“My brother has complex communication needs, and ‘just once’ is something he often says—usually when we’re encouraging him to try something new. Whether it’s going to camp, trying a new activity, or starting a job program, he may say it a bit hesitantly—but he almost always gives it a try.

Over time, I’ve come to understand that ‘just once’ means: this feels hard or even a little scary, but I’m willing to try in my own way.

As parents and providers, isn’t that what we hope for? That our children can express themselves, be understood, and feel supported enough to try new experiences that bring meaning and joy to their lives.”

— Hannah

Speech-language pathologists (SLPs) support a wide range of communication needs, including:

• Speech sound/articulation

• Fluency (stuttering)

• Voice and resonance

• Feeding and swallowing

• Hearing-related communication needs

• Receptive and expressive language

• Executive functioning and cognitive communication

• Social communication

• AAC (augmentative and alternative communication)

For more information, visit: www.asha.org

Sessions are designed to take place in environments that best support your child’s progress:

• In-home (we come to you)

• In the community

• Via telehealth

Just Once is private pay only at this time.

We can provide a superbill, which you may submit to your insurance company for possible reimbursement. Coverage varies, so we recommend contacting your insurance provider to ask:

• Do you accept a Superbill for speech therapy?

• What percentage of services is reimbursed?

• What information is required on the Superbill?

• Is an evaluation required before services begin?

• Do I need a referral from my pediatrician?

• How do I submit the Superbill?

• How long do I have to submit it?

Additional funding options

• We are contracted with the San Diego Regional Center (SDRC) for Early Start services (ages 0–3). Our vendor number is PY2576 .

  For individuals over age 3, services may be funded through the Self-Determination Program (SDP)

Payment is due at the time of service unless otherwise specified.

We accept:

• Cash

• Check

• Credit/debit cards

• HSA/FSA cards

At Just Once Language & Speech Therapy Inc., we believe that consistent attendance and active participation are key to helping your child make meaningful progress. Following through with recommended home practice also plays an important role in success.

We understand that life happens—illnesses and emergencies come up. We simply ask for your help in minimizing missed appointments whenever possible.

Scheduling & Cancellations

• We kindly ask that all cancellations be made at least 24 hours in advance.

• This allows us to offer that time to another family in need of services.

A $60 cancellation fee (or half the cost of a session) may apply if:

• An appointment is canceled with less than 24 hours’ notice

• A scheduled appointment is missed without notice (“no show”)

Please note: Insurance does not cover missed appointments, so this fee is billed directly to families.

We are always happy to work with you to find a schedule that fits your needs whenever possible.

Late Arrivals

• If you arrive late, your session will still end at the originally scheduled time.

• In some cases, the session may need to be canceled at the clinician’s discretion.

• If you are more than 15 minutes late for 3 appointments within a 30-day period, we may need to discontinue services.

Attendance Expectations

• A parent, guardian, or caregiver (age 14+) other than the client must remain present for the entire session.

• An adult (18+) must also be easily reachable in case of emergency.

• If 3 or more appointments are missed without proper notice within 30 days, we may cancel remaining appointments and discontinue services.

Participation in Sessions

We strive to make every session engaging and supportive for your child. Participation can vary from day to day based on factors like age, attention, energy level, and sensory needs.

Even on more challenging days, your therapist is fully prepared and dedicated to supporting your child—so the full session fee will still apply.

Sessions are available Monday–Friday, approximately 8:30 AM–5:00 PM.

Availability may vary depending on your location within San Diego.

Please note that afterschool session times are currently full.

Under federal law, you have the right to receive a Good Faith Estimate (GFE) if you are not using insurance.

A GFE provides an estimate of the expected cost of services. Because therapy needs vary, this estimate is not a contract and may change based on:

• Number of sessions

• Frequency of services

• Individual needs

Important notes

• You can request a GFE before scheduling services

• If your bill is $400+ more than your estimate, you have the right to dispute it

• Be sure to save a copy of your GFE

For more information, visit: www.cms.gov/nosurprises or call 1-800-985-3059