Appeal visit-limit denials and claims insurers mark as 'maintenance only.'

Appeal Your Physical, Occupational, or Speech Therapy Denial

Movement, recovery, and communication aren’t optional.

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Understanding Your Physical / Occupational / Speech Therapy Denial

Insurers often deny therapy by calling it "maintenance care" or limiting visit counts. Your appeal can correct that.

Common Reasons for Denial

! Maintenance only, not restorative
! Exceeded allowed visit limit
! Insufficient documentation of functional deficits

How We Help

We help you explain your functional goals, progress, and clinician recommendations clearly — things insurers typically overlook.

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Some Types of Evidence We Can Use For Supporting Your Appeal

✓ Rehabilitation therapies improve function, reduce disability, and can prevent more costly interventions or institutional care.

✓ Continuing therapy beyond arbitrary visit limits may be necessary when measurable gains are still being made.

✓ Therapy is considered medically necessary when it is expected to result in significant, sustained improvement in function.

Patient Advocacy & Support Organizations

These organizations provide education, support, and advocacy for patients:

American Physical Therapy Association

Professional organization advocating for physical therapy access and patient rights.

Frequently Asked Questions

Showing that therapy improves or prevents decline in mobility, strength, speech, or daily activities usually supports medical necessity.

Yes. Many plans allow exceptions when continued therapy is medically necessary. Your appeal can include progress notes and updated goals.

Absolutely. Progress notes, functional assessments, and a short letter from your therapist can significantly strengthen your appeal.

Ready to Fight Your Physical / Occupational / Speech Therapy Denial?

Our free AI-powered tool will help you generate a compelling appeal letter in minutes.

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Disclaimer: Fight Health Insurance is not affiliated with, endorsed by, or partnered with any pharmaceutical manufacturer, healthcare provider, medical device company, or patient assistance program. All information provided is for educational and informational purposes only and does not constitute medical or legal advice. Please consult with your healthcare provider regarding treatment options and with your insurance company regarding coverage decisions.