The Speech Spot accepts Highmark BCBS as well as private pay clients. Payment, including copays and coinsurance, is due at the beginning of each session. Payments can be made by cash, check, FSA, HSA, or credit card. We are currently an out-of-network provider with all other insurance companies. We are happy to provide you with the paperwork for you to seek possible out-of-network reimbursement from your insurance company. Please speak with your insurance company directly to discuss your specific plan's coverage and reimbursement policies for out-of-network services.