Frequently Asked Questions
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Aetna
Cigna
FCHN (select groups)
Kaiser (select plans)
Meritain
Premera
Regence
United Health Care (ABA services only)
ICAN is not in network with medicare, medicaid, or other state insurance plans. If you would like information regarding private pay costs, please reach out to info@i-can.center
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ICAN charges a materials fee for all initial and re-evaluations. This charge cannot be billed to insurance.
Evaluation materials charges cover the standardized tools, scoring systems, and clinical resources required to complete a comprehensive and medically appropriate evaluation. They are separate from provider time.
This includes but is not limited to:
Standardized test protocols and booklets required to administer standardized and norm-referenced assessments.
Digital scoring platforms and software. These platforms ensure accuracy and compliance with testing standards.
Test kits and manipulatives such as visual supports, stimulus cards, or toys.
Scoring and data analysis tools.
Clinical interpretation resources.
Treatment planning materials to translate evaluation findings into individualized treatment plans.
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Recurring service charges reflect the full scope of care required to provide consistent, high-quality therapy.
While families see the direct therapy time, each session also includes planning, documentation, coordination, and clinical oversight that support meaningful progress.
Therapy is delivered based on medical necessity and best practice standards, regardless of how insurance ultimately reimburses services.
Recurring service charges may include:
• Direct therapy time. One-on-one treatment focused on your child’s individualized goals.
• Planning and preparation. Reviewing progress, preparing materials, and adjusting interventions as needed.
• Clinical documentation. Required treatment notes, data tracking, and progress updates.
• Care coordination. Communication with parents and other providers when clinically appropriate.
• Treatment plan updates. Ongoing review and adjustment of goals to support progress.
• Supervision and clinical consultation. Licensed oversight, case review, and provider collaboration to ensure safe, effective, and coordinated care.
• Materials and therapeutic resources. Use of therapy tools, equipment, software, and structured activities.
• Administrative and compliance support. Authorization management, scheduling coordination, and documentation required to meet medical and regulatory standards.
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The short answer is: we do bill your insurance just like has always been done. The challenge is that your insurance only pays for certain things directly related to your main concern in a visit and the conventional standard of care solutions that your concern entails. The premiums, co-pays, co-insurance and deductibles you pay per your contract with insurance companies covers a visit with your doctor, but does not cover the scope of what your provider does to provide you with great care.
Any additional fees cover the care in that visit that insurance doesn’t pay for. This may include treatment planning, parent meetings, collaboration across disciplines, attending IEP meetings, clinic materials, standardized assessment protocols, etc.
This model allows our providers to use best practice and still make ends meet in a healthcare system driven by insurance companies who try, through their policies, to devalue the expertise and care we provide.
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Insurance companies create a confusing healthcare environment for patients, clinics, and providers alike. We do our best to provide accuracy in our billing practices, but sometimes insurance processes claims in an unexpected way.
We encourage you to contact our billing team to schedule a consult to discuss your specific situation.
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All billing questions can be answered through ICANCommunicates. This platform is monitored by our billing team. If you would like a phone or video call regarding your bill, please request an account consultation through the portal.
You can call or text 425-307-4263.