FAQs

Occupational Therapy: Our Services

Q: What is MCT's cancellation policy? A: Medford Children’s Therapy has instituted a 24-hour notification policy for canceling all in-clinic and telehealth appointments. In the event that you are unable to keep your/your child’s scheduled appointment, we ask that you contact our office as soon as possible. This will allow us the opportunity to manage our schedules and to offer available appointment times to another client; it also prevents unnecessary treatment set-up and planning by your/your child’s provider. To cancel or reschedule Occupational and Physical Therapy appointments call: (541) 613-6505 ext 3 or 1

Q: What if I/my child does not feel well? A: If you/your child is not well, please give us as much notice as possible when canceling their appointment. We do not want illness to spread to others. Special needs and medically fragile children need you to stay home and/or keep your child at home when either of you are sick. Please stay at home if you/your child have: - Vomited or had diarrhea in the past 24 hours - A rash, lice or nits - Strep throat or ear infection (until at least 24 hours after starting antibiotics). - An eye infection - A fever over 101 degrees in the past 24 hours - A sore throat for multiple days - A wet cough for multiple days - Tested positive for COVID-19 in the last 5 days - May find it difficult to participate in a therapy session *Additional policies may be implemented by the state and local guidelines in the case of an infectious outbreak. If you have questions regarding this health policy, please call us at (541) 613 -6505.

Q: What will the initial Occupational or Physical therapy evaluation look like? A: For Occupational Therapy and Physical Therapy evaluations, the evaluating therapist works directly with your child and will ask questions of both you and your child depending on your child’s age. There will be lots of movement on equipment and mostly fun activities. There may be some table top activities, or range-of-motion measurements. Our therapists are experts at getting the information that they need out of seemingly routine kid centered activities. Most kids enjoy the initial evaluation. The evaluation will last from 30 minutes to 1 hour depending on what is scheduled. At the end of the appointment, the therapist will be able to identify if further treatment is recommended.

Q: If treatment is recommended for Occupational or Physical Therapy, how does therapy get started? A: After your initial evaluation appointment, you will be notified if further treatment is recommended. If your insurance company requires additional information from your doctor and/or a prior authorization request for services, we will obtain the required paperwork (evaluation, plan of care and doctor’s orders) and fax it to your insurance company for you. Your insurance company will then decide if they will authorize services for your child and, once we receive authorization, we will contact you immediately to schedule treatment. If no authorization is required, our scheduler will call and work with you to schedule recommended treatment appointments once the evaluation report is completed. *In the event that treatment space is limited, we will offer to schedule you with a therapist on a cancellation basis until a permanent spot opens up. The therapist will remain the same for consistency purposes*

Q: What Insurance Companies are you contracted with? A: The list below is provided for reference and is subject to change without notice. Keep in mind that your provider may not be contracted with all insurance companies listed below within their service area. Please contact your insurance company directly to verify that your provider, or our group (Neurotherapeutic Pediatric Therapies DBA Medford Children’s Therapy), is in network with your specific plan. OT/PT: Aetna Allcare BCBS (including Regence and many out-of-state plans) Jackson Care Connect Cigna DMAP Harrison Trust Healthnet Federal Services (HNFS) TriCare Healthcare Management Administrators HeathNet Moda PacificSource Commercial Providence Health Plans

Q: Will you bill my insurance company? A: Yes! We are committed to providing the best possible care, and that also includes filing insurance claims to your insurance company for therapy services. We are in-network with many insurance companies, and even if we are not, therapy services may still be covered at an out-of-network rate. We work closely with our clients to best utilize their existing insurance benefits. If no insurance is available, we accept cash, checks, Visa and MasterCard as payment for services.

Q: What is a deductible? A: The deductible is the amount you are required to pay before your insurance begins payment. Deductibles vary in size and may renew at either the calendar year or plan year depending on your individual policy. If you have a deductible and have not met it, payment is expected at each visit until your deductible is met.

Q: What is a copay? A: Some insurance contracts require you to pay a certain dollar amount for each visit. This amount is called a co-pay. Co-pay amounts can vary, depending on your individual policy. Co-pays are expected to be paid within 30 days of receiving your bill.

Q: What is co-insurance? A: This is the percentage that your individual policy requires you to pay of the allowed or contracted amount. We will bill you for your co-insurance amount once we determine what your carrier allows per visit. Keep in mind that some plans may have a copay, co-insurance, or both.

Q: Will my insurance cover my Physical or Occupational Therapy? A: Most insurance companies do help cover the cost of therapy services. We will help you receive the maximum allowable benefits through your insurance carrier and, as a courtesy to our clients, our insurance specialist will contact the insurance company to verify benefits. While we are not able to guarantee coverage, we are committed to helping you understand your plan’s benefits and assist in utilizing the existing benefits available.

Q: How can I verify my insurance benefits? A: It is your responsibility to be informed of your insurance benefits prior to the initial visit. Contacting the insurance company directly will help you to better understand your plan and how benefits may be applied. The customer service number is usually located on the back of the insurance card. Below are some questions to ask your insurance company that may help you better understand your plan and coverage for services. -What are my out-patient occupational, physical and/or speech therapy benefits? - Do I need prior authorization to see an Occupational or Physical, therapist? - What is my deductible (the amount that is paid out of pocket before benefits begin)? - Is there a separate out-of-network deductible? - When do my benefits renew (per calendar year or plan year)? - What are my in-network and out-of-network benefits? -What’s my copay/percentage paid per visit? - How many therapy visits are covered? - Are therapy services a combined benefit for Occupational, Physical, and Speech therapy? - Are there any exclusions for Neurodevelopmental Therapy or for Developmental Delay? - Are any diagnoses excluded that I should be aware of? - Is Neurotherapeutic Pediatric Therapies Inc. (which is our parent company) an in-network or an out-of-network provider? (Tax ID# is 208439757)

Q: What if Medford Children’s Therapy is out-of network or I am out of benefits? A: Even if we are not contracted with your insurance company, we can still file claims for therapy services which may still be covered at an out-of-network rate. If you are out of benefits, we have cash or credit card payment options available as well. We want to work with you to find a solution! Call or talk with us to discuss options available for your family.

Q: What is Telehealth? A: Telehealth is just like a regular therapy or medical appointment, but it’s done by a live video connection over the internet.

Q: Why Telehealth? A: Telehealth is a great option for when coming into the clinic isn’t feasible. It allows for consistency in therapy and/or medical services. You can receive excellent services from the comfort of your home!

Q: Can all ages participate in Telehealth? A: Telehealth can be a good option for a wide range of ages. For young children, parents will need to set up the Telehealth session and, depending on the type of appointment/service, participate in the session. It may not be a good fit for clients who struggle to stay in one place.

Q: What do I need for a video Telehealth appointment? A: To utilize video Telehealth appointments, you will need a computer, tablet, or phone with a camera and High-Speed Internet. Headphones may be helpful for sound quality.

Q: How can I check my Telehealth appointment information? A: We use a combination of secure video conferencing platforms for Telehealth services. Once your appointment is scheduled, we will send you more information on getting ready for your appointment and how to access your telehealth appointment link.

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