Is Hippotherapy and Therapeutic Riding covered by insurance? Hippotherapy is physical therapy, occupational therapy, or speech therapy using the horse as a treatment tool; therefore, if your insurance has rehabilitation benefits, your therapy sessions may be covered. An order from a physician is needed for a therapist to evaluate whether a patient is an appropriate candidate for hippotherapy and patients must show that they need hippotherapy and are making progress to qualify for insurance coverage. According to http://www.americanhippotherapyassociation.org/aha_hpot_a_sem.htm,when using the horse or equine movement as a treatment tool within a therapeutic procedure it is then very appropriate to bill for units of service depending on how the tool is used. See entire article for appropriate billing codes to share with your child’s provider.