Updated: October 18, 2017
Speech therapy is often stated as a covered benefit by most insurances, though coverage is dependent on the member’s specific plan and a primary medical diagnosis. Coverage is most often provided when a someone has experienced an accident or physical injury (i.e. head trauma, stroke, etc.) resulting in the need for speech-language therapy. We will attempt to review each client’s history and physical (provided by the primary care physician) to identify a possible contributing medical diagnosis, but coverage is not guaranteed. If billing insurance, a referral from your physician will be necessary prior to evaluation.Atlanta Speech Therapy provides in-network billing for all plans with the following carriers:
- Blue Cross Blue Shield
- Tricare (preferred provider)
- Medicaid (currently scheduling evaluations only — please join our waiting list to be contacted when weekly therapy appointments become available)
We also provide courtesy out-of-network billing to all other insurance companies. We will complete all forms and accept the assignment of insurance benefits to minimize or waive your out-of-pocket costs. Private pay, at a discounted rate, is also available when your insurance does not provide coverage for treatments needed.
You should remember that your insurance policy is a contract between you and your insurance company. We do our best to ensure there are no surprise costs by verifying specific benefits related to the suspected diagnosis and treatment needed. We encourage you to be familiar with your benefits. Visit our blog for 10 Questions to Ask When Contacting Your Insurance Company. These questions are also helpful when contacting your carrier to determine if you have out-of-network benefits.
There are a number of other factors which play a role in coverage of services. Find out what to expect prior to your first visit. With a completed case history, we will contact private/commercial insurers and ask all necessary questions to provide you with a clear picture of your speech therapy benefits. A copy of the Benefits Verification Report will be e-mailed to you within 24 business hours. We strive to provide full disclosure regarding the costs of the therapeutic interventions you may need. No one likes financial surprises.
*We have begun the contracting process with this insurer
- Contact your insurance carrier to fully understand your policy — What Parents Need to Know About Speech Therapy Insurance Coverage.
- Other options in paying for therapies your child may need is offered by Small Steps in Speech, United Healthcare Children’s Foundation Grant, and Katie Beckett Deeming Waiver Program.
- Has insurance already denied treatment? Appeal a Speech Therapy Health Insurance Denial
- Additional funding assistance through Medicaid Waivers — 6 Georgia Medicaid Waivers Explained