Inspire is proud to be a South Carolina Medicaid provider, helping families access high-quality pediatric therapy services through their Medicaid benefits.

We are in-network with the following Medicaid Managed Care Organizations (MCOs):

• Traditional Medicaid Fee-for-Service

• TEFRA Medicaid

• First Choice by Select Health

• Humana Healthy Horizons

• Healthy Blue

• Molina

Inspire is also an out-of-network provider with Absolute Total Care. In certain situations, we may be able to accept Absolute Total Care plans. Please contact our team to discuss your child’s coverage and available options.

Insurance coverage and authorization requirements vary by plan. Our team is happy to help guide you through the process and answer questions regarding eligibility, benefits, and next steps.

Inspire is committed to helping families access the care their child needs. We are currently considered an out-of-network provider with most private insurance plans; however, we are happy to provide superbills upon request that families may submit to their insurance company for potential reimbursement.

Because insurance benefits and reimbursement policies vary widely between plans, our team is available to discuss options on a case-by-case basis and help families understand the best path forward for their child’s care.

Inspire is proud to accept all Tricare plans.

• Tricare East/West Region: We are able to provide services for eligible beneficiaries under these plans.

• Tricare Prime: Prior authorization is required before beginning services. Our team can help guide families through the authorization process and discuss next steps.

• Tricare Reserve Select: We are able to provide services for eligible beneficiaries under this plan. Prior authorization not required. Co-pays apply.

Please contact our office with questions regarding your specific insurance plan, coverage options, or how to begin services with Inspire.

At Inspire, we believe every family deserves compassionate, evidence-based support throughout their early feeding journey. Our lactation services are provided by experienced lactation professionals who are dedicated to supporting parents and infants with individualized care.

Private Pay:

• Initial Lactation Consultation: $150 in-clinic or $170 in-home

• Lactation Follow Up Sessions and Prenatal Visits: $100 in-clinic or $110 in-home

*AVAILABLE SOON

Inspire is proud to partner with The Lactation Network (TLN) to provide insurance-covered lactation services for eligible families. Through TLN, many families may be able to access lactation support with little to no out-of-pocket cost, depending on their insurance benefits.

*Inspire is in the process of credentialing with individual insurance plans through TLN. Please reach out for more details.

Coverage and eligibility vary by insurance plan. Aetna, UHC, VA CCN - Optum East, and Curative Health are typically accepted insurances. To determine if your insurance is covered through The Lactation Network please visit the following link.

https://go.lactationnetwork.com/InspireSpeechandFeedingLLC

For families who do not qualify for insurance coverage through TLN, private pay options and CareCredit are available.

Contact Inspire today to learn more about our lactation services and available payment options.

Private pay options are available for families who do not have insurance benefits for therapy services, prefer not to utilize insurance, have out-of-network benefits, or are seeking services that may not be covered by their insurance plan.

Our team will work with you to discuss available options, provide transparent pricing information, and help determine the best approach for your family’s needs.

For families with out-of-network insurance benefits, Inspire may provide a superbill upon request that can be submitted to your insurance company for potential reimbursement. Reimbursement is determined by your individual insurance plan and is not guaranteed.

• Initial Speech-Language, Feeding, Occupational Therapy Evaluation: $220

• Therapy Session (30 minutes): $70

• Therapy Session (45 minutes): $100

• Therapy Session (60 minutes): $110

• Initial Lactation Consultation: $150 (if not covered by TLN) or $170 (in-home visit)

• Lactation Follow Up Sessions and Prenatal Visits: $100 (if not covered by TLN) or $110 (in-home visit)

At Inspire, we understand that investing in your child’s care is an important decision. To help make services more accessible for families choosing private pay options, we are proud to partner with CareCredit.

CareCredit allows eligible families to apply for healthcare financing and spread the cost of services over time through convenient payment plans. This option may be helpful for families who are paying privately, have limited insurance coverage, or are looking for additional flexibility in managing healthcare expenses.

Families can apply directly through CareCredit and, if approved, use their account toward eligible Inspire services. Approval decisions, financing terms, and payment options are determined by CareCredit and are subject to their application and approval process.

Inspire accepts eligible Flexible Spending Account (FSA) and Health Savings Account (HSA) cards as a payment option for qualifying services. Using FSA or HSA funds may help families manage healthcare expenses while accessing the services their child needs.

Families are encouraged to check with their individual FSA or HSA provider to confirm eligibility of services and available funds.

Inspire Speech & Feeding is proud to be an approved provider for South Carolina BabyNet, the state's early intervention program for infants and toddlers from birth to age three.

If your child qualifies for BabyNet services, speech-language therapy, feeding therapy, and occupational therapy may be covered through the program.

If you have concerns about your child's communication, feeding, or development and would like to see if they qualify for BabyNet, you can submit a referral directly through the South Carolina BabyNet website at: https://babynet.scdhhs.gov/prebabynet/StartPage.aspx?utm_source=chatgpt.com

Anyone—including parents, caregivers, and healthcare providers—can make a referral. Early intervention can make a meaningful difference, and we're happy to answer any questions about the process.

Once your child is determined eligible for BabyNet, you have the right to choose your therapy provider. If you would like your child to receive services through Inspire Speech & Feeding, please let your BabyNet service coordinator and Early Interventionist know that you are requesting Inspire as your provider.