FAQs

Frequently Asked Questions

How do we get started with services?

Please refer to our How to Get Started Page for guidance.

Does my physician have to refer me?

We typically ask you to have a conversation with your physician regarding your child’s concerns prior to calling. However, you can also call us directly to request one of our services. We will reach out to your child’s physician for a doctor’s order. If your physician is in agreement with the referral, we will follow-up with you to schedule an initial evaluation.

What services do you offer?

We offer physical, occupational, speech, and feeding therapy for individuals birth to 21 years old in one of our three outpatient clinics. Please visit our services pages for more information.

Do you provide in-home services?

No, we only provide services in our clinic. We are an early intervention provider, but you would need to go through the CDSA/Early Intervention program of Wake County to inquire about those services.

Are caregivers allowed in the sessions? What about siblings?

Yes, we encourage you and your therapists to discuss the best plan for your child’s success in regards to the caregiver(s) being present in the sessions.
Sessions run smoother when both the parents and therapists can focus on the patient at hand. If you must bring siblings. they must always be supervised by parents. We ask you keep them off the therapy equipment and refrain from using toys as tempting as our open gym setting is.

How long is a typical therapy session?

An evaluation is one hour for all therapies. Most occupational, feeding, and physical therapy sessions are 45 minutes and speech therapy sessions are typically 30 minutes.

What should I bring?

The Basics: Braces, AFOs, regular shoes that fit with AFOs, change of clothes, and a water bottle.
Daily Tools: Any equipment your child regularly uses walkers, wheelchairs, AAC Device, or communication tools.
Motivation: Favorite books, toys, electronic devices – rewards always come in handy when therapy gets tough!
Feeding Therapy Evaluation: We ask you to bring supplies for the evaluation to help the clinician evaluate your child’s needs.

Can I set an internship with Abilitations?

We do not offer internships at Abilitations. However, we do encourage volunteer/shadow opportunities if you are interested in pursuing a future career as a speech, physical, or occupational therapist. Hours and days are limited to a few weeks due to the high volume of requests received. You can inquire on our Volunteer page.

Are you a teaching facility?

Yes, we have multiple contracts with PT/OT/ST therapy programs throughout the United States. We value these relationships with these universities. Similar to physicians, PT/OT/ST’s are required to complete medical residencies, usually called “clinicals”. Most clinicals are 3 months in a specialty field, to include pediatrics. We understand that the future of our disciplines relies on us helping to produce highly-skilled therapists. As such, the supervising therapist will guide the student to assist in your child’s needs at our clinic during their pediatric clinicals.

Can I have a copy of my child’s evaluation?

Yes, we will provide you with a copy of your child’s written evaluation. We also send a copy to your child’s primary care physician in addition to other team members you may request. Due to the nature of our evaluations, please allow 2 weeks for a written copy.

Do you collaborate with my child’s school-based therapy team?

Yes, we have a relationship with Wake County school therapists and communicate with them regarding your child’s needs. We ask you to sign a permission to release information for us to establish this relationship.

Is payment due at the time of the visit or do you bill me?

Payment is due at the time of service. We require a credit card on file. We closely monitor how insurance processes your claim and will refund you if there is a discrepancy between your payment and your insurance explanation of benefits.

Will my child have the same therapist(s) each week for services?

Yes, we believe it is vital to your child’s progress to establish trust and continuity of care with our patients. As such, your child will be scheduled with the same therapists each week. In cases, where your therapist is out sick or on vacation we ask the family if they would like to see another clinician that week. Our team works very closely with each other and in these cases they will collaborate with each other during times of coverage.

Do you have a cancellation policy?

Yes, we require 24 hours notice. If there are chronic cancellations and no-shows we will remove your standing weekly appointment. You will have the option to call in each week to schedule an appointment. While we understand many things come up with children, we ask you to respect our clinicians’ time and the busy nature of our practice.

Insurance FAQs

Will you file my insurance for me?

Yes, we will file insurance for any in-network plans.
In most cases, insurance will cover a portion of treatment costs, as long as your benefits cover OT, PT, and speech-language therapy AND services are considered medically necessary.
We understand navigating insurance can be confusing, so Abilitations will contact your insurance company and verify your coverage based on your policy as a courtesy to you! In addition, if you do have benefits, we will also file claims directly to insurance – on your behalf – to take the worrying and confusion off your hands.

How do I know my insurance plan is accepted?

If you are interested in getting services for your child, you can call our office at 919-844-6611 or send an inquiry HERE to have us confirm we accept your insurance plan.

What if I don’t have insurance or you don’t accept my insurance?
If you currently don’t have insurance or we are out of network with your insurance carrier, we offer reasonable self-pay amounts for our services.  See below for pricing.
  • ST/PT/OT/FT Evaluation and report: $200.00
  • Treatment (any service): $40.00 per 15 minutes.  For example $80.00 for 30 minutes, $120 for 45 minutes.
How do you determine insurance coverage?

We will verify your benefits prior to your child’s appointment. Please note when verifying insurance benefits, that it is only a quote, not a guarantee of coverage or payment. We encourage you to call your insurance company to obtain specific benefits your plan provides.

What are visit limits?

Some plans specify a limit on the number of physical/occupational/speech therapy visits allowed per plan year. Sometimes these visits are combined with other services such as chiropractic care or occupational therapy. Other times, the visit limit applies to each service only. It is each patient’s responsibility to keep up with the number of visits they have used. Once you have exhausted your visit limit, your insurance will often not pay for additional visits. If your therapist determines that more visits are necessary, we offer private fee rates for each discipline. We are happy to assist you in planning ahead in these situations, so that we can come up with an effective plan for your child’s optimal recovery.

What if my insurance denies coverage?

We cannot guarantee what your insurance carrier will and will not pay. As always, we look to our patients to understand their benefit packages, which are issued through their employer groups. If you have any questions concerning your insurance benefits, each insurance company has a member service department available for questions. We will send your claims for services rendered to your insurance carrier for you, and will even appeal unreasonable claim denials. But there are times when we will need to request and receive your assistance in the processing of your claims. And if your insurance carrier denies any claims, we ultimately hold you financially responsible for any balance.

For more information, visit our Insurance Page,
Please do not hesitate to contact our office if you have additional questions.