COMMON QUESTIONS
Frequently Asked Questions
Do I need a referral for occupational therapy?
Nebraska allows direct access to occupational therapy, so a referral may not be required to schedule an evaluation. However, Medicare, Medicaid, workers' compensation, auto claims, and certain insurance plans may require a referral, authorization, or certified plan of care for coverage. Contact us first, and we will help determine your plan’s requirements.
Does Medicare cover occupational therapy?
Medicare Part B generally covers medically necessary outpatient occupational therapy when Medicare’s coverage and plan-of-care certification requirements are met. Your deductible and coinsurance may apply. Contact us to discuss your coverage before scheduling.
Do you accept Nebraska Medicaid?
Yes, we accept Nebraska Medicaid. Participation and authorization requirements may vary by Medicaid-managed care plan. Please contact us before scheduling so we can confirm your coverage and any required documentation.
What if my insurance plan isn’t accepted?
You may have out-of-network benefits or be eligible for private-pay options. Contact us, and we will help you understand available options. Coverage and reimbursement are not guaranteed unless confirmed by your insurance plan.
Do you accept workers’ compensation cases?
Yes. Please tell us that your condition is work-related when requesting an appointment. We need your date of injury, claim number, employer information, adjuster’s contact information, referral and authorization before treatment begins.
Do you accept auto-related injury claims?
Yes. We evaluate auto-related claims individually. Please provide your claim number, date of injury, insurance carrier, adjuster or attorney contact information, and any required authorization. Acceptance of a claim does not guarantee payment by the carrier responsible.
How long are appointments?
Initial evaluations typically last 45-60 minutes. Follow-up appointment length depends on your condition, treatment needs and individual plan of care, but typically last 30-45 minutes. We provide focused, one-on-one care without making patients feel rushed.
Are custom orthoses or splints covered by insurance?
Coverage for custom orthoses, splints, supplies and fabrication varies by insurance plan. We will discuss the recommended orthosis and anticipated patient responsibility before fabrication whenever possible.
Can I schedule if I live in Wyoming or South Dakota?
Yes. Patients from Wyoming, South Dakota, and other neighboring communities may travel to our Hemingford clinic for in-person care. Contact us to discuss scheduling and insurance participation before your visit.
Do you offer private-pay services?
Yes. Private pay may be available for uninsured patients, patients with out-of-network plans, and eligible services not billed to insurance. We will explain applicable rates and provide a Good Faith Estimate when required.
What will I owe for treatment?
Your responsibility depends on your insurance benefits and may include deductible, copayment, coinsurance, noncovered services, supplies, or orthosis charges. Benefit verification is not a guarantee of payment. We recommend contacting your insurance plan for final coverage information.
How quickly can I be seen?
Same-week appointments are often available, depending on schedule, insurance verification, and authorization requirements. Contact us for current availability.
Questions about coverage?
Contact us, and we’ll help you understand your options before scheduling.
Ready to Schedule?
Accepting new patients. Same-week appointments available.
Or ask your provider to send a referral via fax to (866) 877-2532