Billing & Insurance

Third Coast Speech & Language Therapy is currently private pay only and is considered an out-of-network provider for insurance companies.

Upon request, we provide an itemized bill called a Superbill that includes all necessary information such as diagnostic and treatment codes, for the policyholder to submit for potential reimbursement.

We strongly recommend contacting your insurance carrier to verify coverage before the initial evaluation.

Unfortunately, we won’t communicate with insurance companies; any communication on your/your child's behalf will need to be done by you.

If you plan to submit to your insurance company, you should:

  • Check with your insurance company before your first visit to determine what speech, and language services they will pay for.

  • Find out what information your insurance provider needs. They may require a note from your doctor called a referral.

  • Or, they may require permission prior to the start of therapy, this is called pre-authorization. Still, referrals and pre-authorizations do not guarantee that insurance will pay for services.

  • Payment is due at the time of service, regardless of whether or not you will submit to your insurance.

  • We can provide you with helpful questions to ask your insurance company if needed.

Referrals

Physicians and Other Healthcare Providers:

Download and complete this form for potential myofunctional concerns and this form for potential general speech/language concerns.

then submit to: linda@thirdcoastspeechlanguage.com

  • We provide therapy services for clients aged 3 through adult.

  • No. This is not necessary since we are not billing insurance.

    However, your physician may likely be an important member of the team (along with your other medical, educational professionals).

    When the adult client, or the parents/legal guardian of a child provide consent, the service providers are permitted to contact one other for collaboration.

  • Yes. Sometimes the results reported from an evaluation with the school district indicate that, while the child has some difficulty in their communication skills, they are not severe enough to receive services from the district/school.

    Speech-Language therapy can certainly still be provided on a private basis.

  • Yes!

    Children can receive services from more than one provider.

    When the parents/legal guardian provides consent, the service providers are permitted to contact one other for collaboration and planning.

  • The length of a single session and the duration of treatment (how many months) is determined by each client's needs identified at the evaluation and subsequent treatment plan.

    Treatment sessions are typically 30-45 minutes, 1-2x/week depending on you or your child's needs.

    Home practice, handouts and other resources will be provided after sessions to encourage generalization of strategies from session to session.

  • Sessions are typically provided in person at the client’s home, daycare, private school (arrangements must be made for permission to use the space prior to session) and/or a community space such as a library or community center.

    Travel within 10 miles of Racine is free. If it is more than 10 miles from Raine, 2025 federal standard mileage rates (.70 p mile) to and from Racine will apply.

  • Not at this time.

    Third Coast Speech & Language Therapy is currently private pay only and considered an out-of-network provider for insurance companies.

    Upon request, we provide an itemized bill called a Superbill that includes all necessary information such as diagnostic and treatment codes, for the policyholder to submit for potential reimbursement.

    We strongly recommended that you contact your insurance carrier to verify coverage PRIOR to the initial evaluation.

    We will not communicate with insurance companies; any communication on your/your child's behalf will need to be done by you.

    If you plan to submit to your insurance company, you should:

    • Check with your insurance company before your first visit to determine what speech and language or occupational services they will pay for.

    • Find out what information your insurance provider needs. They may require a note from your doctor which is called a referral. Or, they may require permission prior to the start of therapy, this is called pre-authorization. Still, referrals and pre-authorizations do not guarantee that insurance will pay for services.

    • Payment is due at the time of service, regardless of whether or not you will submit to your insurance.

    • We can provide you with a list of helpful questions to ask your insurance company if needed.

  • Yes. We require a 24-hour notice to cancel a therapy appointment. Cancellations made within 24 hours of an appointment will result in a $57 fee.

    1. 15-minute phone consultations are FREE.

    2. Private Pay Evaluations (assessment session with data collection included) are:

    • Full Write-Up: $225

    • Cursory Write-Up Report (typically for younger clients): $175

    3. Private Pay therapy sessions are $85 per session.

    4. Billing: You will be emailed an invoice and charged using our EMR (Simple Practice) on the day of service.

    • It is required that a valid credit card be kept on file.

    • Payment is collected at the time services are rendered.

    • Payment methods accepted include cash, credit/debit cards, HSA/FSA cards or personal check.

  • Progress is measured through regular data collection, observations, informal assessments, regular progress reports every 3 months and, if indicated, information from collaboration with authorized team members (i.e. parents, ENT, dentist)

Frequently Asked Questions