Financial Options
The professionals at Sweet Magnolia Speech Therapy, PLLC understand the importance of family first. Navigating healthcare decisions is challenging enough without considering the financial side of care. Thus, we are currently offering two types of payment options.
Accepted Insurances
- NC Medicaid Direct -
- Medicaid: Carolina Complete Health -
- Medicaid: Trillium -
- Tricare -
- First Carolina Care -
- We are going through the process to be able to accept BCBS -
If you are a BCBS member, we encourage you to call on our behalf and request expedited processing as durations have been excessively long.
OUT-OF-NETWORK
This means we do NOT bill some insurance companies for our services and are considered out-of-network. This does not mean your insurance company will not cover some of or all services. This will depend on your specific healthcare policy. We will provide you a superbill as a statement of your services. You can submit the superbill on your own behalf to your insurance company for out-of-network reimbursement. We recommend checking your out-of-network benefits with your insurance company.
As a client, you are responsible for covering the cost of the speech therapy services we provide, at the time of service. We accept local check, debit/credit card, and FSA/HSA card.
Out-of-Network Payment Incentives
Out-of-network clients are required to pay the full amount at the beginning of each individual evaluation or treatment session. A same day pay discount of 5% is offered. However, we also offer the option to pay for 1 months worth of therapy sessions up front for a 10% discount.
Reasons to Pay Out-of-Network
Insurance companies require a diagnosis in order to pay for your services. However, we find that some families prefer not to have a medical label that remains on their permanent health record. These diagnoses will follow clients in school, military, landing federal jobs, security clearances, applying for life insurance, etc.
Insurance companies can request client session notes at any point in time. Confidentiality with your insurance is waived when you request they pay for services. Many clients feel uncomfortable with this.
Insurance companies decide what services they will and will not cover. Diagnoses that best represent client needs will be given. However, a specific diagnosis and/or service code may not be covered by your insurance plan.
Insurance companies can limit the number of sessions and services that a client can have, regardless of professional recommendation. This can negatively impact therapeutic outcomes due to limitations in therapy intensity.
The provider a client wants to see is not in-network with their insurance company or specific healthcare plan.
The client’s copay or deductible is too high.