Speech Terms & Conditions

Effective Date: June 1, 2023

These Speech Therapy Terms of Service (“Speech Therapy Terms”) govern your access to, receipt of and use of the speech therapy services, including teletherapy services (“Speech Therapy Services”), provided by Expressable, Inc., its affiliated professional corporations (“Expressable PCs”), third-party professional corporations operated by OpenLoop, Inc. (“OpenLoop PCs” and together with the Expressable PCs, the “Provider Groups”), and all of their licensed speech-language pathologists and other providers (all of the foregoing, collectively, “Expressable”, “we”, “our” or “us”) through the Expressable platform. A full list of Provider Groups can be viewed here.

Speech Therapy Services are currently only available to individuals located in certain states. This list is subject to change without advance notice. Expressable, Inc. does not provide Speech Therapy Services in states where the corporate practice of speech-language pathology is prohibited.

Please read these Speech Therapy Terms carefully before using the Speech Therapy Services. By using the Speech Therapy Services, you agree to be bound by these Terms. If you are accepting these Speech Therapy Terms on behalf of another person (“Family Member”) as the parent of a minor Family Member or the Family Member’s guardian, conservator or custodian, you agree to these Speech Therapy Terms on behalf of such Family Member.

By requesting Speech Therapy Services, you certify that you are physically located in the state you select in the Expressable platform or otherwise confirm to us as your current location at the time of your receipt of Speech Therapy Services. Your ability to access Speech Therapy Services is conditioned on the truthfulness of this certification. You will be assigned to a Provider Group based on the location information you provide and any applicable insurance coverage. Expressable and the licensed speech-language pathologists and other providers that provide Speech Therapy Services rely upon this certification in order to interact with you. If your certification is inaccurate, you agree to indemnify us, the Provider Groups and the licensed speech-language pathologists and other providers with whom you interact from any resulting losses, damages, costs, or expenses.

By accepting these Speech Therapy Terms, you give your informed consent to participate in Speech Therapy Services, including telehealth speech therapy sessions.

EXPRESSABLE DOES NOT PROVIDE EMERGENCY CARE. IF YOU THINK YOU ARE FACING AN EMERGENCY, PLEASE DO NOT RELY ON THE COMPANY FOR HELP. IMMEDIATELY CALL 911 OR GO TO YOUR NEAREST EMERGENCY ROOM.

Please refer to our HIPAA Notice of Privacy Practices to learn how Expressable collects, uses, shares and protects your Protected Health Information (as defined under the Health Insurance Portability and Accountability Act of 1996 or "HIPAA").

If you receive Speech Therapy Services from an OpenLoop PC, please review the OpenLoop PC’s HIPAA Notice of Privacy Practices carefully so you understand the OpenLoop PC’s privacy practices with respect to your Protected Health Information they collect when providing Speech Therapy Services.

Your use of the Expressable platform through which Speech Therapy Services are provided is also subject to Expressable, Inc.’s Terms of Service.

Please review our Privacy Policy carefully so you understand what information we collect through the Services, how we use it, how we secure it, and when we may share it.

We may modify these Speech Therapy Terms from time to time. If we change these Speech Therapy Terms in the future, we will update the “Effective Date” to reflect the date of the changes. If we make material changes to these Terms, we will make reasonable attempts to notify you, such as by posting a notice on the Expressable platform, website or mobile application. If you do not agree with the proposed changes, you should discontinue your use of the Speech Therapy Services before the effective date of the change. If you continue using the Speech Therapy Services after the effective date, you agree to the modified Speech Therapy Terms.

Speech Therapy Services and Pricing

Evaluation (45-60 min): An evaluation is a formal assessment of all aspects of communication, including speech, language, voice, fluency, and social pragmatics to determine the presence of a delay or disorder. In certain cases, the speech-language pathologist may leverage standardized assessments norm-referenced for particular ages. Standardized evaluations are not required for a certified speech-language pathology to diagnose a speech or language disorder. However, many health plans require standardized scores to authorize services.

  • Price: $264

  • Prompt-Pay Price*: $132

Recurring Treatment Sessions (30 min): A Recurring speech therapy treatment sessions, generally at a frequency of 1 or 2 sessions per week.

  • Price: $176

  • Prompt-Pay Price*: $88

*Prompt-pay discounts are available for clients who choose to keep a credit card on file with Expressable to be charged automatically.

You acknowledge that these rates may be modified or updated at any time. It is your own responsibility to remain informed about the current rates for the Speech Therapy Services.

