For wellness services, you may call 757-401-4435. If you have questions, feel free to email front-desk@schiehealth.com.

We need a referral from your primary care provider.

If you are seeking medical care, we require a referral prior to scheduling. The provider must include a diagnosis code (e.g., f80.0 phonological disorder) and request for our clinic to evaluate and treat. The referring provider must have an NPI.

We cannot schedule an initial evaluation without a referral on file. Once the referral is received, we will contact you in regards to scheduling the initial appointment.

If an authorization is required, scheduling follow-up appointments may take up to 30 days for approval.

We schedule on a quarterly basis. Announcements will be posted to notify families of when the schedules opens up. This is a first-come, first-serve basis.

Effective Fall 2025, our system will open scheduling for “New Patients Appointments”. This means that you will be able to upload the referral, your insurance cards, and start the initial intake online. If you run into issues scheduling, please call us ASAP. Thank you!

Wellness services are self-pay only, as these services are not considered “medically necessary'“ by insurance. You can call to schedule the appointment.

For medical based services, such as speech pathology and physical therapy visits, we will bill your insurance as in-network or out-of-network providers. If your plan does not offer out-of-network benefits, then self-pay rates will apply to evaluation and treatment sessions.

Insurance Coverage Policy

We’re happy to check your health insurance eligibility and benefits. However, please note that it is ultimately your responsibility to verify whether your specific plan covers the services you are scheduling. Coverage can vary significantly depending on your insurer and the tier of your plan.

Premiums, copays, coinsurance, deductibles, and out-of-pocket maximums all affect what you may owe—and these details are not always visible to providers during a benefits check. We encourage all clients to contact their insurance provider directly to confirm their therapy benefits before beginning care.

Important: If you are a Medicaid recipient, please ensure you are enrolled in a Managed Care Organization (MCO), as standard Medicaid does not cover therapy services.

Our Insurance List

We are In-Network with the following commercial, medicare, and medicaid plans:

• Tricare Prime & Select

• Sentara Health Plans

• Cigna

• Anthem Blue Cross Blue Shield, including federal and health keeper plans

• Aetna

• Aetna Better Health of VA

• Medicare

• Medcost

We are Out-of-Network with:

• United Healthcare

Lactation visits are covered at 100% with our collaboration with Wildflower by Cigna and Network Status Tricare.

Insurance Coverage Policy

We’re happy to check your health insurance eligibility and benefits. However, please note that it is ultimately your responsibility to verify whether your specific plan covers the services you are scheduling. Coverage can vary significantly depending on your insurer and the tier of your plan.

Premiums, copays, coinsurance, deductibles, and out-of-pocket maximums all affect what you may owe—and these details are not always visible to providers during a benefits check. We encourage all clients to contact their insurance provider directly to confirm their therapy benefits before beginning care.

Important: If you are a Medicaid recipient, please ensure you are enrolled in a Managed Care Organization (MCO), as standard Medicaid does not cover therapy services.

Insurance Education

A referral is a written order with your documented diagnosis from your physician/dentist to obtain specialty services.

A referral is required by most insurance companies to ensure that a patient is being seen by the correct provider(s) for the correct problem(s) or issue(s). The referral may assist in the obtaining authorization of services (if applicable).

Permission from your insurance provider that authorizes that your care will be covered by your plan. Limitations may apply due to plan specifics.

Authorization does NOT mean your services will be fully covered by your insurance, as there are applicable deductibles, co-insurances, and co-pays.

Some insurance providers require authorization to be obtained from them for certain specialties. Most require it AFTER the initial evaluation has been completed.

Tricare Prime is the exception and they require Authorization PRIOR to the initial evaluation.

Tricare Select does not require authorization, but a referral is required.

Breastfeeding Care for Mothers do not require a referral. However, infants being seen for speech & feeding therapy require a referral from their primary care provider.

Scheduling Policy

• Appointments are scheduled on a first-come, first-served basis.

• Scheduling opens on the first business day of the third month of each season:

  • Spring: March–May

  • Summer: June–August

  • Fall: September–November

  • Winter: December–February

Cancellation & No-Show Policy

• Same-day cancellations are considered missed appointments.

• Patients are responsible for notifying the clinic of anticipated scheduling conflicts at least 24 hours in advance.

• Friday appointments cannot be rescheduled and will be counted as a missed appointment unless canceled at least 24 hours in advance.

• Canceling an appointment after a missed appointment is considered a no-show/missed appointment.

Cancellation & No-Show Fees

Ongoing Therapy Appointments (after initial evaluation)

• Same-day cancellation: $50

• No-show: $124

• Fee is applied for any cancellation less than 24 hours prior to the appointment. 

• Friday appointments follow the same fee structure and cannot be rescheduled.

Initial Evaluation Appointments

• Same-day cancellation or no-show: $248

• This fee must be paid in full before rescheduling an initial evaluation.

We recognize the challenges, particularly for families with small children, that may affect attendance. We strive to be accommodating and flexible. Options for rescheduling or switching to a video session are available, if appropriate.

Payment Policy for Missed Appointments

• A credit or debit card must be kept on file for all patients.

• Fees for same-day cancellations and no-shows will be charged automatically according to the policies above.

• Children receiving both physical therapy and speech therapy are scheduled for separate appointments, even if services occur concurrently.

Attendance Policy

Regular attendance is critical. In order to achieve optimal therapeutic gains, patients are urged to adhere to the prescribed frequency of therapy sessions. Punctuality is appreciated. Late arrival to an appointment will result in a reduced session time and the full session fee will still apply. 

Patients must maintain at least 80% attendance over a 3-month period.  Poor attendance may result in changes to scheduling privileges, including being limited to one appointment at a time, placement on a waitlist, or discharge from the clinic.

Insurance Policy

Insurance billing requires active coverage at the time of service, acknowledgment of clinic attendance policies, and submission of all required documentation, including valid prescriptions, authorizations, and intakes. Appointments completed during a lapse in coverage are not billable to insurance and will ultimately be the patient’s responsibility.