Forms & Fees
We realize that the world of OT is an unfamiliar path to many of our clients. Even after a diagnosis, many questions remain, from treatment options, to insurance to appointment logistics. We are here to help and support you on this journey.
OTC is an in-network provider with all CareFirst/BlueCross BlueShield plans but we are an out-of-network provider for all other insurance companies and plans. Every insurance plan is different and insurance coverage is not a guarantee of payment. We will work with you to maximize reimbursement potential however, you are encouraged to know your benefits and your coverage amounts prior to starting therapy. If you are a client with CareFirst/BCBS coverage, you are required to provide a letter of medical necessity prior to the start of treatment. Your therapist will give you this form letter at the initial appointment. If you are an out-of-network client and want to submit to your insurance company for reimbursement, they may require you to have a physician’s referral. OTC encourages involvement of your physician, regardless of need for referral. Please see our Fee Schedule for billing codes that may be helpful in talking to your insurance company.
Fees vary based on the type of service provided. Assessments and screenings are billed at a flat rate, whereas consultation, coaching and treatment services are billed in 15-minute increments. Out-of-network payment and co-pays are due at the time of service. Payment plans are available upon request. Please inquire about costs based on your needs or download our Fee Schedule for specific rates.
OTC uses a hybrid fee-for-service payment structure which means we are in-network with only one insurance company (CareFirst/BCBS) and all clients with other or no insurance coverage are considered private pay out of network clients.
Regardless of insurance coverage, all clients receive the same level of clinical service, and we continue to offer a high level of complexity in our assessments and treatments. This means that all clients will have to pay some amount for services that are not reimbursed by insurance (our parent only meetings for example), but we refuse to compromise the quality of our services because of insurance constraints. This model affords us the opportunity to help more clients than we could otherwise help if we remained exclusively out-of-network, but allows us to remain financially viable AND maintain the flexibility and independence to be creative in how and where services are provided, to do clinically what clients need most, and to offer treatments that are consistent with models of “best-practice.”
- Fees vary based on the type of service provided. Assessments are billed at a flat rate, whereas consultation, coaching and treatment services are billed in 15 minute increments.
- Out-of-network payment and co-pays are due at the time of service.
- Payment plans may be available upon request.
Please inquire about costs based on your needs or download our Fee Schedule for specific rates.
New Patient Forms
Please contact our office for forms to fill out prior to your first appointment.