Speech & Feeding Therapy Health Insurance Summary

It is important that you review the speech and hearing benefits information provided by your health plan before you receive services.

Plan Information

We work with most major insurance plans including Blue Cross/Blue Shield, Cigna, United Healthcare, and TriCare Insurance in support of our local military families.

Contact us for more details on our insurance plan credentials.

Health benefit plans vary widely depending on the benefits and coverage levels of your plan. Sometimes, the benefits information on your health plan can be confusing.

Remember, the benefits booklet you receive is merely a summary of benefits and not the actual contract language. You may need to carefully examine the policy itself to truly understand your health plan’s coverage and limitations. When in doubt check with your insurance provider to confirm your benefits.

Speech and occupational therapy in Frisco Texas
Picky Eater

Understand Your Benefits

Coverage information for speech services may be included under ” physical therapy and other rehabilitation services ” or “other medically necessary services or therapies

Coverage of evaluations and/or assessment are “testing” and treatment is “therapy” services for most speech disorders.
Limitations and exclusions are typically located in a separate section, and might be referred to as “Things We Don’t Cover” or “Exclusions to Coverage”.

Get Permission Before Your Visit

We work with most major insurance plans including Blue Cross/Blue Shield, Cigna, United Healthcare, and TriCare Insurance in support of our local military families.

Contact us for more details on our insurance plan credentials.

Health benefit plans vary widely depending on the benefits and coverage levels of your plan. Sometimes, the benefits information on your health plan can be confusing.

Remember, the benefits booklet you receive is merely a summary of benefits and not the actual contract language. You may need to carefully examine the policy itself to truly understand your health plan’s coverage and limitations. When in doubt check with your insurance provider to confirm your benefits.

Speech and occupational therapy in Frisco Texas

Our therapy programs are personalized to address each child’s specific needs. Our licensed therapists are standing by to answer your questions.

EDUCATION VS OUTPATIENT SERVICE MODEL

Children may have access to speech and feeding services through the school system as well as through the medical system. Each system, however, has specific policies.

For example, school systems provide speech services only to children who qualify under a very rigid set of federal regulations and state education laws. Children who do qualify for speech services in the school system may be placed on a waiting list. Furthermore, speech-language pathologists, who provide speech services in the schools, typically have more children on their caseload than recommended. Supplemental therapy, from a independent therapy provider outside of the school system, reduces the time children spend in treatment.

Only when families seek (ask) supplemental services from their health plan, do they discover that the majority of health plans will not pay for services that may also be provided in a school setting. As a result, the child may become a ping-pong ball that bounces between the school and medical systems, and not receiving needed services.

Communication disorders affect an individual’s health and education simultaneously. Therefore, children are best served when providers (speech-language therapists) from both the school and medical systems work collaboratively to identify the best treatment setting for each child. Many times, children attain their best potential by being served in both settings simultaneously.

 

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