We understand healthcare billing can be challenging, which is why we do our best to make the process as stress-free as possible. We accept all major private insurance plans and would be happy to verify your insurance benefits prior to treatment. To start this process, you will need to complete our intake paperwork which you can do by clicking here.
Our billing team is here to answer any questions you have and explain our claim procedures, so you can keep your focus on your child without missing a beat. If you have any questions about your insurance coverage, call our billing representatives at (424) 269-3400.
FAQS - BILLING INSURANCE & PRICING
2022 Fee Schedule
As of January 1st, 2022, NAPA Center (Los Angeles, Boston, Austin, Denver, & Chicago) cash rate for therapy services will be as follows:
- Physical Therapy Cash Rate – $132
- Occupational Therapy Cash Rate – $132
- OT + Feeding Therapy Cash Rate – $150
- OT + VitalStim Cash Rate – $150
- Speech Therapy Cash Rate – $132
- ST + AAC Cash Rate – $150
- ST + Feeding Therapy Cash Rate – $150
- ST + VitalStim Cash Rate – $150
- HBOT (LA Only) Cash Rate – $50
- Evaluations Cash Rate – $300
- Plan of Care Report Cash Rate – $75
- NMES Cash Rate – $5/session
- Late Cancellation Fee Cash Rate – $60
How do I know if my insurance plan is accepted?
If you’re interested in services at any of our clinics, the first step is to complete our intake paperwork, which will allow us to verify your insurance benefits and determine coverage for services.
What forms of payments are accepted?
- Cash
- Check
- Credit Card (Visa, Mastercard, Amex)
- Bank or Wire Transfer
Los Angeles
In-Network Insurance Providers: - Aetna
- Blue Shield of California
- Health Net
- Health Net Federal Services (TriCare West)
- Easter Seals
- Kaiser Permanente
Regional Center Vendors:
- Westside Regional Center
- South Central Regional Center
- North Los Angeles Regional Center
- Harbor Regional Center
- Lanterman Regional Center
- Kern Regional Center
Boston
In-Network Insurance Providers: - Blue Shield of Massachusetts
- Allways Health Partners
Denver
In-Network Insurance Providers: - First Health Colorado – Medicaid
Chicago
We have not yet determined which insurance companies NAPA Chicago will be contracted with. It is best to estimate we will be out of network with all carriers until this is determined.
How do you determine coverage?
We verify your coverage with your insurance company before your treatment begins. Please note: When we verify your insurance coverage, it is only a quote, not a guarantee that your provider will pay. We encourage you to call your insurance company to determine the exact benefits your plan provides. If you are asked, tell your insurance carrier that NAPA location or clinic is classified as “service place 11” which indicates we are in an office setting. To assure the highest level of coverage, please review any possible limitations and requirements your insurance plan might have.
What requirements does my insurance plan require?
- You will need to check with your insurance company directly to determine the specifics of your plan, but here are a few common requirements of insurance plans:
- Co-pay by the patient at the time of service
- Referrals from primary care physician (PCP) at the initial visit
- Limits for therapy visits each calendar year
- Pre-certifications/Prior Authorization
- Deductible and co-insurance obligations
- Sometimes insurance payments may be delayed, reduced or denied. If this happens, and we are out of network, you will be required to pay the unpaid balance. If we are in-network we may ask for your assistance to help remedy any issue.
