Q & A
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Where is your office located?
We have TWO Clinic Locations!
Spring Lake (Speech, OT, and Feeding):
Grand Rapids (Feeding and Occupational Therapy)
We are excited to offer our unmatched pediatric occupational therapy services at several school in West Michigan, including Stepping Stones Montessori School in Grand Rapids and Thrive Learning Center in Kentwood, MI.
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In addition, speech and occupational therapy services are available to children across the entire state of Michigan via teletherapy.es of Michigan and Illinois
Do you accept insurance?
Yes! Sensational Steps Therapy accepts most major commercial insurance plans including Blue Cross Blue Shield PPO, Blue Care Network HMOs, Priority Health PPO and HMO, Cigna, ASR, and Aetna insurance plans. We are also certified with Tricare as a non-network provider.​
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For the purpose of filing insurance claims, we are considered out-of-network with all other insurances (e.g. UnitedHealthcare). 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.
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Call us to learn more about our "prompt payment" discount for private pay families!
Does pediatric therapy require a referral or prescription?
Not exactly... However, you will likely receive limited to no reimbursement from insurance without a prescription and proper ICD-10 treatment diagnosis. Insurance requires us to put a diagnosis on your claim (and we get that diagnosis from a medical physician).
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Talk with your child's physician. Express your concerns and interest in speech or 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 1-2x a week for 45-60 minute sessions. If you wish to submit claims to insurance, you will also need the prescription to include a medical diagnostic code.
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Need additional assistance? We would be happy to offer a consultation to hear your concerns and offer a recommended diganosis for your physician to consider. Please contact the office.