We understand that sometimes the most confusing part of treatment can be working out the billing and insurance details. Your insurance benefits for therapy services will be checked and reviewed with you in detail before your first visit to the clinic. At Connections Therapy our team is committed to providing the best experience as possible.
Connections Therapy accepts insurance as a form of payment. If your insurance is in network with us, we will file the insurance claims for you. Co-payment is due the day of service. If services are not covered for any reason by your insurance company, you will be responsible for payment in full. If you are concerned with the cost of therapy, please speak with our office manager about our payment plan options available.
Out-of-Network Insurance Carriers
If we are out-of-network with your insurance company, full payment of service is due the day of service. Depending on your insurance plan, out-of-network benefits may be payable after your deductible is met. Some carriers will reimburse you directly, while others will reimburse the clinic. At your convenience, Connections will provide you a superbill with codes needed to submit to your insurance provider for reimbursement. Written reports will be provided upon request from your insurance company as needed.
Private Pay Occupational Therapy, Physical Therapy, and Speech Therapy
We offer competitive private pay options. Please call the office at 830-755-8853 to discuss options.
Yes. A referral/prescription is required for billing purposes.
Many health insurance plans do provide benefits for Occupational, Speech, and Physical therapy, but, frequently there are limitations for this coverage. Limitations might be related to child’s age, diagnosis, or for the number of therapy sessions a child may receive per year. It is important for you to call your insurance company to see if your policy has any limitations.
The deductible is the amount you are required to pay before your insurance begins payment. The amount of the deductible varies per policy and may renew at either the calendar year or plan year depending on your individual policy. If you have a deductible and have not met it, payment is expected at each visit until your deductible is met.
After deductible is reached certain insurance policies have a required co-insurance due for each visit. The co-pay amount can vary per individual policy. Co-pays are expected to be paid upon arrival each visit.
After deductible is reached certain insurance policies have a required co-insurance due for each visit. This is the percentage that your individual policy requires you to pay of the allowed or contracted amount. Co-insurance amounts are due day of service just the same as all co-pay amounts.
Once the completed packet is returned to the office, and we have received all prescriptions needed from your physician, our team of billing specialists will verify your insurance benefits. Your packet will then be turned over to the front office staff for scheduling of an initial evaluation. When an evaluation date is provided, it is important for you to verify OT/PT/SLP service reimbursement with your insurance company.
Call our office at 830-755-8853. We will ask questions to determine which of our therapists is best suited for evaluating and treating your child. We will also ask about your health insurance coverage and a little about your child’s health history. We will listen to your specific concerns and description of your child’s difficulty and answer any questions you have about the therapy process.
No. If you are a private pay client (not using insurance benefits to pay for our services) a physician referral is recommended, but not required. We are happy to contact your child’s physician and coordinate obtaining any necessary referral. We do this via fax and doctors rarely refuse our request for a referral. If we will be filing claims with your health insurance carrier, a physician referral is essential as this helps us to prove that our services are medically necessary, as required for coverage.
Sometimes evaluations are completed in one 1-hour session. Other times, it takes two 1-hour appointments. It depends on your child’s age and what areas need to be tested. The parent is allowed to observe the evaluation, if desired, but it is important that the parent not prompt the child or tell them if their answers are right or wrong.
Yes. We want parents and the child to feel comfortable with the evaluation and therapy process. You are welcome to stay with your child, if desired.
