So the TEFRA status is now pending! Yay!
TEFRA picks up everything that insurance doesn’t as well as what Early Intervention doesn’t cover. Now, this doesn’t mean that we’ve been approved but it means our application has been submitted. We will know in 3 – 6 months if we have been covered by TEFRA.
Pending status also mean that we are covered in pending status retroactively for the past 3 months! So, the swallow study with barium (that he was allergic too!) back in December is covered! We get reimbursed for what we had to pay! All his therapy that we would’ve had to pay out of pocket will be covered. Luke’s daily medications are paid for too as well as co-pays and everything we have to pay until we meet our deductible is covered too. Everything at ACH we will be reimbursed for and hopefully we will be reimbursed for this year at the pediatricians clinic. We go there about 1 – 2 times a month sadly. (We were there today as a matter of fact.)
What a blessing. Pray that we get covered by TEFRA.
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