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My health plan informs me that I have exhausted my rehabilitation benefits. How can I appeal this decision and obtain coverage for additional audiology or speech therapy services?

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My health plan informs me that I have exhausted my rehabilitation benefits. How can I appeal this decision and obtain coverage for additional audiology or speech therapy services?

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Many health plans have limited rehabilitation services. They have a predetermined cut-off point for post-operative cochlear implant services. However, you may be able to get extended medical benefits based on your need for more services by having your clinician argue your case. You may have an easier case if your child is the implant user. The manufacturer of your implant may help your clinician develop the case.

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