Our Current Rates and Insurance Contracts We are contracted with most popular insurance providers such as Aetna, Cigna, Coordinated Care, First Choice, HMA, Kaiser, Lifewise, Medicaid/CHPW, Medicare, Molina, Premera Blue Cross, Regence, United Healthcare, but this is not a complete list. It is very important for parents, guardians and caregivers to know which services are covered and which are not as the financial responsibility is ultimately yours.
Please contact our office for evaluation and treatment rates.
To determine your child’s insurance coverage for therapy, download the Payment Contract. To fill out this form, call the 800 number listed on the back of your insurance card to find out your outpatient occupational or physical therapy coverage. Talk with a representative; do not use an automated system. keep a record of all communications with your insurance company.
It is ultimately your responsibility to cover payment for services if your insurance company does not pay.
If your child is younger than seven years old, find out about neurodevelopmental outpatient occupational therapy services coverage or the extent of outpatient occupational therapy service coverage (DO NOT ask for benefits on a specific modality such as sensory integration or therapeutic riding).
If your child is at least seven years old, ask about outpatient occupational therapy services and the criteria for receiving benefits or coverage. (Again, do not ask for benefits on a specific modality such as sensory integration or therapeutic riding).
Any insurance company (except Medicaid open coupon) may require one or more of the following before paying for services; please find out and have these available prior to the evaluation. They can be faxed to 360-398-2772 or mailed to our home office.
Your child’s Referral or Prescription should read: "Occupational or Physical Therapy evaluation and treatment as necessary.” Prior Approval of the Physician will need to include:
1. Pediatric NDT & SI Therapy Services as the place of service or provider.
2. Occupational or Physical Therapy evaluation and treatment as necessary
3. CPT Code: 97530 Therapeutic Activities
4. ICD10 Code: determined by the physician but these are some of the ones insurances will accept
