Frequently asked questions and answers are provided to clarify King’s Speech and Learning Center’s pragmatic treatment philosophies, use of evidenced based practices, insurance coverage for speech-language therapy, and how our treatment differs from traditional Behavioral Therapy (ABA therapy) for autism and communication behaviors, and psychological counseling for social emotional problems and social skills groups.
Are your services covered by insurance?
We are in network providers for Anthem BCBS, Aetna, Cigna, and Connecticare. Any of our services are covered by most commercial insurances. Speech services are considered to be a medical service, and are not managed under your behavioral health services. We are not credentialed with HUSKY, or Medicare.
When calling your insurance to confirm benefits, refer to the initial service as a speech-language evaluation. Provide a medical diagnosis if it is known to you such as autism, or hearing loss. If no medical diagnosis has been confirmed by a doctor or psychologist, just indicate that an evaluation is needed to determine the diagnostic code. You may refer to the appropriate CPT (procedure) codes below to determine if there is a restriction on therapy coverage for particular diagnoses once an evaluation is completed.
Speech Therapy Procedural Codes:
92523 speech-language evaluation, 92507 speech-language treatment, and 97535 home management training (can be used by any rehab discipline), 92526 oral feeding and/or swallowing treatment
Is there a co-pay?
Your co-pay is due at the time of the session for all office visits. The amount varies according to your specific plan, and is most typically the amount indicated on your insurance card for a specialist. King’s Speech is required by contract to charge a co-pay for each visit. If your co-pay varies by the percent of the total allowed for the visit, the co-pays will be billed to you via an email invoice once the reimbursement has been received, and the copay amount is indicated on your claim.
What if I have a deductible?
King’s Speech will bill your insurance company and they will indicate the allowable amount to apply toward your deductible. You will then be billed via email invoice the allowable amount credited toward your deductible. We will let you know when your deductible has been met, and if there are any co-payments due for the rest of the year. It is crucial that you pay your deductible to King’s Speech promptly when it is billed to you. Credit cards and Health Savings Account cards are accepted in the office for your convenience. On-line payments can be made using a bank debit card through Intuit Payment Network as instructed on your emailed invoice.
What is your cancellation Policy?
We ask that you give us as much notice as possible, preferably 48 hours. If you do not call within 24 hours, or do not show for an appointment there will be a $25.00 fee . Since regular attendance is crucial for all our programs, we ask that you hold off on treatment until your scheduling problems resolve rather than keeping the time open and attending inconsistently.
What is the difference between speech pathology and speech therapy?
No difference at all. The name of the profession changed from speech therapy to speech-language pathology many years ago to reflect the growth in the medical side of the profession, and to include language as well as speech. It should be noted that speech- language pathologists diagnose and treat communication, cognitive, and swallowing problems.
Is a diagnosis needed for therapy.?
No, although you would need a doctor’s prescription for a speech-langue evaluation with a reason for the evaluation.
” Speech- language evaluation by SLP to assess possible auditory attention or processing problems”
“Speech-language evaluation due to frequent middle ear infections”
Are there a minimum number of visits that I have to commit to?
No, however, we do ask you to commit to any schedule that is arranged. We recommend regular and more frequent follow-ups in the first couple of months, and then work to shift the training responsibility to the parents so that progress is not dependent on the number of minutes of speech therapy per week. Since parents are with their children for multiple hours/day, seven days/week, it makes more sense to teach parents and/or caregivers how to be trainers.
How do we know which program to sign up for first?
Our free initial telephone consult will determine what is best. Typically, services would start with a speech-language evaluation, or if a formal test battery has already been completed, a social communication evaluation with play analysis. After the evaluation, our clinician would suggest either individual treatment, peer or sibling mediated treatment, or group language therapy.
We encourage waiting until language goals are mastered in the parent-child context before progressing to the child-peer context, and finally to group therapy for generalization of pragmatic language goals.
Why should I use King’s Speech and Learning Center rather than a traditional rehabilitation program for speech therapy?
- At King’s Speech and Learning Center, we integrate evidence-based speech-language therapy with academic support and social-emotional development to provide a truly holistic approach to communication and learning. Our model focuses on addressing real-world challenges that can impact a child’s success—both in and out of school.
We bridge the gap between home and school by collaborating closely with families. Our specialists take the time to understand the whole child, meeting with parents before, during, or after sessions to offer guidance and practical support. Because we are a small, dedicated team, we can help with all aspects of your child’s growth—from reviewing IEPs and supporting play skills to preparing teens for job interviews and beyond.
When will it be necessary to obtain additional assessments?
When dealing with a child’s development it is often hard to draw a sharp line between disciplines. Thus, it is very important to have related specialists available as an integral part of our program. The decision to refer for additional testing ( occupational therapy, physical therapy, Ear Nose and Throat assessment, psychological evaluation, or developmental evaluation) will be made either at the time of our initial telephone intake, or after your child’s speech-language evaluation. The decision would be made based on prior history of work-up, current school intervention and performance, parent reports, and evaluation results. Since speech pathologists can only make speech, language, cognitive or swallowing diagnoses, a referral to a related specialist may be necessary for a developmental, physical, psychological, behavioral, or learning related diagnosis.
How is your language program suited for adults?
Many adults have gone through life struggling with social communication problems that have never been diagnosed or treated. As an adult, one may feel lonely, anxious around people or lack confidence in their communication skills. If an adult is open and motivate to change, then it is never too late to make improvements. Some common pragmatic problems in adults include, interrupting, loud talking, argumentative or needing to be right, self- centered topic selection, poor conversational turn taking, lack of social initiation, and flat affect.
Adults may also experience new communication problems due to a neurological condition such as brain injury, stroke, or tumor. Any adult communication disorder can be treated using our approach to focus on natural social communication verses traditional methods of training via worksheets and flash cards.
Would you ever speak to a parent group?
Sure, KSLC offers a variety of parent and professional training workshops. Please call us for more information, or to arrange a custom presentation to your parent group.
Do you offer payment plans?
We would also be happy to speak with you to make special arrangements if services would present a hardship for you.