Frequently Asked Questions

Q: Do you take my insurance?

We currently accept the following insurance plans: Anthem/Blue Cross Blue Shield, Aetna, Paramount, Medical Mutual of Ohio (MMO), CareSource, FrontPath, Humana, and United Healthcare/UMR.

If your insurance is not listed above and your policy has out-of-network benefits, you may be able to submit provided invoices / superbills to your insurance company for reimbursement, depending on your insurance policy. We provide the superbills, but we do not contact your insurance company. Most insurance plans cover one evaluation per year, excluding co-pays, co-insurance, or deductibles. Some insurance plans have limitations regarding diagnosis codes or visit limits. Many insurance policies require a co-pay or co-insurance per therapy visit after meeting the deductible.

For Ohio Medicaid Members: We currently accept Anthem Medicaid, CareSource Medicaid, and Humana Healthy Horizons.

Please note: We do not conduct insurance verification via phone calls. It is incumbent upon you to contact your insurance provider to verify coverage. This involves requesting details such as whether prior-authorization is necessary, coverage of specific diagnosis codes, and the annual allowance of visits. We can provide you with diagnosis codes and treatment codes to aid when making the phone call.

Q: Do I need a referral from my child’s pediatrician?

A: Yes, our office requires a referral to proceed with an evaluation or therapy. It is best practice to have a referral from a doctor. If you are going through your insurance company, an HSA, or an FSA, or if you are planning on getting reimbursed by your insurance company, a referral is definitely required.

Q: What should the referral say?

A: The referral/prescription must have a diagnosis code (examples include: F80.0; Phonological Disorder or F80.2; Mixed Receptive-Expressive Language disorder) and should say “evaluate and treat”. The referral can be brought in person on the day of the evaluation or can be faxed to +1 (419) 765-2074.

Q: If you don’t take my insurance, what are the costs for private pay?

A: Our fee schedule (effective 2026) for private pay is as follows:

  • Speech Evaluation: $200
  • Speech and Language Evaluation: $350
  • Speech Therapy Sessions:
    • 30 min: $70
    • 45 min: $105
    • 60 min: $140
  • Occupational Therapy Evaluation: $350
  • Occupational Therapy Sessions:
    • 30 min: $70
    • 45 min: $105
    • 60 min: $140

Q: Do we have to do an evaluation?

A: Yes. It is best practice to start with an evaluation so that the therapist can collect history, determine strengths and weaknesses, and set goals for therapy. If your child has been evaluated by a therapist outside of our organization within the past 6 months, that evaluation may be used to proceed with therapy.

Q: Tell me more about teletherapy.

A: For teletherapy, we can only accept patients who live in Ohio or Michigan. Some insurance companies do not cover teletherapy so the private pay rate would apply.