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Q & A

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FAQ: FAQ

Where is your office located?

We are excited to offer our unmatched pediatric speech and occupational therapy services at our new Spring Lake office on Van Wagoner by Trillium Events, as well as pediatric OT and feeding therapy in Kentwood/Grand Rapids in partnership with Duncan Lake Speech Therapy. 

We also provide in-person services to families in West Michigan up to 15 minutes from either office locationWe come to YOU and provide in-home or school-based services. Please get in touch with us to see if you are a good fit for in-person or teletherapy occupational therapy. Whether in-person or via teletherapy, home-based services allow children to be treated in their natural environment and encourage family collaboration.

**We offer teletherapy OT services to the entire states of Michigan and Illinois

Do you accept insurance?

Sensational Steps Therapy accepts most major insurance plans including Blue Cross Blue Shield PPO, Priority Health PPO and HMO, Cigna, ASR, and Aetna insurance plans. We are also certified with Tricare as a non-network provider.

For the purpose of filing insurance claims, we are considered out-of-network with all other insurances. You are ultimately responsible for total payment of services rendered regardless of insurance payment. However, all documentation and statements are done so in a manner that will provide the greatest opportunity for reimbursement if you submit claims to your preferred insurance provider.

 

If you are planning to submit to insurance, you will need to obtain a prescription from your physician with an appropriate ICD-10 code. This diagnostic code can be added to a SuperBill for you to submit to your insurance provider. SuperBills have been highly successful in securing reimbursement for families. Please reach out for more information regarding our rates, Superbills, and questions to ask your insurance provider.

What are the benefits of going with an Out-of-Network provider?

If we are not credentialed with your insurance, we offer out-of-network services and a prompt pay discount. As a small private practice, Sensational Steps Therapy has made the conscious decision to develop a practice that is more focused upon the children and families that we serve without the frustrations, time commitment, and constraints that go along with billing every insurance company. We want the decisions we make about your child's therapy services to be made in collaboration with YOU and not directed by an insurance company.
 

Without insurance dictating OT services, we are able to be extremely flexible regarding: location, number of visits and frequency, treatment approaches and goals, and more.

Does pediatric therapy require a referral or prescription?

No, they are not necessary to see a speech or occupational therapist. However, you will likely receive limited to no reimbursement from insurance without an OT prescription and proper ICD-10 treatment diagnosis.

Talk with your child's physician. Express your concerns and interest in occupational therapy services to promote greater success and independence in his/her everyday life. Request that a prescription is written for an evaluation, as well as treatment services 1x a week for 60 minute sessions. If you wish to submit claims to insurance, you will also need the prescription to include a proper medical diagnostic code.

Need additional assistance? We would be happy to send you a prescription request to share with your physician get the ball rolling. Please contact the office.

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