Sent the Report to HealthNet

I stopped by the Post Office today after dropping William off at the Children World Preschool to send the form and the report to HealthNet insurance company to start the process of receiving ABA services from them.  This is the report that Dr. Kyle from RCOC prepared after our meeting.

The package is supposed to arrive on Friday.  I’m expecting a phone call from them next week to go over the process of how William will get the ABA benefits.

 

Calling HealthNet Insurance

Today at lunch time I tried to call HealthNet Insurance to find out if our policy has ABA (Applied Behavior Analysis) benefits.  Spent total of 40 minutes, talked to 3 different representatives and finally I got my answer: our policy covers ABA services fully, we don’t have to pay for co-pay either.  Jennifer, the Case Manager, who was the last person I spoke with, sent to my email an Assessment Form, asking me to fill it out and to send the form back along with the report that I got from Regional Center of Orange Country.   Once they receive the form and report, someone from the Autism Center will contact us and will work out the the next steps.

Meeting with Service Coordinator from RCOC

Kim Than’ card

Monday 4/3/2017 9:00 AM.  Had an appointment with Kim Than, our new service coordinator from Regional Center of OC; Thuy-Nhi Vo, Early Start Service Coordinator was our service coordinator but she only takes care of cases for children that age from 3 years old or less.  That’s why our case is transferred to Kim Than.  She came to our home as agreed; a very nice & young lady.  She asked us a few questions about William (when he throws tantrum, what he does when he’s mad, how’s his health, his eating. etc).  Then she went over the services that RCOC can offer:  ABA services, Respite and Daycare.

ABA services annual fee

ABA: RCOC only covers the ABA service expenses if our health insurance does not cover; they can also help to cover the copay.  We need to pay an annual fee depends on the family income, max amount is $200.00.

 

 

 

 

Respite & Daycare sharing cost

 

Respite: RCOC will help to pay the expenses for someone to babysit William; but we have to share the cost depending on the family income.

Daycare: same as Respite, RCOC will help to pay the tuition fee; but we have to share the cost depending on the family income.  RCOC will pay only $8.75/hour, we have to pay the difference plus the shared cost.

The meeting lasted for about 40 minutes.

So what we need to do:

  • Call the Insurance company to find out if our policy covers the ABA services for William
  • Send the pay stubs to RCOC so that they can determine the share of cost that we’re responsible for.
  • Also send RCOC a letter from my employment stating that I’m working there currently.