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We are committed to providing you with the best possible care. If you have medical insurance, we are willing to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our financial policy.   

Please understand that you are financially responsible for all charges, whether or not they are paid by insurance. We accept cash, checks, and credit cards.  Any returned checks will be subject to a non-sufficient funds (NSF) fee of $30.00.

INSURANCE & PAYMENTS

INSURANCE 

 

In-Network

KID FUNdamentals Therapy Center, Inc. accepts all types of PPO insurance as a form of payment, but we have partnered “In-Network” with the following insurance companies:

  • Anthem Blue Cross PPO

  • Blue Cross Blue Shield PPO

  • Blue Shield of California PPO

  • CalOptima - CHOC Health Alliance

  • CalOptima - Community Network

  • Cigna PPO

  • HealthPartners

  • HealthSmart

  • TRICARE

  • United Healthcare PPO

 

If you have CalOptima: Cal-Optima is the Medi-Cal coverage exclusively for Orange County residents. Please contact your child's primary care physician to request a referral for occupational therapy with KID FUNdamentals Therapy Center (NPI# 1518529635). Once insurance approves, they will send to an authorization approval which allows us to schedule your child's initial appointment for their evaluation.  

If you are a member of one of these above-mentioned providers, we will file the insurance claims for you.

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Out-Of-Network

We accept most PPO insurance plans as an "out-of-network" provider, including:

  • Aetna PPO

  • HealthNet PPO

Depending on your insurance plan, out-of-network benefits may be payable after your deductible is met. Some carriers will reimburse you directly, while others will reimburse the clinic. Written reports and invoices will be provided upon request of insurance company as needed.  Please contact our office for more information if your PPO insurance carrier is out-of-network with us.  

Additional Information

It is recommended that you contact your insurance carrier prior to your child's appointment to determine coverage/benefits.  We understand that the process can be overwhelming.  Here are some suggested questions to ask your insurance:

  • What is my coverage and benefits for occupational therapy? Do I have benefits that cover an evaluation and occupational therapy services?

  • Is KID FUNdamentals Therapy Center, Inc. in-network or out-of-network with my plan?

  • Does my plan cover out-of-network providers? At what rate/percentage?

  • Is there a limit to the number of visits covered each year?

  • Is there a deductible I have to meet before coverage kicks in?

  • What is my co-payment at each visit?

  • Are there specific disorders covered only in my plan?  If so, what are they?

  • Do I need a doctor's prescription/referral or a prior authorization to initiate occupational therapy? [Note: We will need a prescription/referral to be kept on file, as insurance companies may require proof of medical necessity and they may ask when a claim is submitted who is the referring physician and the medical reason (ICD-10 code)].

For the most up-to-date information on our accepted private health insurance plans

contact us directly at

714-750-9700

Anthem Blue Cross insurance
Blue Cross Blue Shield insurance
Blue Shield California insurance
CalOptima insurance
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Regional Center Orange County
Tricare insurance
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PRIVATE/CASH PAY

KID FUNdamentals Therapy Center, Inc. offers competitive private pay rates for clients who wish to utilize therapy services without going through insurance carriers. If you prefer to opt for private pay sessions, we offer discounted pricing when you pre-pay for our package sessions (8 sessions and 4 sessions).

 

We use Square and accept Visa, MasterCard, Discover, American Express, Apple Pay, Personal Checks, and Cash. Please contact us for our current rates and details.

REGIONAL CENTER OF ORANGE COUNTY

KID FUNdamentals Therapy Center, Inc. is vendored with Regional Center of Orange County to provide early intervention occupational therapy services for children ages 0-3. Please contact your child's case coordinator if you would like services to be provided by us so they can develop a contract.  Our vendor number is #PM4003

CONTRACT WORK/SCHOOL DISTRICTS
School districts can contract with KID FUNdamentals Therapy Center, Inc. for occupational therapy services - we can do Independent Education Evaluations (IEE) or provide therapy services in our facility.  Please inquire for rates and details at info@kidfundamentalstherapy.com.  
Occupational therapy sensory slime
Art Class Girl
Kids' Paintings
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