I’m not sure whether my child needs services. What is a screening?

STEPS for Kids offers free screenings to determine if your child needs further assessment or is appropriate for other services offered at the clinic. The screening may be completed by phone consultation or clinic appointment that allows our staff to observe your child at play, perform limited screening tasks (such as motor skills or writing), answer your questions and recommend the next step. Screenings are typically completed in 15 to 30 minutes, depending on the needs of the child. There is no charge for screenings and our therapy staff is always happy to discuss your concerns about your child’s development. No physician’s order is required for a screening. You can schedule a screening today or call the clinic to discuss your concerns with a therapist.

Is a doctor’s order or prescription needed for services?

Yes. Your doctor will typically write an order on a prescription pad or send it via fax to the clinic. The order should contain your child’s name, date of birth, specific services requested (such as OT evaluate and treat) and a medical diagnosis or reason for referral. If your doctor’s office faxes the order directly to us, it is helpful to have your name and contact information contained in the fax so that we can call you to schedule the evaluation once we have received the order. Our staff can also assist you in obtaining the order when you initiate a request for therapy services. Contact us for help in obtaining an order or call the clinic to discuss this matter.

Does insurance cover therapy services?

Most insurance companies now cover therapy services, however limitations, exclusions and parameters of coverage vary from company to company and from policy to policy. Therapy services provided in different settings (home, school or community) may or may not be covered under insurance. We will assist you with insurance benefit verification prior to your child beginning therapy at the clinic. We strongly recommend that you also contact your member services representative (usually a toll free number on the back of your card) to verify benefits for therapy services.

What insurance does STEPS for Kids accept?

STEPS for Kids currently accepts the following insurance plans:

  • Blue Cross Blue Shield of IL PPO and Blue Choice Select with reciprocal benefits for out of state BCBS plans
  • BCBS Blue Advantage Dreyer Medical HMO
  • Aetna
  • Humana
  • Cigna PPO, OAP and POS plans
  • United Healthcare
  • State of Illinois Medical Card (OT services only)

If we are not in network for your health insurance plan we can bill your insurance as an out-of-network provider. We are also able to provide you with billing information so that you may submit the bill to your insurance company for reimbursement of payments made for services.

Contact us with any questions regarding insurance, billing or coverage for services.

What if my insurance does not cover therapy services? Can I pay privately for therapy?

Yes. Currently our private pay rate is $250 for an assessment and $100 per hour for skilled therapy services. Payment for services under private pay agreement is due at the time of service.

Does insurance cover handwriting assessment or tutoring, social skills groups, play groups or other non-therapy services?

No. These services are recognized as educationally based services which are not covered under health care plans. These services are billed at a rate considerably lower than skilled therapy services, with every effort to keep these types of services affordable for families.

Contact us for current rates for the specific service you are interested in.