INSURANCE & BILLING
When it comes to the financial demands of therapy, it's helpful to understand all of your options. The cost of evaluation and treatment can vary depending individual needs. Our goal is to work with you to create a tailored plan that is focused on achieving the best outcomes while maximizing any benefits or savings available to you.
We provide flexible billing, payment and invoicing options for your convenience. We also offer reduced rates for uninsured families, or for individuals with high deductible plans or plans that don't cover speech therapy.
We accept all out of network insurances and we are able to provide you with a compatible billing statement with all the proper codes for you to obtain your out of network benefits. If your plan and coverage allow you can provide these billing statements to your insurance company to get reimbursed directly for therapy expenses.
We are in network providers for Cigna, United Healthcare and Humana. We are also an approved provider for the Florida Step Up For Students Gardiner Special Needs Scholarship.
VERIFYING INSURANCE BENEFITS
Most insurance companies will cover an initial speech and language evaluation. To verify your benefits, including therapy visit coverage, we recommend the following:
- Call your insurance company and ask if you have coverage for speech therapy treatment. Many insurance plans do not fully cover speech therapy services, even if it is a listed benefit of your plan. Often, they exclude certain diagnoses and developmental delays, unless there is a specific medical condition, accident, injury or illness. So check for exclusions, and speak to your doctor about any appropriate underlying conditions or diagnoses related to your difficulties.
- If your insurance plan asks for procedure or treatment codes to verify coverage, our most common codes are 92523 - Evaluation and 92507 - Treatment.
- If you do have coverage, verify any other limits, such as maximum number of visits, and any other requirements, including doctor referrals and pre-authorizations.
- Don't forget that any plan annual deductibles, co-pays, and co-insurances will also apply and should be considered in order to estimate your out of pocket contribution.