Q. What insurance do you participate in?
A.
Vision Therapy KC is an out-of-network provider for all insurance coverage. Since reimbursement rates are typically low, we have made the hard decision to not participate with insurance companies. In doing so, we are able to spend a great deal more time with patients than typical optometric practices, which is the nature of treatment with any therapy.
We request full payment for services. If you wish to file insurance for reimbursement, we will guide you through the process of self-submitting a claim. If for some reason your insurance company reimburses us for services, we will give yo ua check for the amount as soon as possible.
Q. Will insurance cover vision therapy?
A. Some insurance providers cover a portion of vision therapy costs. Coverage determination can depend on several factors, such as diagnosis or benefit exlusion altogether. We ask that you contact your insurance provider for eligibility - the service code is ICD-9 #92065, usually called visual training or orthopics. If you'd like to contact your insurance company in writing, please ask our office for assistance.
Q. Why choose an out-of-network provider?
A. Not all therapy programs are alike. When choosing a vision therapy provider, make sure you are clear about your needs and expectations of choosing a program of care based on experience, facilities and equipment. Read the advantages of choosing Vision Therapy KC (PDF).
Q. How do I file a claim?
A. We ask that you self-submit your claims. From our experience, you will have greater success in obtaining reimbursement since we are an out-of-network provider. We will provide you with a statement after each therapy sessin to use in filing a claim. Most insurance providers have an out-of-network claim form on their website for your to download, print and send via mail along with the statement we give you.
Q. Will my flexible spending account (FSA) cover therapy?
A. Yes! Many patients use flexible spending accounts to pay for therapy costs.
Q. Should I file an appeal if insurance denies coverage?
A. As a policy holder, you have every right to file an appeal. In many cases, we can easily prove medical necessity, so you may also request a "benefit exception" if your insurance plan does not cover vision therapy. We'll assist you in writing a letter of medical necessity or an appeal letter - just ask!
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