You're Recovering From Stroke, Managing Disability, or Relearning How to Move.

Speech, Occupational & Physical Therapy

Why Therapy Gets Cut Off Right When You Need It Most

You had a stroke. You're relearning how to walk, talk, and use your arm. You're making progress. Your therapist says you need ongoing treatment. Then your insurance says you've hit your "limit" and won't approve more sessions.

You're devastated. You're still improving. You still need help. But the insurance company decides you're done.

Or you're managing cerebral palsy, recovering from accident, dealing with developmental delay—any condition requiring therapeutic support. And you're told: "That's all the therapy you get."

Fact #1: Research shows that members who continue therapy as long as clinical progress exists recover 40-60% better functional outcomes than those whose therapy is cut off at arbitrary session limits—because the brain needs consistent, ongoing practice to rewire after injury or manage disability.

Here's what most Medi-Cal members don't know: Your insurance covers Speech Therapy, Occupational Therapy, and Physical Therapy with NO SESSION CAPS—as long as you're making clinical progress, you get therapy.

Therapists and patients engage in various physical and occupational therapy exercises, fostering recovery and strength in a supportive environment.

What These Therapies Actually Do

Physical Therapy:

• Helps you move better and manage pain

• Improves strength, balance, and coordination

• Teaches exercises and techniques for recovery

• Helps after stroke, surgery, accident, or with chronic conditions

• Prevents falls and disability progression

Occupational Therapy:

• Helps you perform everyday activities (dressing, eating, bathing, cooking)

• Teaches adaptive techniques and equipment use

• Improves fine motor skills and coordination

• Helps with job-specific skills for employment

• Supports independence and quality of life

Speech Therapy:

• Helps with talking and communication

• Addresses swallowing difficulties

• Treats language and speech disorders

• Provides augmentative communication devices when needed

• Supports voice quality and respiratory function

All three are medically necessary services that genuinely improve function and quality of life.

Where Therapy Can Be Provided

Therapy isn't just in clinics. Services are available in:

• Outpatient rehabilitation clinics

• Hospitals and medical centers

• Skilled nursing facilities

• Your home (in-home therapy)

• Community settings

• Schools (for children)

• Telehealth (for specific services)

You get to choose where therapy happens—what works for your life.

Fact #2: Members with access to ongoing therapy show cumulative improvement over months and years—especially for conditions like stroke recovery, cerebral palsy, autism, and developmental disabilities where neuroplasticity requires consistent, long-term intervention. Arbitrary session limits ignore how healing actually works.

Who Qualifies for Therapy Services?

If you:

• Have Medi-Cal through Health Net or Health Plan of San Joaquin

• Are recovering from stroke, surgery, accident, or illness

• Have a developmental disability or chronic condition affecting movement or communication

• Have been prescribed therapy by your doctor

• Are making progress in therapy

You qualify for ongoing medically necessary therapy services.

You don't need to prove you're "sick enough." You don't need to have catastrophic injury. You just need therapy that's medically necessary for your recovery or function.

The Session Cap Myth

Many insurance plans cap therapy at 20-30 sessions annually. Medi-Cal doesn't. As long as your therapist documents clinical progress, therapy continues.

Clinical progress means:

• Measurable improvement in function

• Achievement of therapeutic goals

• Potential for further improvement

• Medical necessity for continued treatment

Not improvement towards being "perfect." Not achieving complete independence overnight. Real, measurable progress.

How Help Is Hope Connects You to Therapy Services

Our care team helps Medi-Cal members access comprehensive therapy services through in-network providers.

If you need therapy:

1. Complete our intake form and tell us about your therapy needs

2. Our team connects you with licensed therapists in our network

3. We ensure your therapy continues as long as you're making progress

4. We coordinate therapy with your overall recovery and health goals

Learn more about how our Enhanced Care and Community Support services include therapy coordination and recovery support.

Recovery Takes Time

Your brain, your body, your function—these don't recover on a corporate insurance timeline. They recover on a biological timeline.

You deserve:

• Therapy that continues as long as you're progressing

• Professional expertise in your specific condition

• Coordination between all your therapists

• Services in locations that work for you

• Therapy goals focused on YOUR recovery, not insurance company profits

Book a session with our care team and let's connect you with speech, occupational, or physical therapy services. Your Medi-Cal plan covers unlimited therapy as long as you're making progress.

Stop letting arbitrary session caps limit your recovery. Get the ongoing therapy you need for real, lasting improvement.

Enhanced Care & Community Support

30min

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Hope is not a luxury. It is a lifeline. Let us help you recover fully.