Coverage and Payment Options

Children's Services

AbilityPath accepts insurance, private pay, and regional center funding for services.

INSURANCE

Listed below are some of the carriers we are in network with and what they will require if an appointment is available:

Blue Shield

Blue Shield PPO Plans only (no HMO)

We need the following to confirm you are in-network:

  • Insurance Card

Health Plan of San Mateo (HPSM)

We need the following to request prior authorization from HPSM:

  • HPSM doctor’s referral/prescription
  • HPSM card
  • IEP (if applicable)

If HPSM is not your primary insurance provider, we will need a letter from your primary provider denying coverage of services

Other Payment Options

PRIVATE PAY – You may choose to pay for services privately and seek reimbursement from your insurance carrier on your own. Check with your carrier on what reimbursement they allow for the services below. For services which have CPT codes they are provided below. We can provide a monthly receipt with the required information.

Early Intervention Therapy Session $150/60 minute session
Speech Therapy Session $175/60 minute session – CPT code 92507
OT Therapy Session $175/60 minute session – CPT code 97530
Speech Evaluation $800 – CPT code 92523
Occupational Therapy Evaluation $800 – CPT code 97167
Social Learning Groups $130/session – CPT code 92508
Handwriting Readiness Groups $130/session
Fun with Food $130/session

REGIONAL CENTER – If you are a current client of either Golden Gate Regional Center or San Andreas Regional Center, please contact your social worker regarding your interest in services through AbilityPath.

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