Sliding Scale Policy 

In accordance with Expressable’s mission to expand access to speech therapy services nationwide and subject to available resources, we may provide care from time to time on a sliding fee schedule. 

Expressable’s sliding scale policy is designed to ensure that the decision to provide discounted care is based on uniform, objective criteria. This policy shall not supersede Expressable’s obligation set forth in agreements with state or federal agencies or applicable state or federal financial assessment guidelines that may be uniquely applicable to a program or service.  

We review our Sliding Scale Policy on an annual basis in conjunction with the Department of Health and Human Services (“HHS”) Federal Poverty Guidelines for potential revisions. 

Procedure 

If you are unable to afford the standard rates for Expressable services and are unable to pay for services with your health insurance benefits, you may request to complete an Income Determination Form to determine eligibility for a sliding scale discount. 

After completing the Income Determination Form, an Expressable representative will determine your eligibility for a discount. You are required to keep a card on file to pay for appointments to qualify for a sliding scale discount. A discount is valid for six months from the date of approval through the end of the month. For example, an approval dated January 5th will expire on June 30th. Expressable reserves the right to exclude any or all services from eligibility to receive a discount.

Limits on Patient Responsibility With Insurance Billing 

Expressable has contractual obligations to honor the amount of patient responsibility dictated by a client’s health insurance plan when we are an “in network” participant. 

However, when a client chooses to pay for services using their out-of-network health insurance benefits, Expressable will apply a prompt-pay discount for clients who choose to keep a credit card on file with Expressable to be charged automatically. In these cases, we will charge no more than our direct pay rates outlined above. 

Collection of Estimated Charges for insurance Billing

If a client chooses to pay for services using their out-of-network health insurance benefits, or if their insurance plan requires a coinsurance, Expressable will charge an estimated fee at the time of each attended speech therapy session.

Patient responsibility is calculated by each insurance provider.

Once claims have been returned to Expressable, we will reconcile the difference between the amount collected at the time of service and the patient responsibility calculated by the client’s insurance provider within 30 days. Clients will either be refunded or charged the balance depending on the patient responsibility required by their insurance provider.

If a difference is refunded or charged, Expressable will revise the estimated amount collected for ongoing visits to better reflect the patient responsibility determined by their plan.

Consent to Telehealth Speech Therapy Services

We are providing this information on behalf of Expressable speech therapists:

Telehealth involves the use of communications to enable speech therapists at sites remote from patients to provide consultative and treatment services. The information may be used for diagnosis, therapy, follow-up and/or education, and may include live two-way audio and video and other materials (e.g., medical records, data from medical devices).

The communications systems used will incorporate reasonable security protocols to protect the confidentiality of patient information and will include reasonable measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption, including encryption of information transmitted through the Expressable platform.

You acknowledge that your speech therapists credentials were made available to you before scheduling an appointment. If you have any questions about these credentials, please direct them to your speech therapist.

Anticipated Benefits of Telehealth:

  • Improved access to medical care by enabling a patient to remain at his or her home or office while consulting a speech therapist.

  • More efficient speech therapy evaluation and management.

Possible Risks of Telehealth:

As with any health care service, there are potential risks associated with the use of telemedicine. Expressable believes that the likelihood of these risks materializing is very low. These risks may include, without limitation, the following:

  • Delays in evaluation and consultation or treatment may occur due to deficiencies or failures of the equipment.

  • Security protocols could fail, causing a breach of privacy of your health information.

  • Information you transmit through the Expressable platform may be insufficient to allow for appropriate decision-making by your therapist.

By accepting these Terms, you acknowledge that you understand and agree with the following:

  • The Laws that protect privacy and the confidentiality of health information also apply to telehealth; I have received Expressable’s Notice of Privacy Practices, which explains how Expressable collects, uses, shares and protects your Protected Health Information in greater detail.

  • You may expect the anticipated benefits from the use of telehealth in your care, but no results can be or are guaranteed or assured by Expressable.

  • Your therapist will decide, in his or her sole discretion, whether it is appropriate to treat your condition using telehealth and the Expressable platform. Your therapist may request that you halt receiving telehealth services and instead receive in-person care if deemed appropriate.

  • Your healthcare information may be shared with others (including health care providers and health insurers) for treatment, payment, and healthcare operations purposes. In addition, your healthcare information may be shared in the following circumstances:

    • When a valid court order is issued for medical records.

    • Reporting suspected abuse, neglect, or domestic violence.

    • Preventing or reducing a serious threat to anyone’s health or safety.

    • As otherwise permitted by applicable Law.

