Financial Options
Out-of-Network
Firm Foundation Solutions, LLC is a private pay only company. This means we do NOT bill insurance companies for our services and are considered out-of-network. This does not mean your insurance company will not cover some of or all services — this will depend on your specific healthcare policy. We can provide you a superbill as a statement of your services upon request. You can submit the superbill on your own behalf to your insurance company for out-of-network reimbursement. We recommend checking your out-of-network benefits with your insurance company.
As a valued client, you are responsible for settling the expenses associated with the occupational therapy services we offer at the time of your appointment. We accept payments via cash, debit/credit card, and FSA/HSA cards through our secure, HIPAA-compliant app, Ivy Pay.
Reasons to Pay Out-of-Network
Insurance companies require a diagnosis in order to pay for your services. However, we find that some families prefer not to have a medical label that remains on their permanent health record. These diagnoses will follow clients in school, military, landing federal jobs, security clearances, applying for life insurance, etc.
Insurance companies decide what services they will and will not cover. Diagnoses that best represent client needs will be given. However, a specific diagnosis and/or service code may not be covered by your insurance plan.
Insurance companies can request client session notes at any point in time. Confidentiality with your insurance is waived when you request they pay for services. Many clients feel uncomfortable with this.
The provider a client wants to see is not in-network with their insurance company or specific healthcare plan.
The client’s copay or deductible is too high.
