Thanks Charm - I really appreciate the information that you posted. I know my mom is really nervous because their insurance hasn't denied, but has questioned so far, every time that they have even seen the speech pathologist. So it is discouraging to think that Vital Stim might not be covered???? I just pray all of the time that something will help my dad learn to swallow again and eat normal food. He's ok most of the time and is such a positive man, but not being able to eat is really wearing on him.