When you are investing in therapy for your child and your family, you are investing in your future and the future of your child. While the benefits of therapy last a lifetime, we realize that paying for services can be a financial issue for families. In an effort to ease the burden, we offer several different payment options, as well as an interest free financing opportunities.
Please call your insurance provider and find out your copay and deductible!
Out- Of -Network Provider
What is an Out-Of-Network Provider?
An out-of-network provider is when you pay us directly. We provide you with a monthly receipt (superbill) of paid speech and language therapy services, which you then submit to your insurance company for reimbursement. Payment (cash, credit card, paypal, or check) is expected on a weekly basis.
Please call your insurance company to find out if you are eligible for out-of-network benefits (you pay us and the insurance company reimburses you) for speech language therapy and/or evaluation reimbursement. We do not accept insurance payments.
When you call to ask, you can provide the following CPT code(s) based on your child's needs:
Evaluation:
92522- evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
92523- evaluation of language expression and comprehension (receptive language) AND evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
92610-feeding assessment
92521- evaluation of speech fluency (stuttering, cluttering).
92524- behavioral and qualitative analysis of voice and resonance.
95- Telepractice services.
** An evaluation is not always necessarily required. Contact us to find out if you can just begin with therapy.
Therapy:
Language Therapy: 92507
Feeding Therapy: 92526
They may also require a diagnosis code (ICD-10), which we can provide following an evaluation. Ask your insurance company for their medical coverage policy for speech language therapy in the state of NY. It will contain a description of their policy and list of ICD-10 codes that are covered for speech language therapy.
Medical Necessity and Insurance
Speech language therapy is only reimbursable through insurance if they deem it to be medically necessary. We can provide an explanation of medical necessity following an evaluation. If your insurance company requests a predetermination note, ask your physician.
Many insurance companies reimburse for out-of-network speech language therapy when there is a significant speech-language delay for children under 36 months, once you meet your deductible. Ask your insurance company if they have a New York State Speech Therapy and Early Intervention Program (birth to three years old).
For more information on medical necessity, check out ASHA's Definition of medical necessity in their handout by clicking here. (It's on page 9!)
My Insurance Plan Does Not Cover Speech Therapy! What do I do?
Tell your employers to check this page out to get the information they need about adding speech, language, and hearing benefits to your current insurance policy. You can request a one time exception if there are no therapists in the area providing the service that your child requires. We can work with you to set up a payment plan! Don't let cost be the reason you don't get help for your child.
An out-of-network provider is when you pay us directly. We provide you with a monthly receipt (superbill) of paid speech and language therapy services, which you then submit to your insurance company for reimbursement. Payment (cash, credit card, paypal, or check) is expected on a weekly basis.
Please call your insurance company to find out if you are eligible for out-of-network benefits (you pay us and the insurance company reimburses you) for speech language therapy and/or evaluation reimbursement. We do not accept insurance payments.
When you call to ask, you can provide the following CPT code(s) based on your child's needs:
Evaluation:
92522- evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
92523- evaluation of language expression and comprehension (receptive language) AND evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
92610-feeding assessment
92521- evaluation of speech fluency (stuttering, cluttering).
92524- behavioral and qualitative analysis of voice and resonance.
95- Telepractice services.
** An evaluation is not always necessarily required. Contact us to find out if you can just begin with therapy.
Therapy:
Language Therapy: 92507
Feeding Therapy: 92526
They may also require a diagnosis code (ICD-10), which we can provide following an evaluation. Ask your insurance company for their medical coverage policy for speech language therapy in the state of NY. It will contain a description of their policy and list of ICD-10 codes that are covered for speech language therapy.
Medical Necessity and Insurance
Speech language therapy is only reimbursable through insurance if they deem it to be medically necessary. We can provide an explanation of medical necessity following an evaluation. If your insurance company requests a predetermination note, ask your physician.
