Insurance & Reimbursement
Before deciding to work with Kids Feeding Wellness, we want you to have a clear understanding of how we operate as an out-of-network provider, and the options available for reimbursement and payment—so you can make a well-informed decision.
Is Insurance Accepted by Kids Feeding Wellness?
As an out-of-network provider, we do not accept direct insurance payments. This means you'll pay for services out-of-pocket at the time of your visit. However, if your health insurance policy includes out-of-network coverage, you'll receive a superbill at the end of each month that you can submit to your insurance company to request reimbursement.
A provider without a contract with your insurance plan. Insurance may cover less of the cost—or none of it—compared to an in-network provider.
An itemized document of the services you received, including provider info, dates of service, and billing codes—used to request reimbursement from your insurance company. Not all plans accept superbill submissions, so check with your provider first.
Benefits of Working with an Out-of-Network Provider
How Can I Receive Reimbursement from My Insurance?
Understanding your coverage and following your insurer's procedures is your responsibility as the client. Some plans require pre-authorization from your primary care physician before approving certain services. If your plan requires additional documentation, let us know and we'll provide what you need.
Approval your insurance company requires before a specific treatment or service, confirming it's medically necessary before they agree to pay for it.
What Questions Should I Ask My Insurance Provider?
Each insurance plan has its own rules and requirements. Before you call, it helps to have some information ready—and to know what to ask.
Information to Have Ready
- Insurance I.D. number
- Group number
- Name of the primary subscriber
- Your relationship to the subscriber
- Subscriber's birthdate
- Your birthdate
- Subscriber's employer
Questions to Ask
- Does my plan cover out-of-network feeding and orofacial myofunctional therapy?
- What percentage of out-of-network expenses will my plan cover?
- Is there a limit on out-of-network coverage?
- Is there a separate deductible or out-of-pocket maximum for out-of-network care?
- How do I submit superbills for reimbursement—is a form required?
- What documentation do I need (e.g., pre-authorization)?
- Is there a time limit for submitting an out-of-network claim?