APPOINTMENTS & CONTACT
Please call our office at 443-617-4890 or complete the contact form below to schedule an appointment or inquire further about our services. We look forward to speaking with you soon.

We know that insurance can be confusing. Our team is here to help you understand your therapy benefits and what you can expect financially before and during your child's care.

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Will Brain Builders verify my insurance benefits?

Yes. Before beginning services, our team will verify the benefits available to us through your insurance carrier and provide you with the information we receive. 

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We also strongly encourage families to contact their insurance company directly. Insurance coverage varies by plan, employer, diagnosis, service, and benefit year, and verification of benefits is not a guarantee that an insurance company will pay a claim.

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Our goal is to help you understand your expected financial responsibility as clearly as possible.

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What do deductible, coinsurance, and copay mean?

Deductible
The amount you may be required to pay toward covered healthcare services before your insurance plan begins paying according to your benefits.

Coinsurance

A percentage of the allowed cost of a covered service that you are responsible for paying. Coinsurance may apply after your deductible has been met.

Copay

A fixed amount that you may be responsible for paying for a covered healthcare visit or service. Because Brain Builders provides Speech-Language, Feeding, Occupational, and Physical Therapy, your benefits and financial responsibility may differ depending on the service your child receives.

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Is Brain Builders in-network with my insurance?

Brain Builders participates with most major insurance plans in our area. Our current in-network insurance carriers are listed above. Insurance networks and individual plan benefits can change, so please contact our office if you have questions about your specific plan.

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What if my insurance requires authorization or limits therapy visits?

Some insurance plans require prior authorization, limit the number of therapy visits available, or require additional clinical information before approving continued treatment.

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When authorization is required, our team will work with your insurance carrier and your child's therapist to submit the clinical information requested. Coverage and authorization decisions are ultimately made by your insurance company.

 

If your child's benefits are exhausted or additional visits are not approved, please speak with our office about available options for continuing care.

 

What if my insurance does not cover a service?

Coverage varies considerably between insurance plans. A service that is covered for one family may not be covered under another family's plan, even when both families have the same insurance company.

 

If a recommended service is not covered by your plan, our team can discuss availible private-pay options and, when appropriate, provide documentation for you to submit to your insurance carrier for possible out-of-network reimbursement.

 

What if Brain Builders is out-of-network with my plan?

For certain services, a SuperBill may be available upon request. If your insurance plan includes out-of-network benefits, you may submit the SuperBill directly to your insurance carrier for consideration of reimbursement. Reimbursement is determined by your individual insurance plan and is not guaranteed by Brain Builders.

 

Private Pay & Good Faith Estimates

Private pay clients are entitled to a Good Faith Estimate prior to beginning services. Private pay services are due at the time of service and may be paid by cash, check, or credit card.​

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We Want Therapy to Be Accessible

Brain Builders was built to provide families in our community with access to high-quality pediatric therapy close to home. We understand that insurance coverage, deductibles, copays, authorizations, and unexpected changes in benefits can be frustrating.

 

If you have questions about the financial side of your child's care, please talk with us. Our team will help you understand the information available to us and discuss your options so you can make informed decisions about your child's therapy.

 

Questions about insurance or billing?
Call our office at 443-617-4890 or email info@mybrainbuilders.com
 

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