Paying for Feeding Therapy: Out-of-Network Care

Cost is one of the first questions families ask about feeding therapy. This guide explains how private-pay care works and how some families seek reimbursement through their insurance. It is general information, not insurance or legal advice, and every plan is different.

What private-pay means

The Feeding Spot is a private-pay practice. That means families pay the practice directly at the time of service and we do not bill insurance companies. Our investment and payment details explain what is included.

What is out-of-network reimbursement?

If your health plan includes out-of-network benefits, it may reimburse part of what you pay a provider who is not in its network. Whether it does, and how much, depends on your plan. Reimbursement is never guaranteed.

What is a superbill?

A superbill is an itemized receipt that you submit to your insurance company yourself. It typically lists:

• The provider's name and contact details
• Your child's name and date of service
• The services provided
• Diagnosis and procedure codes, when applicable
• The amount you paid

We can provide a superbill on request.

Questions to ask your insurance company

Call the member services number on your card and ask:

1. Does my plan include out-of-network benefits for speech therapy or feeding therapy?
2. Is there a deductible, and how much of it has been met?
3. What percentage of the cost is reimbursed once the deductible is met?
4. Is there a limit on the number of visits or a yearly maximum?
5. Is a referral, diagnosis, or prior authorization required?
6. What documents do I need to submit, and how long do I have to file?
7. How long does reimbursement usually take?

Write down the date, the representative's name, and what they told you.

Other ways families pay

• HSA or FSA funds. Many families use a health savings account or flexible spending account for eligible medical expenses. Check your plan's rules.
• Employer benefits. Some employers offer additional benefits worth asking your HR department about.
• Tax deductions. Some medical expenses may be deductible. A tax professional can tell you what applies to you.

Does my child need a diagnosis?

You do not need a diagnosis to ask for a feeding evaluation. Your insurance company may have its own requirements for reimbursement, so it is worth asking them.

Getting started

If you are deciding whether feeding therapy is right for your child, read what pediatric feeding therapy is and what to expect at an evaluation. You are welcome to call, text, or email us with any questions about cost before you book.

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