Services may be covered in part or in full by your insurance provider, depending on your plan. You may have both in and out of network benefits, as well. Having out of network benefits means that you have a plan that affords you the freedom to choose the provider of your choice, and are not restricted to only those the insurance company has selected to contract. Contact us today to speak with a provider who will help verify your benefits and eligibility for mental health services.
If we are out of network with your insurance company, consider our Self Pay Financial Assistance Program. Superbills can be provided, and your insurance company may reimburse you in part or in whole for your out of network care.
*We are out of network with Magellan Medicare and Medicaid plans. We are only contracted with Magellan's commercial plans. This is due to legislative issues.
Out Of Network: United, Humana, Aetna, and Blue Cross Blue Shield are all not accepting new providers into their network, but please check with your insurance company regarding whether or not your plan offers Out Of Network (OON) benefits. We will continue to monitor these insurance networks for opportunity to become contracted in network with them.
If you have one of these health insurance companies for your coverage, we are able to provide what is called a Superbill for you to submit to your insurance company. With this, your health insurance company will reimburse you directly based on your OON coverage.
TRICARE: We are no longer able to accept TRICARE insurance due to network problems. We apologize for this inconvenience. We will continue to attempt to reach Provider Relations to resolve these problems and hope to be able to accept TRICARE plans again in the near future.
Compsych: Effective June 22, 2019, our contract with ComPsych Behavioral Health and EAP services will be terminated.
Effective 2017, from the American Medical Association:
NEW STANDARD OF CARE CRITERIA FOR INSURANCE COMPANIES IS 45 MINUTE SESSIONS, NOT 60 MINUTE SESSIONS.
Sessions 60 minutes or longer are now considered "extended" and will require further clinical evaluation and approval, based on client's functioning and severity of symptoms.
Couples/Family Psychotherapy will now be scheduled for 30-50 minutes instead of 60 minutes. Extended sessions (60, 90, 120 minutes) are not covered under insurance plans, and some insurance companies do not cover couples/family therapy at all. Clients are welcome to self-pay out of pocket for these services and additional time requested beyond what your insurance will cover. Please talk to a Patient Care Coordinator or your therapist about this.
Conjoint refers to couples, marital or family therapy.
If you have questions or need clarification on this update, please contact us at (407) 900-8633.
No shows and cancellations within 24 hours from the time of service will be charged the full cost of the appointment at the time of the service.
Full Cost: This does not mean your copay amount, it means the amount you pay + your insurance company pays (the full cost of the service).
24 Hours: 24 hours means 24 hours from the time of the service, not same day cancellations. If you have an appointment on Tuesday at 10:00 AM, you latest you are allowed to cancel your appointment without incurring any fees is Monday at 9:59 AM.
Our providers prepare for your service ahead of time and confirm the time you reserve for your appointment. Cancellations made less than 24 hours from the time of service are unable to be offered to someone else and booked with such short notice. Thank you for your understanding and cooperation with this policy.