• Aetna

• Trustmark

• CoreSource

• Meritain

• Capital Blue Cross

• Central Pennsylvania Teamsters Health & Welfare Fund (Aetna)

• Highmark Blue Shield  

• Blue Cross / Blue Shield

  • Out-of-state plans

  • CareFirst

  • Independence Blue Cross (“Premier Blue Specialist”)

  • Independence Administrators

  • TrustMark

• CHIP (ONLY Capital Blue Cross and Highmark CHIP plans)

  • Keystone HealthPlan Central (Capital Blue Cross)

  • Highmark Healthy Kids (Highmark)

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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.

 

We currently DO NOT participate with UNITED HEALTHCARE, CIGNA (commercial insurance plans) or any MEDICAID plans (state funded health insurance plans) such as Amerihealth Caritas, UPMC for You, Highmark WholeHealth or Aetna Better Health.    

 

IF WE DO NOT PARTICIPATE WITH YOUR INSURANCE PLAN, services can still be obtained privately. We will provide all of the necessary information (including diagnostic and billing codes) so that you can self-submit the claim directly to your insurance provider. "Prompt Pay" rates will apply for all private services if paid at time of the visit.   Most Medicaid and HMO plans typically do not allow you to self-submit claims.

 

However, if your child has UPMC for You (Medicaid) as a secondary insurance plan, you may be able to receive reimbursement for copays that you have paid. UPMC for You is the only Medicaid plan (that we are aware of) that will reimburse families directly for out-of-pocket expenses. Please contact our office for more information.

 

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 and deductible (estimated) may be collected at time of service or billed after the claim has been processed.

 

*This information was updated 1/18/24

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~ 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. ~