FAQs

We believe that early intervention is essential to reaching optimal progress! If your child has been evaluated and your therapist recommends services, starting therapy right away is best.

 Can I bring my other children to the first visit or evaluation?

We recommend that you call your insurance company and ask what the deductible and co-insurances are for the type of therapy that has been recommended.  We do accept all PPO’s, and are participating providers within certain networks.  Depending on your plan benefits, we can help you determine the cost of care, and we additionally offer very affordable package prices that may be less costly than using your insurance.  Once you know your plan benefits, call us at the clinic (949) 600-5437 and we can get your first visit scheduled and help you through the process.

The pediatric therapist will review the reported medical history, concerns, and doctor referral with the parent and decide what type of testing and measurements can be helpful to determine an appropriate treatment plan. Standardized testing is a way to provide an assessment of your child’s level of functioning in terms of age and relation to other children of the same age. Testing and measurements for children often incorporate play and parental help. Depending on your child’s age and ability to follow directions and demonstrations, additional skills and functions will also be assessed. The evaluation write-up will include test results, scores, a summary, recommendations, treatment goals, and an anticipated frequency of treatment. A copy of the report will be available to you typically 3  weeks after the date of the evaluation.

Therapy is designed to be fun for the child, with challenges broken down into small, achievable components. Our therapists use a variety of approaches when implementing intervention plans, and will incorporate teaching your family the same techniques to use at home. During therapy, a child may be swinging, jumping on the trampoline, and crashing into the ball pit, all in a way that will improve underlying skills. At aMAYZing Kids, we specialize at making therapy fun overall while still working on improving skills your child may struggle with.

Any time you, your doctor, or a family member have a concern, it is appropriate to schedule an evaluation or consultation. Don’t wait; every month that goes by is a precious amount of time in your child’s life that you can’t get back.

All therapy sessions are scheduled for 30-50 minutes in length, with a combination of parent and child involvement to discuss your child’s progress and review a home program.

Therapy for a child is typically scheduled one or two visits per week; a small amount of time compared to all the hours your child spends at home. The therapy sessions will focus on the tasks and activities needed to promote necessary skills, as well as developing the home program activities necessary for the continuation of what has been learned in therapy. Appropriate follow-through of your therapist’s recommendations for frequency of home program activities is absolutely essential to making the permanent changes needed.

We typically treat children ages 0 – 16. Special cases beyond that range may be evaluated on an individual basis; if we can’t meet your child’s needs, we will be glad to make further recommendations.

Absolutely! After-school time slots are very popular and tend to fill up fast. Because of the popularity of these time slots and our desire to accommodate our patients’ schedules, we have some therapists who are available as early as 8am, until 6pm.

Outpatient therapy at aMAYZing Kids will address different goals and needs than school-based therapy. Your therapist can discuss continuation of services in addition to the school services, or if periodic checks would be beneficial.

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Visit our insurance page for an up-to-date list of plans.  We accept, bill and help you through the process with all PPO commericial plans.

We are currently contracted with the local HMO medical group Monarch Health Care.   Cal-Optima and Medi-Cal must be affiliated with Monarch Health Care as the HMO.   If you have a different HMO group, or would like to opt out of using your Monarch HMO, please ask about our Discovery Visits and and Therapy Packages.

Non-profits often charge for their goods and services. Their overall intent is not to make a profit, but rather, to help the public. For example, most hospitals in Orange County are non-profits, and they also charge for their medical services. By being a non-profit, and through fundraising and support from the Hailey Mayz Foundation, aMAYZing Kids offers a variety of discounts and scholarships to assist families in need. Scholarships

Medical necessity means that the services provided must be reasonable and appropriate based on current clinical knowledge and accepted practices. Insurance will review the diagnosis provided by your doctor and will then decide to cover payment of therapy services, typically for short-term needs, due to illness or injury, or as long as significant progress is being made. In other words, the insurance company will want to know that the therapy we give your child is in line with what is accepted in the medical community. Difficulties may arise when medical necessity guidelines are designed around adult needs, rather than pediatric needs. We will know more about your financial responsibility when the first insurance claim has been processed.  While there is never a guarantee that your insurance company will cover the visits, our educated staff of therapists and billing department work closely with insurance payers to meet the requirements showing medical necessity for your child’s therapy. If your coverage is denied for reasons of medical necessity, we cannot continue to bill your insurance for those services.

If you are choosing to use your insurance, the patient responsibility portion will be the cost of your visits.  For initial evaluations billed to insurance, we will estimate based upon your plan benefits.  For ongoing treatment, we utilize a Cost of Care system that will help to inform you of what the total costs will be based on how many visits are recommended at your evaluation.  Many parents choose to utilize our therapy packages from the very start so that Evaluations and treatments are paid for upfront and avoid the need for any future surprise billing.  If you have billing statement questions please call 1-800-478-2778

If your insurance company withholds payment or denies services for over 60 days from the date of service, we may ask you to accept responsibility for the costs of therapy.  We can then appeal to the insurance company and send a refund to you if we receive payment from them. If your insurance company continues to delays payment, you may choose to switch to private pay and submit to your insurance for reimbursement, or you may be charged a medical record fee of $175 per month if you want us to continue to appeal for you.

We will bill your insurance for you.  We accept all major credit cards, cash, and checks. There is a $35 fee for returned checks.

We do have patients who either do not have insurance coverage, or choose to not use their insurance to see our therapists.  We have extremely competitive therapy package rates, which cover all costs without any surprises.  See our Rates page for current rates.