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Insurance & Billing Information

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We Accept Most Major Insurance Providers

At Can Do Kids, located in Cleveland, Tennessee, our pediatric physical therapy team works with children and their families to assist each child in reaching their maximum potential to function independently and to promote active participation in home, school, and community environments. We service Chattanooga, Ooltewah, Cleveland, Bradley County, Polk County, Athens, and many more surrounding areas.

CDK Is In-Network With Most Major Providers!

Services from CDK are covered by the following health insurance providers:
TN Medicaid Policies
** Also there are a lot of plans that are not mentioned due to they are under the umbrella of the larger insurance companies such as UHC, Cigna, and or BCBS since we are in-network with them we are automatically in-network with the smaller ones. For example :
ACS ( Cigna) , UMR (UHC) Anthem (BCBS) 
 
Co-pay will be collected at the time of service and billing will be sent monthly.  Bills not paid by the 5th of the month will result in sessions being put on hold until balance is paid or payment plan is established.

Out of Network (but we still accept)

If we are out-of-network with your insurance company, full payment of service is due the day of service.  We will submit a claim on your behalf as a courtesy.  Depending on your insurance plan, out-of-network benefits may be payable after your deductible is met. Some carriers will reimburse you directly, while others will reimburse the clinic.  If the clinic is reimbursed the amount will be credited to your account and future payments for services will be adjusted accordingly.  Written reports will be provided upon request from your insurance company as needed. 

Do You Still Have Questions?

If you have any questions or any billing questions in the future, please contact us at billing@cdkidsmail.com

We also accept Private Pay patients!

The team at Can Do Kids Pediatric Therapy Services would love to see your child any way we possibly can. We accepts Cash, Credit, Or Debit pay for services provided! Call Today to ask how we can help your child!

A Private Pay client is responsible for all services received at Can Do Kids Pediatric Therapy Services. Because we are not in-network with your insurance company, we will not receive payment from your insurance company. If you have out-of-network benefits with your plan, those benefits will be reimbursed directly to you, not to CDK.

Thank you for allowing Can Do Kids, to provide the services that your child needs and we are thankful that you have trusted us with their services.

The best thing to do is contact your insurance company, and give them the following information/ask them the following questions:

 

1) Let them know: my child will be receiving (speech, OT, PT) from an in-network provider. 

 

2) Ask: What is my coverage for this service? Will I have a copay or coinsurance per visit? 

 

3) Ask: Are there any diagnosis/condition limitations that would disqualify my child from receiving benefits, such as no coverage for developmental delays, or specific benefits for an Autism Diagnosis.

 

4) Ask: Does my child need a prior authorization in order to receive coverage? 

a) If yes, will the evaluation be eligible for coverage, or do I have to receive the prior authorization before I can get an evaluation? 

b) If no, is there a cap of how many visits my child can receive in a year, or how many visits can my child receive before a prior authorization is required? 

 

5) Ask: Do I have to meet the plan deductible before I receive any coverage?

a) If yes, how much is my deductible and how much of it have I met this year?

Our pricing information is provided in our new client paperwork. If you need pricing information before filling out your new client paperwork, send us an email or give us a call!

Deductible – This is the amount of money you pay out-of-pocket in a year before your insurance starts paying for your healthcare expenses. After you meet your deductible, you will only need to pay your co-pay or your coinsurance, depending on your policy. (Some insurance plans don’t require you to meet your deductible before paying for therapy services)

 

Co-Pay – This is the fixed amount of money you pay per visit (after you’ve met your deductible when applicable).

 

Coinsurance – This is the percent of the total cost of a session you pay (after you’ve met your deductible when applicable).

 

Pre-authorization – This is a restriction placed on certain health services by your insurance company that requires your therapist to be granted permission before your plan will cover that service. (Obtaining this doesn’t guarantee that you will receive coverage for this service.)

 

Referral – This is a written order from your primary healthcare provider for you to receive specialized medical services. Most insurance plans require one to cover therapy services.

 

Eligible Charge – The maximum amount an insurance plan will pay for a covered health care service. May also be called “allowed amount,” “payment allowance,” or “negotiated rate.” (Private Pay Clients please note, Sprouts’ charge may be higher than the insurance’s eligible charge, so your benefits will be based on the eligible charge, not the number that Sprouts Therapy charges for a service.)

Not a problem! If you need a doctor’s referral, your physician can provide a provisional diagnosis (when the clinician thinks a particular disorder/delay is present but realizes more information is required to be confident of a specific diagnosis). Upon evaluation, the therapist(s) will assess your child’s skills and provide a treating diagnosis if applicable.

Request A Consultation

Request more information about our pediatric physical therapy services in Cleveland, TN. We are more than happy to help!


Getting to know us

Can Do Kids is a Highly Rated Pediatric Physical Therapy Clinic that has been servicing the Cleveland, Tn community for 15+ years. We have 30+ five star reviews on Google!

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