  • You will hold Expressable harmless for any information lost due to technical failures of the Expressable platform when receiving telehealth services.

Financial Responsibility and Assignment of Benefits

You agree to pay Expressable all applicable charges at the prices then in effect for the Speech Therapy Services provided to you or your Family Member. You authorize Expressable to charge your saved payment method (your "Payment Method") for the Speech Therapy Services provided to you or your Family Member. If your Payment Method is invalid at the time payment is due, you agree to pay all amounts due upon demand. The third party services provider who manages your Payment Method may impose terms and conditions on you, which are independent of these Speech Therapy Terms, and you agree to comply with all of those terms. Expressable may accumulate charges that you’ve incurred for the Speech Therapy Services and submit them as one or more aggregate charges during or at the end of each billing cycle. Expressable reserves the right to correct any billing errors or mistakes even if payment has already been requested or received.

IF YOU REGISTER FOR A MONTHLY MEMBERSHIP, YOU ACKNOWLEDGE AND AGREE THAT (A) EXPRESSABLE (OR OUR THIRD-PARTY PAYMENT PROCESSOR) IS AUTHORIZED TO CHARGE YOU ON A MONTHLY BASIS FOR YOUR MEMBERSHIP (IN ADDITION TO ANY APPLICABLE TAXES AND OTHER CHARGES) FOR AS LONG AS YOUR MEMBERSHIP CONTINUES, AND (B) YOUR MEMBERSHIP IS CONTINUOUS UNTIL YOU CANCEL IT OR WE SUSPEND OR STOP PROVIDING ACCESS TO THE SERVICES IN ACCORDANCE WITH THESE SPEECH THERAPY TERMS. YOU MAY CANCEL YOUR MEMBERSHIP AT ANY TIME.

If you provide information about your health insurance or health plan, that will be deemed your authorization for us to submit claims for covered Speech Therapy Services to your health insurer or health plan. You hereby assign or otherwise authorize payment of medical benefits to Expressable for the Speech Therapy Services provided to you or your Family Member. You authorize the release of any health or other information necessary to process any claims for the Speech Therapy Services. You further understand and accept your financial responsibility for any portion of the bill not covered by your health insurer or health plan. SUBMISSION OF CHARGES DOES NOT WAIVE OUR RIGHT TO SEEK PAYMENT DIRECTLY FROM YOU.

Attendance and Cancellation Policy

Recurring Appointments 

A minimum visit frequency of once a week is required to reserve a recurring appointment slot on your speech therapist’s calendar. However, your speech therapist may approve a visit frequency of one session every two weeks on a case by case basis, generally in cases where clients are approaching graduation.  Recurring appointments are subject to the cancellation and attendance policies below. 

If you are unable to commit to a recurring visit frequency, you can reach out to your speech therapist to schedule one upcoming appointment at a time by texting them at 512-960-3535. Individual appointments are also subject to the Late Cancellation and Missed Appointment policies listed below. 

Cancellations

If you were unable to attend a session due to an extenuating circumstance, please text or call us at 512-960-3535. Texting is the fastest way to reach your speech therapist directly. 

Rescheduling: If you are unable to attend a scheduled appointment, you can request to reschedule if you provide more than 24 hours notice. We do not consider rescheduling an appointment a cancellation - however, your ability to reschedule a recurring appointment will be dependent on the availability and discretion of your speech therapist. 

Late Cancellations & Missed Appointment. You may cancel an appointment no less than 24 hours prior to start with no charge. If you cancel an appointment less than 24 hours prior to your appointment or miss the appointment, a late cancellation fee of $50 may be charged to your Payment Method.

Therapist Cancellations. If a session is canceled because your therapist is unable to attend on the scheduled time, we will attempt to reschedule that session at a time of your convenience. You will not be charged if your therapist cancels your appointment for any reason and the appointment cannot be rescheduled.

Late cancellation and missed appointment fees will not be charged when prohibited by law.

Attendance Policy

Speech therapy outcomes require consistent attendance and we expect clients to attend or reschedule any recurring appointments. Frequent cancellations may result in the termination of treatment. 

We reserve the right to terminate treatment if you cancel or miss 3 or more appointments within a 90 day period and/or miss or late cancel (less than 24 hours notice) 2 consecutive appointments. 

We also reserve the right to terminate treatment for failed payments. We generally require payment to be complete from all prior appointments before proceeding with an additional appointment. 

