Insurance

Grassroots Therapy Solutions is in-network and contracted with several insurance companies. If we are not in-network with the insurance you hold, we are still able to work with you as an out-of-network provider or as private pay. We will call your insurance company to verify benefits, such as your deductible, copay or coinsurance, and to determine if pre-authorization or a referral is required prior to the initial evaluation or treatment with Grassroots Therapy Solutions. We do our best to verify insurance and obtain necessary preauthorization but we cannot guarantee that our services will be covered by your insurance.

Insurance Benefits Check Form

Grassroots Therapy Solutions is currently in-network with the following major insurances: OPTUM/United Healthcare, UMR, Pacific Source, Aetna, First Choice Health Network, Cigna, Lifewise of WA, TriCare/Health Net, Premera Blue Cross WA, Regence Blue Cross Blue Shield.

*If you do not see your insurance listed, please contact us. We are in the process of getting contracts with other insurance panels as well.

Understanding Insurance

Deductible

A fixed dollar amount you pay each calendar year for some health care and/or prescription drug expenses before the plan starts paying for covered services.

Allowed Amount

The most the plan pays for a specific covered service, supply, or prescription drug. For network providers, the provider cannot bill the member for any amount over the allowed amount.

Coinsurance/Copay

Coinsurance: The percentage of the allowed amount you pay. This includes many medical services and prescription drugs.
Copay: The fixed dollar amount you pay when receiving specific services, treatments, or supplies, such as office visits or prescriptions.

Preauthorization

A decision by your health insurer that a health care service or treatment plan is medically necessary. Your health insurance or plan may require preauthorization for certain services before you receive them. Preauthorization isn’t a promise your health insurance or plan will cover the cost.

Know Your Insurance Plan & Your Responsibility

Ultimately, it is your responsibility to know the benefits of your insurance plan.

You can call the number listed on the back of your insurance card for “customer services/members” to verify your benefits. Please let us know if you wish to call your insurance so we can provide you with the appropriate codes they may ask for that are specific to speech and language evaluations/treatment.

For more information: https://www.healthcare.gov/sbc-glossary/

SBC Uniform Glossary | HealthCare.gov