Many insurance companies reimburse for out-of-network speech language therapy when there is a significant speech-language delay for children under 36 months, once you meet your deductible. Ask your insurance company if they have a New York State Speech Therapy and Early Intervention Program (birth to three years old).
For more information on medical necessity, check out ASHA's Definition of medical necessity in their handout by clicking here. (It's on page 9!)
My Insurance Plan Does Not Cover Speech Therapy! What do I do?
Tell your employers to check this page out to get the information they need about adding speech, language, and hearing benefits to your current insurance policy. You can request a one time exception if there are no therapists in the area providing the service that your child requires. We can work with you to set up a payment plan! Don't let cost be the reason you don't get help for your child.
Fees and Discounts
Travel Fee: If you are outside of our areas of service, there is $2.00/mile charge each way.
Insurance: If your insurance company requires us to provide additional information, notes, or contact with them beyond the superbill we provide to you, a fee of $37 / 15 minutes will be applied to the credit card on file. This would be discussed with you prior to completing any paperwork or charging your card.
Late Cancellation Fee: If you cancel a session with less than 24 hours notice or fail to show up for your appointment time, a $85 will be charged to the credit card on file. We make exceptions for last minute illness.
Multi-Session Discount: We do offer slight discounts for back-to-back sessions at your home for siblings.
Group Rate Discount: We also offer group rates if you create a small group (2-3 students) at your home, and these students have similar goals. We are not responsible for putting these groups together.
Military/Service Members Discount: If you were injured as a result of your service, we offer a discount for your therapy.
Pay as You Go - Pay each session prior to treatment at the beginning of service
Pre-Pay Discount - Please ask if there are pre-pay discount available if you pay in full for therapy for the scheduled session you have for the month
Interest-Free Installments - We can offer interest free installments that include the evaluation cost and the cost of therapy for families that book at least 4 or more times per month at a plan that works for your budget!
Insurance: If your insurance company requires us to provide additional information, notes, or contact with them beyond the superbill we provide to you, a fee of $37 / 15 minutes will be applied to the credit card on file. This would be discussed with you prior to completing any paperwork or charging your card.
Late Cancellation Fee: If you cancel a session with less than 24 hours notice or fail to show up for your appointment time, a $85 will be charged to the credit card on file. We make exceptions for last minute illness.
Multi-Session Discount: We do offer slight discounts for back-to-back sessions at your home for siblings.
Group Rate Discount: We also offer group rates if you create a small group (2-3 students) at your home, and these students have similar goals. We are not responsible for putting these groups together.
Military/Service Members Discount: If you were injured as a result of your service, we offer a discount for your therapy.
Pay as You Go - Pay each session prior to treatment at the beginning of service
Pre-Pay Discount - Please ask if there are pre-pay discount available if you pay in full for therapy for the scheduled session you have for the month
Interest-Free Installments - We can offer interest free installments that include the evaluation cost and the cost of therapy for families that book at least 4 or more times per month at a plan that works for your budget!
If you still feel therapy is out of reach, please contact the below organizations and apply for grant funding for therapy services or we can in some cases work off a consultative model!
Speech Therapy Grants
Small Steps in Speech
First Hand Foundation
Orange Effect
UnitedHealthCare Children’s Foundation
Modest Needs
Brightstepsforward.org
Challengedamerica.com
Special Kids Therapy
Giving Angels
Helpingfromheaven.org
Joniandfriends.org
Friends of Man
Variety Children's Charity
Maggie Welby Foundation
Autism Grants
Danny’s Wish
ACT Today
Kulturecity.org
Www.itaalk.org
Autism Care Today
Giafoundation
Ady’s Army
Blooming with Autism
Benefits.gov
Autism Support Network
Aid for Autistic Children Foundation
Nationalautismassociation.org
Autism Now - State Assistance Programs
Ezra B Smith Foundation
Our number one goal....
is to help as many families as possible!
Payment Options
We also accept the following methods of payment: Cash, Check, ACH Bank Transfer