Insurance

Most insurance companies will cover the cost of a speech and language evaluation. It is your responsibility to know if your plan requires a referral from your primary care physician (PCP).

While most insurance plans do cover "speech therapy", they typically do so only in the case of "speech disorders that are due to an accident, injury, or illness". Most plans specifically exclude anything that they consider to be "educational" and not "restorative".

It is very important for you to review the benefits information provided by your health plan. Call your insurance company and ask about limitations and exclusions. Ask for clarification in writing from the plan administrator. Always keep a record of all correspondence and telephone calls, including date, time, and name of person you speak with. We are available to assist you if necessary.

We are Providers for the Following Insurance Plans

• AETNA
• BLUE CROSS BLUE SHIELD (ALL PLANS)
• HUMANA
• PHCS
• GREAT WEST

Tips for Calling Insurance Carriers

At times, dealing with insurance companies can be a hassle. Below are some helpful tips on how to ensure your speech therapy visits are covered by your insurance company:

• Contact your insurance company and ask if they cover speech therapy. If they do cover it, is there a limitation on visits per calendar or contract year?
• Do you need a referral from your primary care? If so make sure the physician calls it in before your appointment.
• You MUST get an ORIGINAL prescription from the referring physician for the services you are receiving along with a diagnosis. The physician can send it to us at 6075 Atlantic Blvd. Suite G-1, Norcross GA 30071, or bring it in with you on the first visit. We can not treat anyone without a prescription.
• When you have a limitation on visits it is your responsibility to keep track of how many you have had for the year.
• Notify PediaSpeech Services, immediately when you change insurance companies.
• If you have two insurance companies and your primary carrier has a co-pay, you must pay the co-pay at the time of service.
• Keep all explanation of benefits from your insurance carrier.
• You are responsible for all charges not covered by the insurance company.

Although we are willing to bill all insurance companies, we are not networked for all of them.

Should you have any further insurance-related questions, please call 770-209-9826, Ext. 100.