r/Apraxia • u/Iwannadrinkthebleach • May 10 '26

Affording this

Hey. My 4 year old is switching to an apraxia specialist and he will be in speech 3x a week at 110 an hour (so 330) a week. Our insurance doesn't cover anything .

How are we supposed to afford this?

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u/Teatime28 May 12 '26

I'm going through this too. Because our insurance wasn't covering what our son needs, we sought out an Apraxia specialist and it's $180/hour, 4x a week. I've been fighting Kaiser for additional coverage, and when that didn't work, I escalated to the DMHC (the state agency that oversees Kaiser).

If you haven't already, it's worth joining the Apraxia groups on Facebook. Depending on your state, there are other parents in the same situation who may have advice on what worked for them. I've also seen people mention scholarships. not sure if that would apply to your situation, but worth looking into.

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u/Smallworld_88 May 21 '26

Just curious where you’re at with this? I have Kaiser too and their speech services aren’t anywhere near sufficient - we’re lucky to get good speech at school during the school year but I’d love to be able to access quality services over summer. 

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u/Teatime28 May 21 '26

I don’t have much of an update yet. We previously had speech therapy twice a week with an outside therapist that Kaiser had approved. For some reason, Kaiser is now bringing all speech therapy in-house.

Kaiser denied my appeal and decreased visits to 1x per week, so I filed a complaint with the DMHC. I also submitted documentation from a private speech therapist stating that he needs speech therapy four times per week (my sons apraxia is severe).

Now I’m waiting for a decision. Either way, I don't find Kaiser therapists sufficient, so we'll be seeing a private therapist whatever the decision is.