A referral is a written order from your physician/dentist to obtain specialty services.

A referral is required by most insurance companies to ensure that a patient is being seen by the correct provider(s) for the correct problem(s) or issue(s).

The referral also assists in the authorization process (if applicable).

Permission from your insurance provider that authorizes that your care will be covered by your plan. Limitations may apply due to plan specifics.

Authorization does NOT mean your services will be fully covered by your insurance, as there are applicable deductibles, co-insurances, and co-pays.

Some insurance providers require authorization to be obtained from them for certain specialties. Most require it AFTER the initial evaluation has been completed.

Tricare Prime is the exception and they require Authorization PRIOR to the initial evaluation.

Tricare Select does not require authorization, but a referral is required.

Insurance: If we are in network with your Health Insurance, we will file claims for services rendered at our office per our contractual agreement as in-network. Please note you are responsible for the copay/co-insurance amount as well as any deductibles and/or out-of-pocket costs that are dictated by your health insurance provider.

Balances will be due at the time services are rendered.

Self-Pay: If you do not have active health insurance, we do offer a self-pay option. The self-pay rates are as follows:

Initial Evaluation: $240

Follow-up appointments: $120

Infants referred by a midwife without insurance:

$120 initial evaluation (1 hour)

$120 follow up appointments (30 minutes)

We accept credit cards, debit cards, Apple Pay, and Google Pay. We do NOT accept cash or checks.

*If you have an outstanding balance, you will not be permitted to resume therapy until the balance has been paid. We do offer interest-free payment plans when requested.

We are In-Network with the following commercial, medicare, and medicaid plans:

• Tricare Prime

• Tricare Select

• Sentara Health Plans

• Optima Health Plans

• Virginia Premier

• Optima Family Care

• Cigna (via Integra Group, Rehab Provider Network)

• Anthem Blue Cross Blue Shield of VA

• Federal Anthem Blue Cross Blue Shield

• Anthem Healthkeepers

• Anthem Healthkeepers Plus

• Health Blue of NC

• Aetna

• Aetna Better Health of VA

• Medicare

• Medcost

• Direct Access of Medicaid of NC

• Molina

We are Out-of-Network with:

• United Healthcare

*Important note: We are not part of your healthcare insurance policy. It is your responsibility to know if your plan will cover the visits. Multiple insurance companies have supplementary conditions that may have an effect on your coverage.

*** Medicaid - Must have a Managed Care Plan for THERAPY SERVICES

Please contact a referring provider (primary care physician, dentist, lactation consultant, etc) for your identified issues.

Once they send over a referral to our office, the front desk will reach out to the contact number to gather any additional information and find a time for an initial evaluation that works best for your schedule.

We cannot schedule an initial evaluation without a referral on file.

Please make arrangements with a provider before calling the office.

After your initial evaluation, if an authorization is not required, you may schedule your follow-up appointments based on your therapist's recommendations for service frequency. If authorization is required, it may take up to 30 days, or less, depending on whether your insurance approves additional visits.

We schedule on a quarterly basis.

Appointments are scheduled on a first-come, first-serve basis.

We currently offer myofunctional therapy, pediatric feeding therapy, articulation therapy, swallow therapy, lactation support, and pediatric physical therapy.

Unfortunately, we are unable to provide in-home or in-school services.

We are no longer offering occupational therapy services at this time.

We understand that life happens! To maintain an efficient schedule and ensure that all families receive the services they need, we have established the following cancellation and missed appointment policies:

For Initial Evaluations:

If you cancel with more than 2 hours' notice, there is no cancellation fee. For last-minute cancellations (less than 2 hours' notice) or "no-shows" (missing appointment without letting us know), a $240.00 fee will be charged.

For Regular Appointments:

• Cancellation with 2+ hours notice: No fee

• Last-Minute Cancellations (Less than 2 hours' notice):

  • If you are able to reschedule your appointment within the same week: No fee

  • With documentation (e.g., a note from a school nurse or physician): Discounted fee of $100.

  • Without documentation: Full "no-show" fee of $120.00.

  • Friday Appointments: Cancellations on Fridays cannot be rescheduled, and the $120.00 fee will apply unless canceled at least 24 hours before the appointment.

Payment for Missed Appointments

A credit/debit card must be kept on file for no-shows or cancellations that are not rescheduled within the same week.

Important: If your child is scheduled for both physical therapy (PT) and speech therapy, these are considered two separate appointments, even if they occur at the same time, and you will be charged 2 separate no-show fees.

We appreciate your understanding and cooperation in helping us maintain a smooth and fair scheduling process for all families.