Pediatric Therapy

Insurance Overview

• Accepted Insurance: Care Options for Kids (COFK) is in-network with Blue Cross Blue Shield (BCBS) and United Healthcare (UHC).
• Marketplace Plans: We are not in-network with commercial plans purchased through HealthCare.gov.
• Medicaid: Accepted as a primary or secondary payer (if primary insurance is commercial).

Billing Overview

If your child does not have Medicaid but is covered by in-network commercial insurance:

• Evaluation: Up to $200
• Treatment Sessions: $125 per session
• Contact your insurance provider for plan-specific coverage and exclusions.

If your child has out-of-network commercial insurance:

• Evaluation: Up to $200
• Treatment Sessions: $125 per session
• Services may apply to out-of-network benefits
• Check with your insurance provider for eligibility and pre-authorization.

If your child is self-pay:

• Evaluation: $200
• Treatment Sessions: $125

COFK uses a secure and private payment system to protect your financial information. Therapy rates may vary slightly by state. Contact us for location-specific information.

Telehealth Therapy

• Conducted virtually via Microsoft Teams (HIPAA-compliant)
• Great for families in rural areas or with limited transportation
• Allows continuity during illness or inclement weather
• Requires internet access and a phone, tablet, or computer

In-Person Therapy

• Conducted at an approved location with a licensed therapist
• Location options are discussed during the intake process

Therapy Locations Include:

• Daycares, Head Starts, ABA clinics
• Private schools (with consent)
• With sitters or caregivers (with consent)
• Home-based settings – even with siblings present
• After-school care programs

Location Limitations:

• Therapy is not permitted in public schools during school hours
• Telehealth in group settings (e.g., daycare) requires a caregiver present

Scheduling Factors:

• Greater flexibility improves chances of therapist assignment
• After-school hours (3 PM+) are in high demand
• A caregiver (not necessarily a parent) may attend sessions

Typical Scheduling Windows:

• Daytime: 7 AM – 3 PM (Mon–Fri)
• Afterschool: 3 PM – 7 PM (Mon–Fri)
• Weekends: Limited availability based on therapist schedules

Frequency & Duration:

• Most children attend therapy 1–2 times per week
• Sessions range from 30 to 90 minutes, depending on the therapy type and your child’s individual needs

To begin therapy, Request a Consult. We’ll gather the following:

✅ Child’s availability
✅ Preferred therapy location (in-person or virtual)
✅ Presenting concerns
✅ Insurance details

Next Steps:

1. COFK matches your child with an available therapist.
2. Therapy orders are requested from your child’s physician (if not already provided).
3. If needed, COFK obtains insurance authorization.
4. Our team reaches out to schedule the evaluation.