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Professional Fees & Payment Options

Professional Fees

Treatment

30 minutes = $75; 45 minutes = $100; 60 minutes = $120

Sessions with children are usually 30-45 minutes

Sessions with adults range from 30-90 minutes

                                             

LSVT LOUD: $1600/16 sessions (an intensive program for persons with Parkinson's disease)

Parkinson's Voice Group: $40 per person per session

Transgender Women's Voice Group: $40 per person per session

Fees are structured to cover the time during an appointment plus time spent doing analysis, documentation, planning for treatment, preparation of materials, and correspondence. For an assessment, for example, for every hour spent face-to-face with the clinician, there is at least two hours of analytical work and documentation involved. Fees also cover the cost of assessment and treatment materials. Assessment and treatment services provided by a speech-language pathologist are HST exempt.

Assessment

Assessment fees vary depending on the nature of the service. The cost of assessment includes a written report. Assessments that will require more than one hour of face-to-face time are usually split over more than one visit, especially with children.

 

Depending on the complexity of the analysis required and our current assessment workload, please expect 2-4 weeks for the written report to be completed. Results can be communicated verbally much earlier than this - depending on the length of the discussion required, this may take place during a phone call, at the beginning of your first follow-up/treatment session, or at an appointment scheduled specifically for this purpose.

 

The rates below are based on the time it typically takes to complete the type of assessment. If more time is required due to a client's individual needs, the time will be billed at a rate of $160/hour.

Category A1 - 1 hour appointment - $160 

  • early communication development

  • child/adolescent speech

  • preschool language

  • child or adult stuttering

  • adult voice or speech

Category A2 - 1.5 hours total - $240 

  • older preschool speech and language (approximately age 4 and older)

Category B - 2 hours total - $320 

  • adult voice and speech

  • school-age speech and language

  • child/adolescent motor speech (e.g., apraxia of speech)

Category C - 2 hours total - $380 

  • school-age reading and writing

Category D - 3 hours total - $540 

  • adult language and/or cognitive-communication (e.g., stroke, dementia, TBI)

  • school-age language and reading and writing

Download our Fee Schedule to learn more.

Exploratory Meeting

 

You may book a 30-minute exploratory meeting (no fee) if you would like to discuss service options before booking an assessment or consultation. Exploratory meetings are optional - they are not required before booking an assessment or initial consultation. These meetings are provided by our Clinic Manager who coordinates intake. Subsequent services may be provided by a different SLP. 

No-Show / Late-Cancellation Policy

When a client makes an appointment, they are reserving that clinician's time. If the client then cancels late (less than 24 hours' notice) or does not arrive for their appointment, we are unable to give that time to another client. Furthermore, staff spend time in advance of appointments preparing session plans and materials. Compensation for this time is included in our session fees. When clients do not arrive for their appointments or cancel late, staff have already completed this work for them. 

Out of consideration for our clinicians, we require at least 24 hours' notice to cancel an appointment. If less than 24 hours' notice is provided, clients are billed at a rate of $60/hour (for example, $30 for a 30-minute appointment). This fee is waived if the late notice is due to hazardous driving conditions, illness, or a family emergency.

As a courtesy, our clinic system does send appointment reminders to your email on file. However, technology is imperfect and our reminders are sometimes directed to spam/junk folders. Ultimately, clients are responsible for remembering their appointments, so please make note of them when they are first made.

Methods of Payment

Insurance

 

Please speak to your insurance provider to inquire about coverage for speech-language pathology services. To protect your privacy, insurers will not release the details of your coverage to a provider, so we cannot do this for you.

We are able to direct bill to your primary insurer. We are unable to direct bill to any secondary insurer (e.g., if you have coverage under your spouse's plan we cannot direct bill on your behalf because of the limitations of insurers' systems).

 

For those with coverage, services provided by a speech-language pathologist are eligible.

Direct billing can be done by Shoreline on behalf of the following insurers:

  • Medavie Blue Cross

  • Green Shield Canada

  • SSQ Insurance

  • Canada Life

  • Canadian Construction Workers Union

  • Chambers of Commerce (Johnston Group)

  • Desjardins Insurance

  • First Canadian (Johnston Group)

  • Industrial Alliance

  • Johnston Group

  • TELUS AdjudiCare

  • plus some additional smaller insurers (please contact Shoreline to inquire)

 

Any amount not covered after direct billing will be payable by the client. At intake you will be asked to upload a credit card number for automatic billing.

 

For clients of other insurance providers whose systems do not permit SLPs to direct bill yet (e.g., SunLife, Manulife), professional fees will be due at time of service. You will be provided with a detailed invoice to submit to your insurance provider for reimbursement.

Credit Card / Debit

Clients may pay online via credit card through our clinic management system Jane App.

Clients may pay by debit, Apple/Google Pay, or credit card at our office.

As of October 14, 2022, new clients will be asked to either pay at the time of service at our office, or upload a credit card number for automatic billing.

Jordan's Principle

Eligible First Nations persons can apply for funding for private speech-language pathology services for children through Jordan's Principle. More information can be found at the link below. 

Link: https://www.unsm.org/dept/jordans-principle

Medical Expense Tax Credit

As of May 2021, speech-language pathologists in Nova Scotia are included on the Canada Revenue Agency's (CRA) list of authorized medical practitioners. Expenses paid out of pocket for private speech-language pathology services can now be claimed on your tax return as an eligible medical expense. For information about the medical expense tax credit, visit the CRA's website (link below) and/or speak with the accountant who prepares your annual tax return.

Link:

https://www.canada.ca/en/revenue-agency/services/tax/individuals/topics/about-your-tax-return/tax-return/completing-a-tax-return/deductions-credits-expenses/lines-33099-33199-eligible-medical-expenses-you-claim-on-your-tax-return/authorized-medical-practitioners-purposes-medical-expense-tax-credit.html#wb-auto-4

Workers' Compensation Claims

For services related to a workers' compensation claim, professional fees are due at the time of service. You will be provided with a detailed invoice to submit for reimbursement.

Department of Community Services

If you receive support through the Disability Support Program, there are times when coverage may be available for SLP services. 

According to section 7.4.2. of the Disability Support Program policy, the cost of speech therapy services may be approved when "they are not available through insured services and the lack of availability creates a significant impact on the health and safety of the participant."

The Department of Community Services requires that persons first seek services through the public service (e.g., Nova Scotia Hearing and Speech Centres). The Department of Community Services considers coverage for private speech therapy:

  1. where there is no public service available, or

  2. the wait list is long, and

  3. all private insurance coverage has already been used.

In these cases, the department may consider coverage of private services until public services are available.

There is no list of pre-approved SLP and OT providers with the DCS (as there is for psychology and counselling) - you just need to speak with your individual case worker.

For more information, please contact the Department of Community Services Disability Support Program:

https://novascotia.ca/coms/disabilities/index.html

Disability Support Program Policy: 

https://novascotia.ca/coms/disabilities/documents/Disability_Support_Program_Policies.pdf​

methods of payment
insurance
tax credit
workers comp
DCS
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