Pricing, Insurance, & Micro-Grants
Base Costs
This service is available for individuals who aren't certain if they are ready to commit to an assessment by Prismatic Speech Services. During this time, our clinician will address whatever questions you may have, as well as give a general overview of the assessment and treatment processes. For transgender clients who are interested, this may incorporate advice into how to effectively explore one's gender identity.
An assessment involves an examination of the potential client's relevant history as well as their current abilities. This is an extensive process, as we want to feel confident that we have taken all factors into consideration when developing a plan for treatment. Once the assessment is concluded, our clinician will take the data and develop a plan for our client's time with Prismatic Speech Services, then contact the client and schedule a follow-up meeting to discuss results. The client and clinician will meet, discuss whether treatment is indicated at this time, discuss the developed plan, make any adjustments necessary, then have both parties sign that they agree to follow the plan.
Weekly sessions are typical; fortnightly sessions (every other week) are also available for clients if it is more financially viable. Treatment will be comprised of skilled intervention techniques selected to achieve your therapy goals. Said techniques may be adapted or modified depending on the individual needs of the client. The total number of sessions is dependent on many factors; we aim for roughly 10-12 sessions of voice practice.
Insurance
Currently, Prismatic Speech Services is purely private pay, meaning we do not take insurance for services; however, this does not mean that clients cannot receive compensation from their insurance companies after services have been rendered. Clients are welcome to receive copies of needed therapy data and submit them to their insurance companies for reimbursement.
Seeking Reimbursement From Your Insurance Company
- If you are interested in seeing if your insurance covers your needs, contact your insurance company and explain that you are scheduling a speech, language, and voice assessment with an out-of-network speech-language pathologist and voice specialist, and ask what they need in order for you to seek reimbursement for our work. The CPT Code we’ll use for that meeting is 92524 with a 95 modifier (for telehealth), and we'll use 92507 95 for subsequent treatment sessions
- If they need to know what we suspect is the "disorder", say we suspect a voice/resonance disorder (ICD-10 Code Family R49, such as R49.8).
- They may want to know why you're seeking services from an out-of-network provider. If you're a transgender client and are comfortable discussing your identity with the representative, let them know that your Prismatic healthcare provider is a transgender vocal training specialist, that you are transgender, and that your voice is negatively impacting your quality of life.
- If things are sounding promising, make sure you specifically ask if your Prismatic provider needs any paperwork in place before we begin- a prior authorization, a referral letter from a therapist or physician, etc.
Micro-Grant Fund
“Find Your Light” is Prismatic’s community-backed micro-grant fund. Based on a client’s income and financial needs, the fund can cover up to 50% of the cost of sessions! read more at prismaticspeech.com/fund.
