Our son has a severe speech delay. We went to our pediatrician in the beginning of February for another recommendation because he turned three and we needed to switch services. Our pediatrician recommended Blue Sky Speech Therapy with Mayra Tishkoff. Before the first appointment we handed over all of our insurance information over to Mayra and was told she was going to check with our provider if she is in network and if services were going to be covered. During our initial appointment Marya explained to us that my insurance does not cover developmental delay speech therapy. She said she could not bill our insurance and continued to explain that she spoke with our insurance directly and they instructed her that speech was not covered on our specific plan.
Mayra was charging us anywhere from $120-$130 for the 45 min session out of pocket. We we going from the beginning of February to the middle of April once a week (that was all we could afford out of pocket). She would continue to tell us on several occasions that Zed was very behind and that we should up the appointments if we could afford it.
After our last appointment on April 10th, my wife came home from the speech appointment very upset because Myra had made a very big point to her that Zed was very behind and that it was crucial that we upped his appointments in order for him to get over his Apraxia. Being that it was unaffordable for us, this was a very upsetting situation. Jessica immediately got on the phone with Aetna to verify that this was not covered under our plan. I was told by the representative that we are 100% covered and she is in network, no age restrictions or restrictions on number of appointments. I also called aetna and verified that there was no attempt to bill or inquiry Aetna by Blue Sky Speech Therapy. After receiving that information I immediately call Myra to tell her that we are covered and asked for an explanation. She told me that the person who handles told her this information. I gave her the benefit of the doubt and told her kindly if she could rip up the last 2 checks I had given her and start billing my insurance plus the previous visits so I can get refunded minus our deductible. She agreed and said she would do that immediately. This all occurred on April 10th.
On April 12th I noticed that there had been two checks cashed on the 11th, the day after I spoke with her and made a big point about charging our insurance that we are indeed are covered. She told me she was ripping those checks up and would bill our insurance. I immediately called Myra at Blue Sky and there was no answer. I had to leave multiple voicemails with her and she finally called me back a few hours later. She explained to me that she “accidentally” cashed the checks.
She is contracted and in network with Aetna. She lied to us and told us we were not covered so she can charge us out of pocket more then what her contracted amount was. One of the shadiest situations I have been a part of. Please keep away.
I gave her 2 stars becuase she was a decent Therapist.