

Cabinet d'orthophonie - Jessica Bélisle Macquart


Insurance Coverage
Speech-Language Pathology
Many insurance plans cover, in full or in part, services provided by speech-language pathologists. However, some services may not be included in your specific plan.
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Other Services Offered at Cabinet JBM
The following services may not be covered by insurance:
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Communication and language assistants
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Special education technician
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Parent coaching
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Client Responsibilities
It is your responsibility to:
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verify the details of your insurance coverage (e.g., whether a medical prescription is required, which services are eligible, limitations, exclusions, and documents needed);
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submit your receipts directly to your insurer for reimbursement.
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Cabinet JBM:
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does not carry out any procedures with insurance companies;
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does not send documents or receipts directly to insurers;
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cannot answer questions regarding the specific coverage of different insurance plans.
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However, an estimate can be provided upon request to support your verification process.
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Why verify your insurance coverage before the first appointment?
Reviewing your coverage before the first appointment allows you to understand:
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your reimbursement limits (per hour, per session, per day, or per year);
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which services are eligible or excluded under your plan;
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any conditions or restrictions specific to your contract.
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Having this information from the outset:
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facilitates the discussion with the speech-language pathologist during the initial appointment;
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helps plan a realistic and coherent service pathway aligned with your coverage;
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prevents surprises or unexpected adjustments along the way.
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Speech-Language Assessment and Splitting Fees
If a speech-language assessment is planned, knowing your insurance details in advance also helps determine whether splitting the invoice may improve reimbursement.
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When insurance information is shared with the clinician before or during the first appointment, it is sometimes possible to adapt the invoicing to meet the insurer’s requirements — always within ethical guidelines and based strictly on services actually provided.