Out-of-network with Aetna — we submit claims directly so you don’t have to.
If you have an Aetna PPO plan and you’re looking for pediatric occupational, physical, or speech therapy in the Washington DC or Arlington area, you’ve found the right place. Skills on the Hill is an out-of-network provider with Aetna — and for most families with Aetna PPO plans, that still means substantial insurance coverage, with the added benefit that we handle the billing for you from start to finish.
How Aetna Out-of-Network Coverage Typically Works
Many parents are surprised to learn that Aetna PPO plans often include strong out-of-network benefits for pediatric therapy. Coverage varies by plan, but typical Aetna PPO benefits include:
- Reimbursement for out-of-network occupational therapy, physical therapy, and speech-language pathology
- Coverage after your out-of-network deductible is met
- Annual session limits that often align with what your child needs
The exact reimbursement depends on your specific plan, which is why we offer a free benefits check before you ever book an appointment.
A Hidden Benefit of How We Bill
Here’s something most Aetna PPO families don’t know — and that other out-of-network practices won’t tell you, because they don’t do it:
Because we file claims directly to Aetna, your out-of-network deductible is met significantly faster than it would be at a practice that gives you a superbill to submit yourself. Once your deductible is met, Aetna begins reimbursing a portion of every session — meaningfully reducing your out-of-pocket cost for the rest of the calendar year.
This isn’t a billing trick. It’s industry-standard medical billing — combined with the administrative work we do that most out-of-network practices won’t.
Why Families Choose Us Even Though We’re Out-of-Network with Aetna
- Longer, focused sessions. Our therapists spend the time your child actually needs, not the time an insurance contract allows.
- Comprehensive evaluations. Every evaluation looks at the whole child and includes a written narrative report plus a dedicated parent meeting — depth that’s often not part of in-network evaluations.
- Faster access. Typical wait time for an initial evaluation is 2–4 weeks (versus 3–6 months at many in-network providers in the DMV).
- We handle the billing. You don’t submit claims, fight for reimbursement, or navigate Aetna’s portal. We do all of it.
- Multi-disciplinary, all under one roof. Pediatric OT, PT, and Speech-Language Pathology, with cross-discipline collaboration.
- Two convenient locations. Capitol Hill in Washington, DC and Arlington, VA.
How the Process Works
- Submit your insurance info using the free benefits check form.
- Our Intake Coordinator verifies your Aetna coverage and contacts you within one business day to walk through your benefits and the maximum you would pay per session under the No Surprises Act.
- You decide. No pressure, no commitment.
- We handle the rest — scheduling, claim submission, and insurance follow-up.
Frequently Asked Questions
Is Skills on the Hill in-network with Aetna?
We are an out-of-network provider with Aetna. For most Aetna PPO members, this still means substantial insurance coverage — and we handle the claims process for you.
Will you tell me exactly what I’ll pay?
We’ll tell you the maximum you would pay per session — that’s the protection you have under the federal No Surprises Act. The exact reimbursement from Aetna is only confirmed after we file a claim, because insurance companies don’t share that information reliably in advance.
Do you handle the insurance paperwork?
Yes. We submit claims directly to Aetna on your behalf and follow up on reimbursement.
Where are you located?
We have two locations: Capitol Hill in Washington, DC and Arlington, VA.
Find out what your Aetna plan covers — in one business day.
No commitment. No cost. Just clear information so you can make the best decision for your child.