Frequenly Asked Questions...
Many families are curious to know if we accept insurance or if their insurance covers Speech and Myofunctional Therapy.
Please see below for more information
Understanding Speech Therapy Insurance Coverage
We are currently an out-of-network provider for all insurance plans.
We require payment upfront for services. However, many of our clients still receive reimbursement from their insurance companies. We recommend contacting your insurance provider before scheduling an assessment to understand your out-of-pocket costs better. We cannot guarantee insurance reimbursement. You are responsible for understanding your specific plan details and managing communication with your insurance company.
*If your child is insured through Medi-Cal, or any other Medi providers, the process is different. Please contact us directly to learn more.
Questions to ask your insurance provider:
Out-of-Network
Does my plan cover out-of-network speech therapy?
Our National Provider Identification #1679186217
Deductibles/Co-Pays
Do I have a deductible or copay? If so, how much?
Doctor's Referral
Do I need a referral or prescription from a doctor before starting speech therapy? (We as a practice do not need this before you start, but your insurance might)
Session Limit
How many therapy sessions are covered?
Covered Billing Codes
Do you cover these codes?
Speech Evaluation: 92523
Speech Treatment: 92507
Myo Evaluation: 92610
Myo Treatment: 92526
Authorization
Is a prior authorization or pre-certification required?
Superbills
All of our private-pay clients receive automated superbills on the first of every month. This superbill is similar to an invoice but it lists all of the information your insurance provider should need to process a claim on your behalf.