Speech Pathology and Occupational Therapy Services

Communicare, Ltd., Inc. is an out-of-network provider of speech/language, feeding, and occupational therapy services.

Payment is expected at the time services are rendered.  We accept:

            *Cash and personal checks

            *VISA/Mastercard, Discover, and American Express

            *Debit cards linked to flexible spending/medical accounts.

A Pre-Pay discount package is offered for 5 sessions or more

Monthly statements with  provider identification, diagnosis and procedure coding are sent via email, unless otherwise requested.

Tips for Reimbursement:  Know Your Policy

Determine if your policy is an HMO, PPO, or POS. 

         *HMO plans require individuals to receive services from an "in-network"                            or participating provider
         *PPO and POS plans may allow services from "out of network" providers. 

Determine if you have speech therapy benefits in your coverage.

         *Plans may cover only "medically-related" or "restorative" services

         *Plans may be limited to a specific number of visits, or only applicable to                               specific diagnoses.

Specific questions to ask your agent/company include:

         *My child is ____ years old.  Does our policy cover his speech services?

         *What conditions will insurance specifically cover?

         *What ICD-10 (diagnosis) codes and CPT (procedure) codes are covered for                         reimbursement?

         *Do I need to obtain a prescription for therapy services?

         *Do I need to obtain precertification for therapy services?

         *Which conditions are specifically excluded from treatment?

         *How many sessions will insurance cover per calendar year?  Is there a time limit per              session?

         *Do I have a deductible or co-pay?

         *Do I need to schedule all of the visits by a certain date?

Keep thorough records of dates, times of calls and the name of the representative who assisted you.