Now accepting Aetna Insurance!!
Individuals who are insured through Aetna can now receive coverage for therapy and psychological evaluations through their healthcare plan. As an in-network provider for Aetna, this allows me to increase accessibility to care. It is important to note that evaluation coverage is based on medical necessity as determined through the initial intake appointment. Furthermore, prior authorization is needed for testing and usually takes about 15 business days to accomplish. Call today to determine your eligibility and out of pocket responsibilities.
For individuals with other insurance providers, services must be paid fully out of pocket. That said, the highest rate for individual therapy is $150 per session, and the maximum full fee for an evaluation is $2,500. Call today to find out more.
As an out-of-network (OON) provider I am not credentialed with any other insurance agency other than Aetna at this time. Therefore, my services must be paid for in-full out of pocket for those who are not covered by Aetna. That said, I make assessment more accessible by providing a super bill that can be submitted to your insurance for possible reimbursement. Note that some families may be eligible for OON benefits (though not guaranteed) based on the type of plan enrolled.
As a service to families who are under my care, I can provide you with a superbill that has all of the billing information needed for submission. Since every plan is different, it is up to you to submit the superbill to the insurance for possible reimbursement. If there is any coverage provided, then the insurance company will mail you a check. Remember, this is not guaranteed for every plan and each plan is different for every family.
Superbills are provided after the feedback session at the end of the evaluation process.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
● You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
● Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
● Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
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