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Private Pay & Out-of-Network Billing Options

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.  We will submit a claim on your behalf as a courtesy.  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.  If the clinic is reimbursed the amount will be credited to your account and future payments for services will be adjusted accordingly.  Written reports will be provided upon request from your insurance company as needed. 

Private Pay Occupational Therapy and Speech Therapy

Initial Evaluation Fee is $350.00 if parents intend to receive follow up services if the child qualifies.  Those needing an evaluation only, without intent to be served by Sensational Kids, will be charged an evaluation fee of $500. The initial evaluation fee includes an evaluation and a written report.  If standardized testing is not required, a consultation fee of $175.00 will provide a one hour consultation and written report/treatment goals. Occupational therapy treatment sessions are $140.00 for one hour session.  Speech therapy treatment sessions are $100.00 per half hour. If your insurance is out of network and you do not have coverage for therapy, we do offer a “Same day discount price”. To qualify for this price, your payment must be paid the same day as service. Occupational Therapy Same Day Discount Price is $120.00 for one hour session.  Speech Therapy Same Day Discount Price is $60.00 for half hour session, and $120.00 for one hour session.  Full hour sessions for Speech Therapy are at the discretion of parent and therapist, based on child’s needs, however family budgets are taken into consideration when planning the number and frequency of visits.  If a child receives both speech (1 hour session) and occupational therapy (1 hour session) at this facility, a twenty-dollar discount will be given on each service.  Additional services provided include attending an IEP meeting ($125.00) and performing school observations or home observations for up to 1½ hours ($150.00). All payments are due at the time of service.

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