Ohio Insurance Initiative, a committee of the Ohio
Speech-Language-Hearing Association, was formed in southern Ohio to
investigate methods of improving 3rd party reimbursements for speech
and/or hearing services. Committee members are from hospital,
university, clinic, private practice and school work settings.
This committee represents a unified effort from our professionals to
advocate in multiple arenas. The following is a summary of their
Insurance Initiative Goals and Objectives
/ Family Advocacy: Educate and empower families of children
with speech, language and hearing needs to advocate for improved
health insurance coverage. Facilitate insurance authorization and
appeals process for our families.
Advocacy: Educate employers, unions and other purchasers of
health benefits about the limitations of most insurance plans for
pediatric speech, language and hearing services. Provide
information regarding the availability and cost of riders/expanded
- Legislative Advocacy: Pursue
legislative advocacy for improved coverage of pediatric speech,
language and hearing services.
- General Public / Media
Advocacy: Educate general public about limitations of most
insurance plans for pediatric speech, language and hearing
services. Highlight struggles of families battling with insurance.
Plan Advocacy: Collaborate with insurance plans in efforts
to expand coverage. Educate insurance plans about the value of
speech, language and hearing services. Work to streamline
administrative procedures to increase efficiency and reduce cost for
both insurance plan and health care provider.
- Health Care Advocacy
& Hearing Professional Advocacy: Publicize initiative
to speech-language pathologists and audiologists. Encourage other
states to join in the effort.
Care Provider Advocacy: Target education of local hospitals and
health care organizations. These organizations are devaluing the
very services they provide by not covering these services for their own
Advocacy: Educate physician groups about the limitations of
most insurance plans for pediatric speech, language and hearing
services. Provide information on how physicians can help
including example letters of medical necessity for appeals.
Obtain Funding to Further Initiative by applying for grants from
speech & hearing professional organizations and other organizations
dedicated to health care and children.
Funding for this project was made possible by the
2005 FOCUSED Initiative STAR Grants for
Private Health Plan Reimbursement awarded to the