We provide this overview to help you understand the
nature of speech therapy under medical insurance plans. Your specific plan can be explained by your company’s member service representative. You will find the phone number on the back of your
Decision on your claim may be subject to medical
review by your insurance company.
- Specific insurance plans may require you to see health care
providers in a specific care network. Please verify that our clinic is in your insurance plan’s care network.
- Speech therapy benefits vary under insurance plans.
It is your responsibility to inquire about and be familiar with your speech therapy benefits before coming to our office. Ask about coverage, exclusions, if our clinic is in your care
network, and if a written doctor’s referral is required.
- A plan may only cover rehabilitative speech therapy services
deemed “medically necessary” such as those needed for treatment due to “injury, stroke, cancer, congenital anomaly, autism spectrum disorder or following cochlear
- Member services will be able to confirm whether speech
therapy requires a physician’s referral. If your plan requires a referral, please call your primary care clinic to request it prior to visiting our clinic. You may bring it with you to your
evaluation or your doctor’s office may fax it directly to us at 952-929-1846.
- If your diagnosis does not meet your plan’s coverage
criteria for speech therapy, you will be responsible for all charges for services received at our clinic.
- If your claims are denied because your diagnosis does not
meet the criteria for coverage under your plan, you have appeal rights. We can provide you documentation from your medical records for that appeal; however we cannot submit the appeal for
you. Member services can help you with the appeal process.
Medicare Not Accepted