Billing & Insurance
Clear information so you know what to expect
At SynapseKids, we aim to keep billing simple and transparent so you can focus on your child and not paperwork.
Services may be covered by insurance depending on your plan and the type of service provided.
Insurance
SynapseKids is currently in the process of credentialing with:
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Regence BlueCross BlueShield
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MODA Health
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PacificSource commercial plans only
This page will be updated as in-network status is finalized.
Most insurance plans may cover:
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speech and language evaluation
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speech-language therapy services
Coverage varies by plan and may include:
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copays
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deductibles
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visit limits
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prior authorization requirements
We recommend contacting your insurance provider to understand your specific benefits.
Services & Evaluation Pathways
At SynapseKids, evaluations are designed to provide a meaningful understanding of your child’s communication, learning, and regulation skills.
Depending on your needs and insurance coverage, there are two possible pathways:
Insurance-Based Services
When using insurance, services are provided according to payer guidelines and may include:
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Standard speech and language evaluations
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Speech-language therapy services
These services are structured based on medical necessity and insurance requirements.
Comprehensive Private-Pay Services
We also offer comprehensive evaluation services that provide a deeper, more holistic understanding of your child’s communication and learning profile.
These services are:
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Multi-session when appropriate
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Focused on speech, language, literacy, and functional communication
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Designed to integrate clinical observation, dynamic assessment, and real-world language use
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Includes detailed written report, results review, and individualized recommendations
These services are not billed to insurance and are offered as flat-fee private pay evaluations.
We'll verify your coverage with your insurance as a part of our intake process.
Private Pay Services
Some services are not typically covered by insurance and are offered as private pay
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literacy evaluation and intervention (oral and written language)
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parent coaching services
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professional workshops and trainings
These services are designed to provide specialized, individualized support that may not fall under standard insurance coverage.
Payment & Billing
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Payment is due at the time of service unless otherwise arranged
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Insurance claims are submitted for eligible covered services
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Families are responsible for copays, deductibles, and non-covered services
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Private pay services are billed as flat-fee packages
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Payment is accepted via HSA/FSA/CC and is billed directly through our HIPPA compliant service portal
Out-of-Network (OON) Coverage
If we are not in-network with your plan, you may be eligible for partial reimbursement depending on
your insurance benefits.
We can provide a superbill upon request for families seeking out-of-network reimbursement. Families are responsible
for submitting the superbill to their insurance for reimbursement