THERAPY COSTS
FEES & POLICIES
An hourly fee for service rate is charged for individual evaluations and intervention. Clients are billed for the time spent rounded to the nearest 15 minutes. This may include, but is not limited to direct client contact, in-class observations, parent conferences either in person or via telephone, scoring and interpretation of test results, and report writing.
Travel fees apply for school visits and home visits.
Cancellations require 48 hours advance notice. Clients will be charged in full for cancellations made less than 48 hours in advance. The only exceptions are weather-related emergencies and illness provided advance notice is provided. In the event of extreme weather, we will decide mutually whether or not to hold the session. In the event that your child is ill, please notify me by 8 AM the morning of the appointment or as soon as you know that you won't be able to make it. "No shows" are charged at the full rate.
For full details regarding my rates and payment policy please request my "policies and procedures" document.
Insurance is not accepted; however clients with an "out of network" benefit may be eligible for reimbursement through their insurance company. See below for questions to ask your insurance company.
Any invoices not covered by insurance may be eligible to be submitted to the client's medical flexible spending account for reimbursement.
All dealings with insurance and reimbursement are handled directly by the client.
LEARN ABOUT “OUT OF NETWORK” BENFITS
OUT OF NETWORK: QUESTIONS TO ASK
If you would like to call your insurance company to find out about your “out of network” options. These are some questions you can ask. You want to find out what your coverage is for pediatric speech therapy and how your coverage works for out-of-network.
When you call you would ask if Speech therapy is covered. If they tell you it depends on the diagnostic code, use F80.0 as a baseline. So you would ask, “Is speech therapy covered for diagnostic code F80.0?” Note, diagnostic does vary, especially if you have an underlying medical condition, but this will give a good baseline.
Then you would ask if the therapy code 92507 is covered.
Next, ask what your out-of-network benefit is. Ask how many sessions are allowed per year and find out what your deductible is and what percentage they pay after you meet the deductible.
Also, ask what the usual and customary allowable reimbursement amount is for out-of-network in the 20817 zip code.
Lastly, ask how your benefit works and how you access them. (i.e. find out if you need pre-approval, pre-authorization, a doctor's note, a prescription, or any other documentation in order to access the benefit.)
Make sure you document the time of the call and the person you are speaking with for your records.
OPTIONS FOR “IN-NETWORK”
OTHER OPTIONS: THERAPISTS THaT ACCEPT INSURANCE
I fully realize that sometimes you need to be “in-network” with your insurance and I get it. If you are looking for a practice that accepts insurance, these are the practices I know of. I do not make any claims about the practice, the owners, or the therapists.