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Speech Therapy New Jersey

Insurance Companies

Audiology New Jersey

Confused…Anxious…Frustrated? – We Can Help!

Insurance companies

Understanding your insurance benefits can be difficult and time consuming. For this reason, Speech and Hearing Associates has dedicated employees who work one-on-one with you and your insurance provider to ensure that there are no surprises at the time of treatment.

Here’s what our patients have to say about our insurance team:

“I wanted to take the opportunity to reach out to you and express my sincere gratitude towards Gail Zanzalari. My son has been receiving speech therapy twice a week in the Park Ridge office since the fall of 2017. My insurance has been a bit troublesome, beginning with his early intervention services. As you can only imagine I have spent countless hours on the phone with BCBS trying to resolve this. Working with Gail has been a pleasure. She is a true advocate for all the patients at speech and hearing. She walked me through the entire process making sure that I understood exactly what needed to be done. She was always on point and responded quickly to myself as well as the insurance company. This situation has been quite trying and if I was not working with Gail I can only imagine how the insurance company may have “bullied me” into paying out of pocket for services that are indeed covered. No matter how many times BCBS requests paper work from Gail she sends them, again and again. I cannot express enough my sincere gratitude for Gail. I only wish other parents in similar situations have the opportunity to work with such a knowledge, caring, persistent individual.”

Most insurance companies will cover the cost of an audiological evaluation with a referral from your primary care physician (PCP). Medicare will cover the cost of a “diagnostic audiological evaluation” with a referral from your PCP. Some Unions and Private insurers also provide coverage for hearing aids.
Call us for details.

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 insurance plans have a speech therapy benefit that covers therapy for most conditions including developmental delay1. Other plans may exclude speech therapy that they consider to be educational, not medically necessary3, or not restorative5. Each plan is different, and much depends on the policy details purchased by the employer.

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 help you through this process.

Please keep in mind that when insurance does not cover speech therapy, it does not mean speech therapy is not needed. Regularly attended therapy sessions paired with regular practice at home can make a tremendous difference and result in relatively short term results. For many children and adults, speech therapy is not something that will continue indefinitely. If you are paying out of pocket, we may be able to help you budget your sessions.

  • One speech therapy session a week for 12 months will be 52 sessions. Paid privately, this will be $4160. ($346.67 per month)
  • Two speech therapy sessions a week for 3 months will be 26 sessions. Paid privately, this will be $2080. ($693.33 per month)
  • Two speech therapy sessions a week for 6 months will be 52 sessions. Paid privately, this will be $4160. ($693.33 per month)

If you compare speech therapy costs to other activities children engage in, such as music lessons, gymnastics, dance lessons, art lessons, etc, it is certainly not excessive. Consider the impact on your child’s future that being able to speak clearly and effectively will have.

We participate with the following insurance companies:

Speech-Language Pathology

Audiology / Hearing Aids