Caregiver Attendance 

If you are a parent or caregiver of a minor child Family Member, you are encouraged to attend all appointments when possible. If your minor child Family Member is under the age of 7, you or another authorized adult caregiver must be present for all appointments. If your minor child Family member is 7 years of age or older, you may be required to be present for all appointments if deemed necessary based on the clinical judgment of your speech therapist.

Service Termination

You may terminate your use of the Speech Therapy Services at any time by not using the Speech Therapy Services any more. We may terminate your use of the Speech Therapy Services at any time in our reasonable discretion, for causes including but not limited illegal conduct, abusive and threatening behavior, and continued refusal to pay for our services. We may terminate your use of the Speech Therapy Services by sending notice to you at the mail or email address you provided to us or by otherwise contacting you.

Consent to Electronic Communications

You agree that Expressable may send the following to you by email or by posting them on our website and mobile application: legal disclosures; these Speech Therapy Terms, Notice of Privacy Practices; future changes to any of the above; and other notices, policies, communications or disclosures and information related to the Speech Therapy Services. You agree that Expressable may contact you via secure messaging, email, phone, text, or mail regarding the Speech Therapy Services. You consent to receive such communications electronically. You agree to update your contact information to ensure accuracy

If you later decide that you do not want to receive certain future communications electronically, please send an email to info@expressable.io or a letter to Expressable, 7600 Chevy Chase Drive, Suite 300 - #325, Austin TX, 78752. You may also opt out of certain electronic communications through your account or by following the unsubscribe instructions in any communication you receive from Expressable. For example, you may opt out of receiving automated text messages by texting STOP in response to any automated text message. Your withdrawal of consent will be effective within a reasonable time after we receive your withdrawal notice described above. If you opt out of automated text messages, you acknowledge that will still receive non-automated text messages from your speech therapist related to the Speech Therapy Services that you receive.

Disclaimers

TO THE MAXIMUM EXTENT NOT PROHIBITED BY LAW, EXCEPT IN CASE OF NEGLIGENCE OR WILLFUL MISCONDUCT, WE AND OUR AFFILIATES, PROVIDERS, EMPLOYEES, OFFICERS, DIRECTORS OR AGENTS WILL NOT BE RESPONSIBLE FOR ANY LOSS OR DAMAGE, INCLUDING PERSONAL INJURY OR DEATH, RESULTING FROM ANYONE'S USE OF OR INABILITY TO USE THE SPEECH THERAPY SERVICES.

The Speech Therapy Services are intended for use only within the United States and its territories. We make no representation that the Speech Therapy Services are appropriate, or are available for use outside the U.S. Those who choose to access and use our Speech Therapy Services from outside the U.S. do so on their own initiative, at their own risk, and are responsible for compliance with applicable laws.

Limitation of Liability

TO THE MAXIMUM EXTENT NOT PROHIBITED BY LAW, IN NO EVENT WILL EXPRESSABLE AND OUR AFFILIATES, PROVIDERS, EMPLOYEES, OFFICERS, DIRECTORS OR AGENTS BE LIABLE TO YOU OR ANY THIRD PARTY FOR ANY CONSEQUENTIAL, EXEMPLARY, INCIDENTAL, SPECIAL OR PUNITIVE DAMAGES, INCLUDING WITHOUT LIMITATION THOSE RELATING TO LOST PROFITS OR THE COST OF SUBSTITUTE PRODUCTS OR SERVICES ARISING OUT OF OR IN CONNECTION WITH THE SPEECH THERAPY SERVICES OR FROM THE USE OF OR INABILITY TO USE THE SPEECH THERAPY SERVICES, WHETHER BASED ON CONTRACT, WARRANTY, PRODUCT LIABILITY, TORT OR OTHER LEGAL THEORY AND EVEN IF WE HAVE BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGES. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, SO THE ABOVE EXCLUSION MAY NOT APPLY TO YOU.

General

We may change, suspend, or discontinue any of the Speech Therapy Services at any time. We will try to give you prior notice of any material changes to the Speech Therapy Services. We will not be liable to you or to any third party for any modification, suspension or discontinuance of the Speech Therapy Services. These Speech Therapy Terms do not confer any third-party beneficiary rights. You may not transfer any of your rights or obligations under these Speech Therapy Terms to anyone else without our consent. Expressable may assign our rights in connection with a merger, acquisition, or sale of assets, or by operation of law or otherwise. Even after termination, these Speech Therapy Terms will remain in effect such that all terms that by their nature may survive termination will survive such termination.

Contact Us

If you have any questions or comments about these Speech Therapy Terms, please contact us at info@expressable.io.

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