We are often asked if insurance or other sources of funding will cover the costs of our services. The answer is "it depends".
Most commercial insurance plans have a policy for Pediatric Feeding like the one indicated in the link below:
CG-MED-37 Intensive Programs for Pediatric Feeding Disorders (amerigroup.com)
Some insurance companies have similar policies that are slightly different than the one above, so you may have to ask for the specific policy of your insurance company.
We are unlikely to be "in-network" for your insurer. However, you can contact your insurance company about utilizing our services through a "Network Deficiency Exception" (sometimes known as a "GAP-exception"). This is often granted, primarily due to a lack of adequate providers who provide Intensive Feeding Services. We have been able to secure what is known as a "Single Case Agreement" (SCA) when there are few or no providers in-network that can meet your child's needs? When these service providers have waiting lists that are too long (3+ months) or are too far (50+ miles or over an hour of travel time) we can often obtain an authorization, along with a Network Deficiency Exception and an SCA.
We have been able to obtain these with the following insurance companies: Aetna, AmeriHealth, Cigna, Geisinger, Highmark BCBS, and Horizon BCBS. Check with your insurance carrier to obtain a copy of their specific policy for Intensive Programs for Pediatric Feeding Disorders.
Insurance options that we have great difficulty working with include: Independence BCBS, Tricare and Medicaid-based plans.