Non-Covered Rehab expenses for People with Special Needs

This newly published report by the Kaiser Foundation uses examples of three people with special needs—a seven-year-old born prematurely, a 50-year-old man with a spinal cord injury, and a 45-year-old woman with a developmental disability. It compares their estimated expenses with coverage provided by the Blue Cross Blue Shield Standard Option plan. However, out-of-pocket cost-sharing expenses were estimated to be $5,000 annually for the three cases profiled. In addition, BCBSSO places caps on coverage for certain kinds of care, in particular a 75-visit annual limit on rehabilitative care. Such a limit would add annual costs of $8,000 to nearly $12,000 for the two adults cases profiled. Finally, BBSCO falls short in providing necessary long-term services and supports for individuals with disabilities, such as personal care and case management. Thus the three patients would each need to spend out of pocket an additional $16,000 to $17,000 annually for their uncovered long-term care. Read the full article here: http://psychservices.psychiatryonline.org/cgi/content/full/60/10/1409

David Dubats, Founder, Second Step, Inc.

Please visit www.secondstepinc.com to find out more about the results oriented, clinically proven Gait Harness System® (GHS) and NEW Gait Harness System® II (GHSII). Many severely injured individuals who are using the GHS, and who were unable to walk in the 5, 10 and 20 plus years post their injuries, are now beginning to stand and walk again for the first time. The GHS helps individuals regain healthy functioning after challenges due to spinal cord injury, traumatic brain injury, stroke, cerebellar degeneration, orthopedic, neurological, lower extremity amputation, Parkinson’s, Alzheimer’s, and other ambulation, gait and balance rehabilitation issues. The GHS is used world-wide in a broad spectrum of out-patient, in-patient, and home enriched environments.

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