Participating Insurance List

  • Capital Blue Cross

  • Highmark Blue Shield  

  • Blue Cross / Blue Shield  (out-of-state plans)

  • Independence Blue Cross (“Premier Blue Specialist”)

  • Aetna

  • Health America/Coventry

  • Teamsters

  • Berkshire Health Partners (BHP) - Includes smaller networks and companies:

    • Loomis

    • UPMC (Reading Health System insurance plan)

    • Unity / PPHN

    • Amerihealth Administrators (this is NOT the same as AmeriHealth Caritas)

  • CHIP – i.e. provided through Highmark Blue Shield. This does NOT include HMOs (i.e. Keystone)

 

Behavioral Health – insurance coverage can vary based on how the patient’s individual plan contracts for behavioral health benefits. Billing may go directly through the medical insurance plan or through a contracted behavioral health insurance provider.

 

PLEASE NOTE: The above list is NOT all inclusive. At times there are situations when we may be indirectly in network even though we are not directly a participating provider with an insurance company. We will assist in determining participating status.

 

IF WE DO NOT PARTICIPATE WITH A PATIENT'S INSURANCE PLAN, services can still be obtained privately. We will provide all of the necessary information (super bill including diagnostic and billing codes) so that the patient/member can self-submit the claim directly to their insurance provider. "Prompt pay" rates will apply for all private services if paid at time of the visit.

 

We do not currently participate with Medicaid or HMO plans. These plans do not allow you to self-submit claims.

 

An insurance policy is a contract between the patient/member and their insurance company. It is ultimately the patient/member’s responsibility to understand their coverage. We will assist in verifying benefits to the best of our ability prior to services being rendered. However, this is not a guarantee that your insurance will cover the cost of services rendered. Any cost not covered by insurance is the patient/member’s responsibility with the exception of what we accept from insurance as the contracted rate for covered services. Co-pay is due at the time of service.  Co-insurance will be billed after the claim has processed.

 

~ We work VERY closely with our families to assist them in understanding their benefits so that they can make an informed decision about their child’s therapy services. ~

Understanding Your Insurance Benefits

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