skip to Main Content

The LLA Way

We are happy to verify your insurance benefits and provide a detailed explanation.

When checking benefits, we will always offer specific CPT billing codes and ICD-10 diagnosis codes in an effort to get the most accurate information. However, some insurance companies simply will not check codes and only provide a general description of benefits. It is rare to get a “Yes or No” answer on coverage. Unfortunately, at times, the only way you will know for sure if your insurance will cover services is to receive the service, submit the claim, and then wait to see how they process it.

If a claim is denied, we will notify you right away and discuss potential options. Depending on the denial type, we may be able to file an appeal on your behalf, or provide records to help you file your own appeal.

We are in-network with the following insurance companies for Speech-Language, OT, and PT:

  • Aetna, Anthem, Cigna, Humana, Medical Mutual, Summa, United Healthcare, United Healthcare Community Plan, Caresource Medicaid, Traditional Medicaid, BCMH

For ABA, we are in-network with the following:

  • Aetna, Anthem, Medical Mutual, Summa, United Healthcare, Caresource Medicaid

Alternate Funding Methods:

  • Autism Scholarship, Jon Peterson Scholarship

Commonly Used Insurance Terms:

Many health plans require you to meet a deductible before starting to help with medical bills. A deductible is a specific dollar amount your health insurance plan may require you to pay out of pocket toward covered medical care each year, before your health plan begins to pay for covered medical expenses.

* Most insurance plans run on a calendar year, but there are some that run on a specified contract year

Coinsurance is a portion of the medical cost you pay after your deductible has been met, and your health plan kicks in. Coinsurance is a way of saying that you and your insurance carrier each pay a share of eligible costs to add up to 100%.

Specified dollar amount that is due at the time of service.

This is the most you could pay for covered medical expenses in a year. This amount includes money you spend on deductibles, copays and coinsurance. Once you reach your annual out-of-pocket maximum, your insurance will pay your covered medical and prescription costs for the rest of the year.

Explanation Of Potential Insurance Denials:

Some insurance plans do not cover speech-language, occupational and/or physical therapy services. Common reasons for denials include:

  • Policy language: Most children are not covered if the benefit includes only disorders resulting from “accident, illness or injury”.
  • Diagnosis: Some diagnoses may be excluded from coverage. Common exclusions include: developmental delay, language disorder, autism, auditory processing disorder, stuttering, congenital disorder (e.g., cleft palate), etc.
  • Services are considered “educational”: Many plans deny services for school-age children because they can receive therapy in school. Unfortunately, not all children are eligible for school therapy unless the disorder is determined to be “educationally handicapping.”
  • Medical Necessity: Claims can be denied if the insurance company does not feel services are medically necessary based on the diagnosis, or based on a decision after reviewing records.
Back To Top

Patient Reviews

LLA Therapy

Patient Reviews

Crystal Scheibe

Facebook
Great place, glad we found them. Been going to Medina over 2 months now and he loves Lauryn and Kyler. Wish they had more ABA therapy places available... live in Wooster and long drive everyday.

Karrie Swan LaRock

Facebook
My 11 year old son has dyslexia and has made noticeable gains in working At LLA THERAPY. Katie is strong in her approach toward him and also keeps him comfortable enough to perform well. We will continue visiting both the Fairlawn and Hudson offices and recommend them highly.

Ron Monroe

Facebook
My 9 year old just completed about 9 months of weekly speech sessions (due to his stuttering) with Matt Hagge at LLA and we are thrilled with the experience and results. What I thought might be a negative (what kid really wants to go to speech class?) was made very positive by Matt, and my son never hesitated or complained when we talked about class. He really enjoyed it and really took what Matt taught him to heart. His speech has been greatly improved and we definitely recommend LLA. Thank you so much!

Heather Dougherty-Pantoja

Facebook
My son’s Occupational Therapist, Jess, is an amazing OT! She gives practical tips on working with my son at home and school!

Terri Apgar

Facebook
I cannot say enough good things about LLA Therapy. My daughter was a client of Teal Simmons’ for approximately 2 years and was just released from speech therapy! She was diagnosed with Apraxia in 2015 and worked with Teal twice a week. Through Teal’s application of PROMPT therapy, my daughter had age-appropriate speech after one year. All of the staff we interacted with at LLA were absolutely wonderful. They really care about what they do and making sure your child achieves their goals.

Kelli Geisler Davisson

Facebook
LLA Therapy has been an excellent experience for my son as well as my family! My son always asks, "When can I go see Ms. Jeannine again, is it Monday??" He has also made huge gains in only 5 months! I would highly recommend LLA and have already shared my experience with friends looking for services!

Victoria Hansford-Price

Facebook
We are so grateful for our Speech Therapist Ms.Teal. We have seen a great improvement with our sons confidence and communication abilities since we have started "Prompt" therapy. What we love the most about LLA and Ms. Teal is that Kohl feels comfortable and relaxed which has played a critical role in his progress. Thank you Ms. Teal for all you have done.

Laura Lee Hogsett

Facebook
They have helped in numerous ways. Speech, OT and behavioral. I've had numerous compliments on my son's progress thanks in very large part to LLA. I would recommend LLA before I recommend our local children's hospitals, though they are good, they don't have the staff that LLA does.

Amy Furukawa

Facebook
We had a great experience with Matt Hagge at LLA! Our Middle School age son was becoming very conscious of his voice, which is nasal due to a cleft palate. Matt helped him to better form his sounds and project his voice in a way that makes the unavoidable nasality less noticeable.Our son is more confident and outgoing & even took on a speaking role in the church play. Matt has the perfect personality to relate with our son, and we would recommend him to anyone needing speech therapy services!

Jessica Havalotti

Facebook
LLA Therapy has been an excellent experience for our daughter. I would highly recommend LLA. Miss Grace was so amazing and I can't believe how quickly our daughter showed improvement. Thank you!
Read More