Frequently Asked Questions
A: ABC aims to have all children seen within 2 weeks of a referral. Often times, it is within the same week.
A: All insurance plans are different, but ABC is “in-network” with all major insurers and well as government pay sources. We encourage you to contact your provider for your plan details.
ABC also works directly with Social Security, Ohio Medicaid, CHIP (Children’s Health Insurance Program), BCMH (Bureau for Children with Medical Handicaps), UHC Children’s Foundation, ARC, Help Me Grow, Building Blocks, PASSS, Autism Society of Greater Cincinnati, Down Syndrome Association of Greater Cincinnati, EI Individual Budget, and Paige’s Princess.
A: Yes! We do need a referral from the family doctor or pediatrician to bill medical insurance. Our Patient Advocates can help with the process and send a referral to the doctor for you.
A: We are in network with most insurance companies! Depending on the plan or policy that was chosen will depend on the cost of therapy. We ask you reach out directly to the insurance company to better understand your benefits.
A: Yes! Most medical evaluations are good for a year! We can accept evaluations from other facilities! We would need a copy of the evaluation before we schedule to insure billing and scheduling parameters are correct.
A: Unfortunately no. School evaluations are not medical evaluation and can not be used to bill insurance. However, the information may be useful for the therapist during treatment!
A: We rarely have a waitlist, we can typically fit everyone in for their first appointment within 2 weeks! Our flexibility depends on your flexibility.
A: Yes! Depending on the day our therapists offer appointments until 6:30pm!
A: ABC has many alternative funding sources that can help to pay for therapy. Please reach out so we can help you.
A: Deductible: a specified amount of money that the family must pay before an insurance company will pay a claim
Copay: a set amount to be paid by the family per date of service
Coinsurance: a percentage to be paid by the family per date of service
A: ABC will send you a welcome letter with your benefits before your first appointment. We suggest you also call your insurance to confirm your coverage.
A: ABC is in network with most commercial and government insurance plans. Please call if you would like to confirm if we are in network.
A: If therapy is recommended, 1-2 times per week for each therapy is typical. We make it convenient by scheduling you for the same day and time each week.
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