The Speech Cove accepts Maryland Medicaid, Aetna, United Healthcare, CareFirst, and private pay. If you are eligible for out-of-network speech-language therapy and/or evaluation reimbursement we can provide you with a monthly receipt of paid speech and language therapy services for you to submit to your insurance company for reimbursement. If your insurance company requests a predetermination note or referral, please ask your primary care doctor or pediatrician. Payment (cash or credit card) is due on the day of service.