Lurie Children’s is actively responding to a cybersecurity matter. For support, please call our dedicated call center at 1.800.543.7362 (M-F: 8 a.m.-6 p.m.; Sat: 8 a.m.-1 p.m.; Sun: Closed). During the hours the Call Center is closed, please call the main operator at 312.227.4000.
Before a first visit with our Speech-Language Pathology Program, we strongly encourage you to contact your insurance company directly to ask specifically what will be covered during your visit(s). If services are not covered by insurance, the hospital asks for payment on the day of the appointment.
Possible Insurance Plan Requirements
For example, your insurance plan may require any of the following:
A physician’s order for treatment
Pre-authorization before treatment can begin
A referral from your primary care provider
Limited number of annual visits
Limited dollar amount paid toward annual services
Possible Non-Coverage Reasons
The following is a list of reasons why insurance companies may not cover therapy services.
It’s maintenance therapy
It’s for development delay
It’s not medically necessary
It’s only covered for treatment that is restorative (i.e., if skills were lost because of illness, accident or injury)
Must result in significant improvement within a certain timeframe
You’ve used your plan’s entire benefit for the calendar year
Suggestions for Families
Act as the liaison between the insurance company and your child’s therapist or physician
Keep a log of insurance calls, including the names of the individuals you speak with
Keep copies of all letters from your insurance company