What will I be billed for?

Modified on Wed, 13 Jul 2022 at 01:46 PM

You will be billed for coinsurance, deductibles, and copay amounts up to your out-of-pocket maximum. You may be responsible for copays for indirect services, like report writing and plan modification. This means that you may be responsible for copayments on days where there is not a provider present with your child. Typically these services will be rendered on the same day as your child’s Direct Intervention services, which will often mean that you do not bear responsibility for an additional copay amount. However, some insurance plans assess a copay per service, rather than per day. This means if your child receives multiple types of service in one day (for example, Supervision + Caregiver Training + Direct Intervention), your insurance may assess multiple copay amounts for the same day. This is not something Elemy can control, and is something you should discuss with your insurance carrier prior to starting service so you can begin planning for your financial obligations for ABA. 

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