Fees & Policies
Therapy Services:
1 Hour Individual Therapy Session $200.00
45- Minute Individual Therapy Session $150.00
Evaluations and Consultations:
Comprehensive Evaluation - $900.00
Includes Evaluation of Gross and Fine Motor Development with standardized testing instrument(s) and clinical observation, Sensory Processing Skills, preschool or school screening questionnaire, written report and 60 minute family conference. With preschool or school visit - $950.00Targeted screening with written report and 30 minute family consultation $420.00
School Visit / IEP/ Home Visit or Parent Consultation $200.00/ hour
Additional Reports, Written Goals and Objective updates, phone conferences $180.00/hour
Insurance Accepted:
Santa Clara County IPA (or SCCIPA)
Blue Shield
San Andreas Regional Center.
Most PPO plans
Cancellations and Missed Appointments:
If it is necessary to cancel an appointment, please notify the therapist as soon as possible. Cancellation should be made at least 24 hours before the appointment. If the therapist is not given sufficient notice and is expecting the child, a $60.00 charge will be made. We strive to implement this policy in a reasonable fashion and take into consideration the somewhat unpredictable nature of working with children. If the child needs to stop therapy for any length of time, his/her regularly scheduled time cannot be promised upon return. After 3 no-show incidents, therapy may be discontinued.
Timely Payments:
Payment will be due each week. Payments are considered delinquent if not paid within 7 days and are subject to late charges. We are able to accept credit, debit and health savings account (HAS) cards. If you prefer to pay by check, we also need a credit, debit or HSA card to be and put on file as backup.
If you have questions about any invoices please direct these questions to the office manager who will follow through. In the event that your check is returned due to insufficient funds, you will have 7 days from the time you are notified to make alternative payment arrangements. You will be responsible for any bank fees or charges incurred due to the returned check.
Policy Regarding Insurance Reimbursement:
Whole Kids Therapy is able to bill Kaiser, most PPO plans, Santa Clara County IPA (or SCCIPA), Blue Shield and San Andreas Regional Center directly. We are able to bill many PPO plans, and ask that you contact your insurer to see what services are covered, what the deductible and co-pays are.
The child’s family is responsible for all services rendered. If you wish to pursue reimbursement from your insurance company, we recommend a referral letter or prescription for OT from the referring physician with a DSM-V or ICD-10 diagnosis and CPT code number (designated by the physician), and the complete name of the insured policy holder to be recorded as the billable party. We strongly recommend that you contact your insurance company to inquire about allowable CPT codes for OT services, so that we will be able to provide an invoice that is in keeping with your insurance company’s invoice policies. Please remember that monthly payments are due at the time of receipt regardless of delays in reimbursement by insurance providers. If additional documentation is required by your insurance provider a charge will be made based upon therapist time.
Billing questions:
If you have any questions related to billing, please contact the office manager or the lead therapist.
