FAQ & Insurance | Southshore Bilingual Therapy, Inc.

Insurance & Frequently Asked Questions

Insurance information

Southshore Bilingual Therapy, Inc. accepts most Medicaid insurance to ensure equal access to quality care. Our facility also works with The Family Empowerment Scholarship (Gardner), and we are ASO providers with The Children's Board.

Insurances currently accepted:

Aetna
Ambetter
ATA/Medicaid
CMS
Healthy Kids
Simply Health
Sunshine Health
Tricare
United Healthcare
StepUp Scholarships

We are not in-network with most commercial insurance carriers. Southshore Bilingual Therapy, Inc. offers private payment plans for evaluations and therapy.

If you have a different insurance provider, you may be able to apply private payments to your out-of-network deductible. Both private and insurance payments can be paid using your Health Savings Account or Flexible Spending Account.

Please contact us for private pay rates.

Benefits to you:

Services based on need
No wait to initiate therapy
Avoid therapy denials & visit limits
Avoid common diagnosis-based restrictions
Improved efficiency of the practice, which drives down client costs & increases quality

We respect the needs of our kids and families and offer reasonable rates.

If your family insurance plan has co-pays/coinsurance or a high deductible, it makes sense to pay out-of-pocket for services to have freedom from the insurance limitations and stressors. We have decided to take this approach for our families so that services are dictated by our expert therapists, not insurance companies.

We offer high-quality services that use research-backed techniques that take the whole family into account. We care about our clients and pride ourselves in seeing progress made, communication improved, and a better future for your child.

FAQs

If your child has insurance, such as Medicaid or private insurance, that Southshore Bilingual Therapy, Inc. is participating in, a referral with a diagnosis code will be required to bill the insurance company properly.

A referral for therapy is made through your child’s physician. Upon receipt of the referral, we will schedule the initial evaluation.

NOTE! If you choose to self-pay for therapy services, a referral is not required.

If you have any questions, please be sure to contact us.

When your child is evaluated, the therapist will make a recommendation for the frequency and length of the treatment plan of care based on the specific needs of your child.

Typically, children receive therapy 1 to 2 times per week. As children progress, the therapist may ease them out of therapy by decreasing the frequency to every other week or once a month to ensure that they maintain skills.

A referral for therapy is made through your child’s physician. Upon receipt of the referral, we will schedule the initial evaluation.

NOTE! If you choose to self-pay for therapy services, a referral is not required.

If you have any questions, please be sure to contact us.

First meetings with a therapist from Southshore Bilingual Therapy Inc., you can expect a thorough and careful evaluation of your child that is tailored to the concerns that prompted the referral.

Each evaluation will utilize objective and standardized testing measures. Most evaluations are completed in 1 hour. Part of that time will be spent assessing your child and the rest will be utilized to speak with the parent/guardian present to collect additional information needed in addition to formal measures. We will also use the time to explain the results of the evaluation, provide any additional information, and answer any questions.

Please note, that evaluations will vary from child to child (depending on age, capabilities, and/or physical/mental development). We strive to conduct each evaluation to minimize stress for the child and hope that it becomes a positive experience that the child enjoys. For this to succeed, your child might need information about the evaluation ahead of time.

We recommend a few things for this process to be easier:

Telling your child that we will be playing games with them
For older children tell them we want to see how they use their eyes, hands, and muscles.
Reassure your child that this is meant to be a fun experience for them.