FREQUENTLY ASKED QUESTIONS
Q: What insurance are we in network with?
A: We are currently in network with Aetna (except HMO Bronze S and HMO Silver S), most BCBS (except Blue Local, Healthy Blue, or High Performance Network, and BlueHome with Novant Health), Cigna and United Healthcare plans. Please check with your insurance company to be sure that behavioral health coverage is included with your major medical plan, and that it's not covered by another insurance provider. Several of the recently available Marketplace plans are also not in network even though they are through one of the companies listed above.
Q: Are you in network with Medicaid or Medicare?
A: No, we are not in network with Medicaid or Medicare. Our practice has opted out of the Medicare program. If you have Medicare, please be aware that Medicare will not pay for any service provided by this practice. If you would like to continue with this practice, and you have Medicare, a private contract would need to be established that indicates your agreement with these terms in more detail. If you have insurance coverage other than Medicare, that this office is not in-network with, you can submit a claim to your insurance and possibly be reimbursed for some portion of the visit (based on your out-of-network benefits).
Q: What are your self-pay rates?
A: Our PROMPT PAY discounted rates for cash pay / self pay appointments are:
(These rates include a 20% discount for same-day payment, which applies in almost all situations. If there are problems with your payment at the time of service, the prices are 20% higher than reported below.)
Medication Management Initial visit (could be combined with an initial therapy appointment or not): $323 - $479
Therapy Initial visit: $228.80
Therapy visits: $208
Med Management visits: $203 - $333
Med and Therapy visit in same day: $323 - $401
Q: Can we schedule an appointment right now?
A: The intake process must be completed before we are able to schedule an appointment. The steps of the intake process are answering the initial questions on our new patient inquire form and completing the paperwork and insurance steps. Once we receive your answers to our initial questions, we get you set up in our system. We then send you an email with two required forms (Intake Form your provider will review and an Office Policies and Patient Agreement Form for you to sign) as well as instructions on how to send us a copy of your ID and the front and back of you insurance card. Once we receive those, we will verify your benefit details and reach out to offer an appointment.
Q: Do we offer evaluations or assessments?
A: We do not do formal evaluations that would produce a full report/assessment, including those for either for court requirements or disability assessments. Our providers document an encounter for insurance/legal purposes that contain some details, but it is like a summary page, not a full assessment that would provide justification of such diagnosis as they may be looking for. Our providers do assessments and diagnose for purposes of treatment within our own practice. Our focus is treatment, not psychological assessment/testing/evaluations.
A: We are currently in network with Aetna (except HMO Bronze S and HMO Silver S), most BCBS (except Blue Local, Healthy Blue, or High Performance Network, and BlueHome with Novant Health), Cigna and United Healthcare plans. Please check with your insurance company to be sure that behavioral health coverage is included with your major medical plan, and that it's not covered by another insurance provider. Several of the recently available Marketplace plans are also not in network even though they are through one of the companies listed above.
Q: Are you in network with Medicaid or Medicare?
A: No, we are not in network with Medicaid or Medicare. Our practice has opted out of the Medicare program. If you have Medicare, please be aware that Medicare will not pay for any service provided by this practice. If you would like to continue with this practice, and you have Medicare, a private contract would need to be established that indicates your agreement with these terms in more detail. If you have insurance coverage other than Medicare, that this office is not in-network with, you can submit a claim to your insurance and possibly be reimbursed for some portion of the visit (based on your out-of-network benefits).
Q: What are your self-pay rates?
A: Our PROMPT PAY discounted rates for cash pay / self pay appointments are:
(These rates include a 20% discount for same-day payment, which applies in almost all situations. If there are problems with your payment at the time of service, the prices are 20% higher than reported below.)
Medication Management Initial visit (could be combined with an initial therapy appointment or not): $323 - $479
Therapy Initial visit: $228.80
Therapy visits: $208
Med Management visits: $203 - $333
Med and Therapy visit in same day: $323 - $401
Q: Can we schedule an appointment right now?
A: The intake process must be completed before we are able to schedule an appointment. The steps of the intake process are answering the initial questions on our new patient inquire form and completing the paperwork and insurance steps. Once we receive your answers to our initial questions, we get you set up in our system. We then send you an email with two required forms (Intake Form your provider will review and an Office Policies and Patient Agreement Form for you to sign) as well as instructions on how to send us a copy of your ID and the front and back of you insurance card. Once we receive those, we will verify your benefit details and reach out to offer an appointment.
Q: Do we offer evaluations or assessments?
A: We do not do formal evaluations that would produce a full report/assessment, including those for either for court requirements or disability assessments. Our providers document an encounter for insurance/legal purposes that contain some details, but it is like a summary page, not a full assessment that would provide justification of such diagnosis as they may be looking for. Our providers do assessments and diagnose for purposes of treatment within our own practice. Our focus is treatment, not psychological assessment/testing/evaluations.