{"id":757,"date":"2021-12-29T13:59:26","date_gmt":"2021-12-29T18:59:26","guid":{"rendered":"https:\/\/speechandhearingassoc.fm1.dev\/?page_id=757"},"modified":"2023-05-08T16:57:10","modified_gmt":"2023-05-08T20:57:10","slug":"insurance","status":"publish","type":"page","link":"https:\/\/speechandhearingassoc.com\/resources\/insurance\/","title":{"rendered":"Insurance Information"},"content":{"rendered":"\n

Confused\u2026 Anxious\u2026 Frustrated? \u2013 We Can Help!<\/h2>\n\n\n\n
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Understanding your insurance benefits can be difficult and time-consuming. For this reason, Speech & 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.<\/p>\n\n\n\n

Here\u2019s what our patients have to say about our insurance team:<\/p>\n\n\n\n

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 \u201cWorking with SHA\u2019s insurance team has been a pleasure. They are true advocates 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 me as well as the insurance company. I cannot express enough my sincere gratitude for SHA. I only wish other parents in similar situations have the opportunity to work with such a knowledgable, caring, persistent individual.\u201d<\/p>\n<\/blockquote>\n\n\n\n

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 \u201cdiagnostic audiological evaluation\u201d with a referral from your PCP. Some Unions and Private insurers also provide coverage for hearing aids.<\/p>\n\n\n\n

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).<\/p>\n\n\n\n

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<\/sup><\/a>. Other plans may exclude speech therapy that they consider to be educational, not medically necessary3<\/sup><\/a> or not restorative5<\/sup><\/a>. Each plan is different, and much depends on the policy details purchased by the employer.<\/p>\n\n\n\n

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 the date, time, and name of the person you speak with. We are available to help you through this process.<\/p>\n\n\n\n

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.<\/p>\n\n\n\n