Insurance & Payment FAQs

Our practice offers state-of-the-art behavioral health treatment options. As a client, you may prefer to pay for therapy sessions “out of pocket” without seeking prior approval from your insurance carrier. This assures us we can move at your pace and are not limited by only a few authorized therapy sessions. Be sure to check with your insurance carrier, as many plans do not pay for therapy unless the client has a diagnosable (mental) illness and a referral from their primary medical doctor.
 

INSURANCE FAQs


Do you accept my insurance?
Each of our counselors and Psychologists are paneled on several health insurance plans, including Medicare. Even if Prepare to Change is not listed as in “in-network” provider, you may have coverage to help supplement the cost of treatment fees and can receive a SuperBill to submit to your insurance carrier for potential reimbursement. Although you may have a slightly higher co-pay with out-of-network services, you can rest assured we provide the highest quality counseling at a fair value. In fact, by maintaining our status as an “out-of-network” provider within some networks, our office has the ability to recommend the best treatment for you, without compromising care due to restrictions and limitations placed by your insurance plan.
What are advantages to private pay and out-of-network?
While some counseling centers are part of many insurance networks, we believe that private-pay and out-of-network services often have advantages over in-network payment plans. These advantages may include greater client control of private information shared with insurance companies, more options for appointment availability, and access to more experienced providers.
Will you help with the insurance submittals for my visits?
Yes! As a courtesy to our patients, we file electronic claims for services within our provider networks. Conversely, if we are not in-network for your insurance carrier, we will provide you with the necessary procedure and diagnosis codes on a SuperBill for your quick submittal. If you are utilizing insurance, it is your responsibility to contact your insurance company directly to obtain information about your mental health/substance abuse benefit package including: deductibles, reimbursement rates and percentages, number of sessions covered, in-network and out-of-network provisions.

PAYMENT FAQs

What payment methods are accepted?
Payment or insurance co-payment is required at time of service. Payments can be made in cash or by check or credit card.
How much is an initial telephone consultation?
All of our psychologists and other clinicians offer initial 15-minute telephone consultations to determine appropriate treatment options. In addition, we provide video and telephone appointments as requested.
What payment is expected of me at the time of service?
Our practitioners’ fees are in line with other nearby therapists and dependent upon the level of the professional. Our Intern Clinicians, who are supervised by Licensed Psychologists, have the lowest fee ($50-$110); Marriage & Family Therapists charge in the mid-range ($125-$150); and our Licensed Psychologists bill at the highest level ($150-$225).
 
For insurance billing clients, copays will be expected at the time of service. After your appointment, we will enter the services provided to you. Then we will provide you with a service total along with an estimation of what your insurance will cover. The difference is payable at the time of service. After we receive the insurance payment, if there is a balance due, we will charge your account
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I thought I paid my portion, but I got a bill. Why?
We estimate the portion of your bill that will not be covered by insurance, but there are many factors that can affect this estimate. There may be a required deductible or changes to your benefits. As with any medical procedure, sometimes additional treatment is required and unforeseen additional costs arise.
Will I be charged a fee if I miss an appointment?
If you are unable to keep your scheduled appointment, we request a 24-hour notice or you will be charged for that appointment. Missed appointments cannot be billed through insurance. We do not overbook or double-book appointment times as may be common in other medical practices.