In Network:
Regence Blue Cross Blue Shield
OHP/Medicaid (Jackson Care Connect, All Care and Open Card)
Moda
Providence
Out of Network:
All other insurance companies including TriCare
We will provide a super-bill for out of network insurance companies. Please see the billings/rates page for details.
Your insurance policy is a contract between you and your insurance company. Please be aware that some, and perhaps all, of the services provided by Rogue Pediatric Therapies may be non-covered services and may not be considered reasonable, customary and/or medically necessary under your medical insurance plan.
Before your appointment, please consult your insurance company
to confirm your speech therapy benefits.
It is your responsibility to see if speech therapy sessions are covered. Information provided by Rogue Pediatric Therapies is only a quote and we are not responsible for any misinformation or different reimbursement amounts.
The following questions may help when calling your insurance company:
- Is Speech Therapy covered?
- What conditions will insurance specifically cover?
- How do I get reimbursed for out of pocket therapy expenses?
- What do I need to provide the insurance company with to get reimbursed?
- Is a Doctor referral/prescription required?
- How many sessions are available per year?
- What is the financial percentage of coverage per session?
- Check to see which of the following Codes your insurance company would recognize. If there are other codes not listed here that you would like us to use, please let us know.
CPT Codes - 92523- Speech/Language Evaluation
- 92507-Speech-Language Therapy-Individual
- 92610- Feeding/Oral Function Evaluation
- 92526- Feeding Therapy
- 92607- AAC Evaluation
- 92608- AAC Evaluation- Additional 30 minutes of evaluation time
- 92609- AAC Programming/therapy
Diagnosis Codes
R48.2 Apraxia
R48.8 Other symbolic dysfunctions
F80.1 Expressive language disorder
F80.2 Mixed receptive-expressive language disorder
H93.25 Central auditory processing disorder
F80.0 Phonological disorder
F80.89 Other developmental disorders of speech and language
R62.0 Delayed milestone in childhood
F84.0 Autistic disorder
F84.5 Asperger's syndrome
F84.8 Other pervasive developmental disorders
F80.81 Childhood onset fluency disorder
F80.4 Speech and Language development delay due to hearing loss
784.59 Other Speech Disturbance
V41.4 Problems with voice production
ASHA has developed this site to help you, as a consumer, understand your health plan as well as provide further contacts to assist you in understanding and obtaining the coverage you need to receive speech and hearing services.
http://www.asha.org/public/coverage/
Rogue Pediatric Therapies, LLC
Our New Address Starting March 18th
828 N 2nd Ave Gold Hill, OR 97525
In the Ray's Parking Lot
541-816-4747
info@rptkids.com
WE SPECIALIZE IN PEDIATRIC SPEECH THERAPY AND FEEDING THERAPY
ARTICULATION, STUTTERING, LANGUAGE, GRAMMAR, SOCIAL SKILLS, AND AUTISM
Our New Address Starting March 18th
828 N 2nd Ave Gold Hill, OR 97525
In the Ray's Parking Lot
541-816-4747
info@rptkids.com
WE SPECIALIZE IN PEDIATRIC SPEECH THERAPY AND FEEDING THERAPY
ARTICULATION, STUTTERING, LANGUAGE, GRAMMAR, SOCIAL SKILLS, AND AUTISM