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• Becoming a Patient
• Insurance

Insurance

We are in-network with the following insurance companies:

• Blue Cross Blue Shield
• CHIP Medicaid
• CIGNA
• First Health
• Great-West
• Health Net
• HealthSmart
• Humana
• Medicaid
• Meritain Health
• MultiPlan
• PHCS
• Superior/Superior STAR Medicaid
• Texas True Choice
• Tricare
• United Healthcare

Your cost for therapy varies based on your individual insurance plan. If you are an existing patient with an insurance change or concerns, please contact our billing office.

Know What Your Insurance Covers

Many insurance plans cover therapy services, but there may be certain conditions that apply.

It’s important to know what your plan will cover before your child begins therapy.

Call your insurance company to find out what services your plan covers. Here are some questions you should ask:

• Does my plan provide coverage for the type of therapy my child needs?
• What do I need to do to obtain authorization for therapy services?
• How many therapy sessions are allowed under my insurance plan?
• How can I make sure all the necessary referrals are in place?

It is your responsibility to understand your insurance coverage. As part of the intake process, our intake coordinator will also speak to your insurance company and can help explain your benefits:

• We will contact your insurance company to verify your eligibility for therapy benefits. It is important to note that the insurance company will state that a quote of benefits does not guarantee coverage and that payment is subject to further approval.
• We will determine if prior authorization or pre-certification is needed for services. If it is required, we will follow the steps necessary to obtain authorization for therapy services.
• We will assist you with any other insurance questions you might have.

Your Responsibility as Parent/Legal Guardian

You are responsible for payment of therapy services if your insurance plan denies coverage. Insurance companies can deny payment for services even after they have authorized visits if they do not think the services are medically necessary. The decision to pay for services is made by the insurance company when the claim is received, and is based upon the insured person’s eligibility on the date of service.

You can help catch problems early by reading your EOB’s (Explanation of Benefits). An EOB is generated for each we claim submit to your insurance company and is your guide to the services you have received, what you were charged, what insurance covered and how much you owe. If you think you see a problem, contact our billing department immediately.

If you are unsure about whether your child’s therapy is covered, wait to schedule to the appointments. Although you may schedule your child’s therapy prior to obtaining insurance authorization, you are responsible for payment if the sessions are not authorized.

If Therapy Coverage is Denied

• You can make an appeal to your insurance company for reconsideration. Contact your insurance company’s Member Services department for an explanation of how to make an appeal.
• You can also ask your child’s therapist to assist you by writing a "Letter of Medical Necessity" to the insurance company.
• If services are not covered, we offer a “cash pay” program at a discounted rate.

Start of Care

If you have been confirmed as a new patient, please fill out our Start of Care and bring it to your first appointment.
Click to download (PDF)