Insurance and FAQs

  • Hilltop OT is excited to announce that we are in-network with Premera BCBS, Aetna, Regence, First ChoiceHealth (including Kaiser Foundation Health Plan of Washington) and Cigna. To start OT services using your insurance:

    1. Click the orange button on the homepage to set up a free 15 min appointment or contact Hilltop OT via the contact us webpage or 509-824-6259.

    2. Call your pediatrician and request a referral for OT (also called an order/prescription). Ask them to fax the referral to 509-590-0639.

    3. Book your evaluation through the client portal at a convenient time for your family. For children 12-17, please set up a child account as described below “How to register a minor to the client portal?”.

    4. Fill out the intake forms electronically at your convenience at least 2 days prior to your appointment and arrive 5 minutes early to your appointment.

  • Please contact us about your particular insurance as Hilltop OT is in process of contracting with additional insurers.

    Hilltop OT is unable to accept Washington Medicaid insurance plans at this time.

    Hilltop accepts private pay as an out-of-network provider that can be submitted by clients to their insurance for reimbursement. With high-deductible plans, you may “graduate” from OT before your deductible is met. My approach is to implement a home program to save you time and more quickly reach milestones.

  • If your insurance allows for out-of-network providers, we will provide you with an invoice (SuperBill) monthly that you may submit to insurance for reimbursement.

  • A physician’s referral/order/prescription is recommended for insurance reasons prior to receiving an OT evaluation.

    For cash pay clients, a referral is not required to stay OT services. However, if you plan to submit your invoice (SuperBill) for out-of-network coverage, check with your insurance to learn if a physician referral and/or certain diagnosis codes are needed for reimbursement.

  • Hilltop OT is located on an 11-acre property on the south-facing side of GreenBluff. It is approximately 15 minutes northeast of the “Y” and 15 min north of Millwood. Nature plays an important role in my approach.

    • Evaluations include intake documentation along with a 60-minute evaluation to compile a comprehensive multi-page report. Treatment planning, billing, and documentation are completed outside of this time block.

    • The report will include assessment findings, resources, a home program, and therapeutic recommendations if OT intervention is indicated.

    • Pediatric Evaluations may be completed in-person or via telehealth. Adult Evaluations are completed via telehealth.

    • Evaluation pricing for cash pay is $289.

  • Treatment sessions are roughly 55 minutes including debrief time with family. Treatment sessions are $165 for cash pay. Treatment planning, documentation, and billing occur outside of this time.

  • For private pay, major credit cards are accepted.

  • Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059

  • Prior to being scheduled, all clients are sent electronic registration & intake forms through the communication portal. Self-registration is the fastest & most comprehensive way to reach us.

    • Schedule your appointments

    • Have secure messaging with your practitioner

    • Pay your bill including keeping a credit card or FSA card on file

    • Review policies.

    • Complete intakes.

    • Review patient medical records.

    • In some cases, see virtual copies of your take home assignments.

    Registration does not add you to an email list and we never share information

  • For the adult guardian of a 12-18 year old adolescent minor, we are legally required to create separate access for the adolescent minor to access their health information. Please create an account in the portal in the child’s name (using the child’s preferred email) and we will manually link you to your teen (with your adult preferred email).

    For the adult guardian of an 11 & Under child minor, accounts can be created in the minor’s name.