Insurance & Payment Options
Medicare
Madison Speech Therapy is a certified Medicare Part B provider:
Medicare Part B covers 80% of skilled, medically necessary speech language pathology services
Following Medicare payment, the remaining cost is sent to your secondary insurance payer. You may incur a cost if your secondary plan does not cover out of network providers.
Many Medicare Part B beneficiaries pay $0 for Madison Speech Therapy services
Commercial Insurance
We do not accept commercial insurance at this time.
We do not accept Medicare Advantage, sometimes referred to as “Medicare Replacement” plans. These plans are operated by commercial insurance companies.
Madison Speech Therapy out of my insurance network. Will my insurance company cover these services?
Many insurance plans offer out of network benefits. It is important to call your insurance company to ask about out of network services and reimbursement
After you provide payment for therapy services to Madison Speech Therapy, you will receive a detailed receipt of payment called a 'superbill' that you can submit to your insurance company to request reimbursement. Madison Speech Therapy is unable to bill any insurance companies that we are not in-network with. We will gladly provide evaluation results and treatment notes as supportive documentation but we are not responsible for coverage and/or reimbursement determinations. Any payment arrangements and communication regarding coverage occurs between you and your insurance company.
Private Pay
If you are not Medicare eligible, you may wish to pay privately for services. Payment is due at the time of service. You may submit a detailed invoice (available upon request) to your insurance for out-of-network benefits. Additionally, you may be able to continue services after insurance benefits are exhausted by choosing this option.