Is Therapy Covered by Insurance?

I will inform the patient up front that we do start every VT patient like a cash paying patient.
If we are going to file for their visits I will tell them we will start therapy and once the patient’s 1st session has occurred we will file and within about a month we should know whether or not any amount of the sessions will be covered.
This is also based on whether or not the individual has a deductible that needs to be met, etc.
Also as of right now I am under the assumption that the only patients who are candidates to have a chance at getting therapy covered are the ones who have coverage with BCBS or Cigna and with a Convergence Insufficiency diagnosis. If the patient does not fall under this specific category, I will usually just go ahead and tell them it will be cash pay. They may want to file to insurance on their own and if they ask that I do let them know we can provide the billing sheets for each week's session, but that we will not file in our office.
Therapy sessions are $140 total and the only amount of that $140 that is billable to insurance is a $45 amount. $85 is always out of pocket.

Short version is therapy is only covered under a few certain plans with very specific diagnoses and a test claim has to be run (on session 1) before we know anything. If the patient asks if they can know beforehand if therapy will be covered it is a very lengthy in depth process that typically doesn’t help with any type of coverage.

Testimonials

Vision therapy is well worth the response, time and effort. Our Son had a hard time focusing and writing neatly. After vision therapy Seth could complete a task in half the time if previously took. His abilities to focus improved greatly and so did his handwriting.

Also, he was better at listening. As a parent, we wanted learning to be fun for our Son, and vision therapy made this possible.

Amanda T.

Vision Therapy is well worth the expense, time and effort. Our son had a hard time focusing handwriting neatly. After vision therapy Seth could complete a task in half the time it previously took his abilities to focus and improved greatly and so did his handwriting.

Also, he was better at listening. As a parent you wanted learning to be fun for our son and vision therapy made this possible.

Alexa H.

Vision Therapy has given or son the tools he needs to be able to scan and read the written word more effectively and efficiently.

He love working with John and these working sessions give him the motivation to gladly work on his homework assignments.

It amazed us to see the difference in the tracking of his eyes and along a line of it's from the beginning to the end of the treatment.

Dr. McBryar , Kristen and John are all marvelous and we would recommend them to anyone I only wish that we would have found them sooner!

Charlotte M.

Prior to coming to the institute for vision development my son complained of daily headaches. Therapy has eliminated his headaches completely. I love knowing my son is able to learn pain-free for the rest of his life because of the work that has been done over just a few weeks in this office. He he absolutely loved coming that didn't even feel like going to a doctor or therapy. We are grateful for the relief he was able to find by coming here.

Thank you!

Olivia C.

Seems much less frustrated with life

Reads non-stop and fast

Spelling abilities have been hugely improved

Seems much more confident

Thank You!!!

Kelly O.

When we first came to the practice, my son did not have huge issues, but lots of small ones- trouble with reading, sports (hitting the baseball consistently), coordination, etc- that were not easily detectable,but when put together presented issues. The staff here were all very professional and loving towards him. While I was concerned in the reading, my son was concerned with the athletic side. Seeing improvement night off the bat gave him confidence that i have nor seen in him and made him want to not only Come to therapy, but also made him want to work hard. He has surpassed his grade level and above in reading and hit his first home run this year! Thank you!!!