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Guides for Parents

Paying for Private-Pay OT: Superbills, HSA and FSA

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PEAK’s Rates

PEAK is private pay, so families pay at the time of service rather than having us bill insurance. The initial occupational therapy evaluation lasts 60 to 90 minutes, and one-on-one therapy sessions last 45 or 60 minutes. The first 15-minute consultation is free. Current rates are on our Rates and Payment page; knowing them before you call can help you decide what questions to ask.

We work with children from birth to age 18 in Bozeman and surrounding areas. Sessions happen at home, in the community, or at school when that fits the child. There is no clinic visit to schedule around a drive across town.

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Why This Practice Is Private Pay

PEAK began after busy outpatient pediatric work, with children seen back to back, left too little room to give each child and family full attention. Private-pay care is part of how we have chosen to work directly with a family in the places where the child spends time. Parents are included so the plan connects to daily life.

Private pay does not mean a particular result is guaranteed, and it does not tell you whether insurance will reimburse a visit. It means PEAK does not submit claims to your insurance company. If you are comparing costs, ask us which length of session we recommend for your child rather than assuming a longer visit is always needed.

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What a Superbill Does

We can provide a superbill on request. It is a document you may use to seek possible out-of-network reimbursement from your insurer. A superbill does not guarantee payment. Your plan decides whether the service is eligible, what it requires, and what amount it may reimburse. PEAK does not bill insurance on your behalf.

Before an evaluation, you can ask your insurer whether out-of-network pediatric occupational therapy is covered. Ask what documentation it needs, whether a physician referral is required for reimbursement, whether the provider’s credentials affect coverage, and how to submit a superbill. Those answers come from your insurer, not from PEAK.

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Using HSA or FSA Funds

HSA and FSA cards are generally accepted at PEAK. “Generally” matters because individual plans have their own rules about eligible expenses and documentation. If you plan to use one of these accounts, you can ask your plan administrator what it requires before scheduling. We can answer questions about our rates and the services we provide.

Payment is due at the time of service, whether you pay with an eligible HSA or FSA card or another payment method. Do not count on reimbursement or account eligibility until you have checked your own plan. This page explains PEAK’s payment approach, not your specific insurance or tax benefits. Keep any answers your insurer gives you in mind when you decide whether to request a superbill and how to pay for visits.

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Questions Before Booking

A free 15-minute consultation lets you tell us about your child and ask what the first visit would involve. You can confirm the evaluation fee, ask how session length is decided, and request a superbill if you intend to submit one. No diagnosis or physician referral is required to start with PEAK, although your insurer may have a separate referral rule for reimbursement.

PEAK asks for 12 hours’ notice to cancel. Late cancellations and no-shows may be subject to a fee, with illness and emergencies considered. If the cost of ongoing sessions is part of your decision, raise it directly before scheduling. We can tell you how our services are structured without promising what an insurer will pay.

Talk with us

A Question Worth Asking

Ask us about in-home visit fees during the free 15-minute consultation, then ask your insurer what it would need from a superbill.

Book a Free 15-Minute Consultation