getting started

Billing & Insurance info

payment & insurance

While Giant Leaps is considered an “out-of-network” provider by most insurance plans, there are MANY ways Giant Leaps can work with insurances to get parents reimbursed for most or all of the services provided.

In fact, most of the clients who receive services through Giant Leaps do so with help from their insurance plan.

Please know, your Co-Pay (determined by your plan and usually between $25 to $40) is always due at the time of your visit.

Click below to learn about payment for services and how Giant Leaps has successfully worked with insurance plans and see if your plan is mentioned.

Out-of-network Exceptions

With some exceptions, Giant leaps is considered out-of-network by most insurance providers.

However, because of the specialized nature of sensory integration therapy, some insurance plans DO provide “out-of-network exceptions” where they will agree to cover services as if Giant leaps was “in-network.”

Some insurance plans which DO provide for out of network exceptions are:

NYSHIP/The Empire Plan

Oxford

Single Case Agreement

In some situations, insurance plans who do not give an out-of-network exception may make their own exception if there is not an in-network provider close by. This is called a “single case agreement” or “GAP coverage.”

Giant leaps has been successful in attaining GAP coverage or a single case agreement with many insurance plans including:

Cigna
Aetna
United Healthcare
Blue Cross Blue Shield
and others

Out-of-network benefits

Some insurance plans will specify “out-of network benefits” as included coverage in your plan. This is additional coverage some employers purchase for their plan-holders.

This typically allows a benefit member to go to any provider they want with partial coverage for services billed. These plans give members the maximum freedom and choice of their providers and many PPO type plans offer out of network benefits.

If these benefits are specified in your insurance plan, Giant leaps can accept and work with your insurance benefits.

Check your plan today to see if out of network benefits are included!

Self-Pay

For parents without insurance or who utilize a high deductible medical plan or Health Savings Account (HSA), we accept all major credit / debit cards as well as electronic payment methods (such as Zelle) for maximum convenience in order to self-pay.

Please contact us and mention that you would like to Self-Pay for our rates.

Committee on Preschool Special Education (CPSE)

If your child is recieveing services through the Committee for Pre-school Special Education (CPSE), please know that Giant leaps maintains a contract with New York State to service CPSE students and coverage is always provided at no out-of-pocket charge to parents.

Service through CPSE are also typically the ONLY time you as a parent are able to choose ANY provider you would like.

Contact us to learn how you can get your child serviced at Giant leaps, in our unique facility through CPSE at no cost to you.

For families who qualify there are grants available to get help paying for services

The United Healthcare Children's Foundation

United Healthcare manages and awards a grant for eligble families to pay for health care expenses. Click below to learn more about the grant
see eligibility criteria

Act Today Grants

Act Today awards grants up to $5,000 with priority given to families with household income less than $100,000. Funding may be used for ABA, speech therapy, occupational therapy, medication, and home safety devices. There are quarterly grant deadlines.

http://www.act-today.org/apply-for-grant/

our evaluation process

Chive Charities

Chive Charities focuses on individuals with rare medical conditions. Additionally if you are a veteran or first responders with medically-related needs, you may qualify for assistance paying for therapy as well as medical devices, mobility items, and items for home modification.

https://chivecharities.org/recipient
see eligibility criteria