resources

Funding Sources

In Network Insurance

  • We are not a Medicaid Provider, but we do accept most of the following Commercial Plans:

  • Most Anthem Plans (Family should verify member network)

  • Blue Cross Blue Shield

  • United Healthcare (UHC)

  • United Medical Resources (UMR)

  • Cigna, American Specialty Health (ASH). *Note: ASH typically denies authorization for required annual re-evaluations

  • Aetna (Meritain, Allied, Trustmark, GEHA)- as of 1/1/2024

  • Tricare (Military)

  • Medical Mutual of Ohio (MMO)

  • Ohio PPO Connect

  • Ohio State University Insurance

Out of Network

  • Ohio Healthy

  • Trinity Health

  • Pathways HMO (Anthem)

  • Ohio Health HMO (Med Mutual)

  • Aetna First Health *Note: Aetna processes most First Health claims like other Aetna plans

  • Nippon (Aetna)

  • Medicaid

Other Funding Sources

  • Autism Scholarship

  • Jon Peterson Scholarship

Self-Pay and Bulk-pay Options

We accept HSA and FSA to pay for services. 

Please contact us to discuss self-pay options and to get current pricing amounts. We offer discounts for those needing to pay out of pocket.

Funding Sources NOT accepted

  • Medicaid

  • Medicare

  • Franklin County Board of Developmental Disabilities (FCBDD)

Patient Responsibilities

Knowing your co-pay, out-of-pocket max, number of visits, deductible amounts.

You are responsible for knowing CPT codes and ICD codes.

Frequently Asked Questions

Do you take my insurance?

We are in network with most major insurance companies, however, we are NOT a Medicare/Medicaid Provider. Please contact our Front desk if you have any questions.

Do you take Delaware County Funding?

Yes, please contact your DCBDD Coordinator to secure funding

Will my insurance pay for the services?

Each insurance company and individual policies are different. We will be happy to provide you with the information needed for you to contact your insurance to verify your coverages.

How much do I have to pay after insurance?

Each insurance company and individual policies are different. We will be happy to provide you with the information needed for you to contact your insurance to verify your copay/coinsurance/and deductible information.

How many visits do I get with my policy?

Each insurance company and individual policies are different. You will need to contact your insurance company to verify your therapy limits.

Also, the number of visits granted in the policy is typically for 1 year. You will also want to check your eligibility and renewal dates as not all policies renew on January 1st.

Does my co-pay count towards my deductible?

Each insurance company and individual policies are different. You will need to contact your insurance company or review your policy for verification.

 

Questions about funding? We can help!