We are an out-of-network provider

 

In detail

We are a 100% private pay practice and are out of network with insurance companies at this time. This means that we cannot bill insurance directly for services; however, we can provide you with a superbill. A superbill is a detailed document that you can submit to your insurance company when seeking reimbursement for therapy services through your insurance plan's out-of-network coverage benefits. Please call your insurance company before scheduling an appointment to determine the benefits outlined in your plan.

Determining out-of-network benefits

When calling your insurance company, ask a representative the following questions:

  • Does our plan include reimbursement for out-of-network services?

  • If yes - Does it cover habilitative speech therapy? (CPT code/s: 92507 and 92523).

  • If yes - Is pre-authorization required? And from who?

  • Is there a list of accepted and/or excluded diagnoses? (For example: language delay, autism, sensory processing disorder)

  • Is there a cap on the number of sessions per calendar year?

  • What is our deductible and co-insurance for out-of-network services?