Payment & Policies 

 

What are your therapy rates?

Rates vary by the duration of the session.

  • Orofacial Myofunctional Evaluation: $400

  • 30-minute therapy session: $140*

  • 45-minute therapy session $175**

  • 60-minute therapy session $200

*most pediatric client's only require a 30-minute weekly session

**most adult bimonthly clients require a 45 minute session

Will my insurance company reimburse me? 

We are considered an out-of-network provider with all insurance companies. Even if you have coverage, this does not mean that your insurance company will not cover some/all services. Payment for services is provided directly by the family to North Bay Speech. Once payment is received, families can request a monthly superbill with treatment/evaluation services and diagnosis codes that can be submitted to an insurance company to seek reimbursement. Please note that North Bay Speech & Myofunctional Therapy is NOT a Medicare provider. Medicare patients must seek therapy with an in-network Medicare provider as reimbursement is not possible.


How is payment arranged?

North Bay Speech is a private pay clinic. You must have a credit card on file to book and confirm your evaluation. Payments are made electronically with credit cards or HSA cards at the time of service. Jill can provide an itemized superbill receipt with all coding needed to request reimbursement from your insurance company. Check in advance with your insurance company to see if they will cover out-of-network speech therapy.

What medical coding do you use in your practice as a speech-language pathologist specializing in orofacial myofunctional disorders?

Common diagnostic and treatment codes are as follows:

  • 92610: Evaluation of oral swallowing function

  • 92526: Treatment of swallowing dysfunction and/or oral function for feeding

  • 92507: Speech therapy

  • M26.59: Abnormal jaw closure/malocclusion due to : abnormal swallowing; mouth breathing; tongue, lip, or finger habits

Cancellation Policy:

To cancel your appointment, please contact your therapist at jill@northbayspeech.com. There is a 24-hour cancellation policy. If notice of cancellation is not received 24 hours prior to an appointment, you will be charged for the missed session. Illnesses are considered an excused absence. No-shows are charged in full. Two consecutive canceled sessions may result in a lost therapy slot and placement on a waitlist for rescheduling.