We provide this overview to help you understand the
nature of telepractice 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 insurance card.
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, Bob Grider, is in your insurance plan’s care network.
- Telepractice speech therapy benefits vary under insurance
plans. It is your responsibility to inquire about and be familiar with your telepractice speech therapy benefits before your first telepractice appointment. Ask about coverage,
exclusions, if Bob Grider 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 telepractice
speech therapy requires a physician’s referral. If your plan requires a referral, please call your primary care clinic to request it prior to your first appointment.
Please have it faxed to 952-929-1846.
- If your diagnosis does not meet your plan’s coverage
criteria for telepractice speech therapy, you will be responsible for all charges for your therapy.
- 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