Potty Training Trough Insurance

Great first question! Welcome to MP!

I'm an insurance agent and I've never heard of this. Call your insurance company and ask them. Good luck.

I am beyond confused, why would insurance cover it? Do they even have out of the home potty training?

Another issue you just answered this on another person's question. So if you are already scamming diapers out of insurance why ask what you claim to already know?

I would ask why you need to *pay* for potty training, but I suppose with a child with autism, it might be considered a part of therapy? If your child sees a physical or occupational therapist, you may want to ask them if that can be covered by their services. If you don't already have a therapist, I would suggest looking in your insurance's provider listing and give a few of them a call.

I have a friend with a daughter that, while isn't autistic, has multiple other developmental disabilities. I think she was finally trained at 5. I don't think insurance will help unless there is a medical problem. Persistance and patience. My daughter (6) still wears pull ups at night even after a bladder surgery that I thought would help. But she is a deep sleeper - her pedi and urologist said not to worry about it.

But - talk to your pedi for suggestions!

Good luck.

Definitely call your insurance company and discuss this with them. If toilet training is part of your child's IEP and your child's pediatrician recognizes the issue at hand then often insurance will either help to cover the cost of diapers if they are deemed a medical necessity. I'm not aware of your child's abilities but 5 is still on the younger end for successful toilet training for many children with autism; again this is all dependent on your child's abilities.

I'm the parent to a 5 year old nonverbal autistic child whom we're diligently working on toilet training. Hopefully in time it will come but patience and persistence are key. It is imperative that you speak with your child's pediatrician, your insurance company and any and all teachers or specialists your child works with to see if toilet training is even a possibility at this point in your child's life.

No, they will not pay for "potty training" because it is not medically necessary. However, if your child is receiving IEP services (or preschool IESP) AND independent toileting is a developmental goal for your child, you may be able to get a behavioral therapist in your home to assist you in extending the work being done in school. If your developmental specialist (pediatrician, neurologist, neuropsychologist) thinks that you need behavioral support in your home, he/she COULD write you a script for behavioral therapy. What you do during that therapy time is between you and the therapist.

Don't be surprised if this request gets denied, but it's worth a shot.