 day wait before private pt is approved once your services are approved.
hatzlacha! |
Ok I will get started on both
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