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Insurance
We will call and check your insurance benefits for you.
Our therapists are in-network with the following
insurance:
Blue Cross Blue Shield
Cigna
Cigna Behavioral
Aetna
In addition Kyle Kornbau and Kristen McDuffee are in-network with:
United Behavioral Health/United Health Care
We also except insurance as out-of-network providers.
Some of our therapists may in-network with other EAPs or insurance companies not listed above.
For other insurance carriers and for help determining your benefits, please contact the office at 919-434-6398.
Fee Schedule-No Insurance
Initial Assessment- $120/hour
45 minute session - $100
additional 15 minutes- $25
These
fees are for out of pocket cost and can be different depending on your
insurance company and policy. Please check with your insurance provider
for your behavioral health benefits. Your behavioral health benefits
might be managed by an organization that is different than your
primary medical insurance company.
Insurance Information Q&A
For
your convenience, most billing and/or insurance questions can be
answered before you’re even scheduled for your first session. To expedite this process, please have your insurance card ready when you call. Verification
of insurance benefits will usually happen the same day (no later than
two days), and the Office Manager can provide you with your coverage
details, estimated patient portion/cost, and schedule your initial
assessment/first time visit. ***Please
note that verification of benefits, including any estimation of charges
or patient portion amounts, is NOT a guarantee of coverage, and that
all claims are reviewed by your insurance company on an individual basis. You, as the client, are ultimately responsible for covering any and all accrued fees.
Do you accept insurance?
Yes! This clinic does file insurance with multiple providers. However, due to the intricacies of managed health care, not all insurance is accepted. For
questions regarding insurance eligibility, please contact the Office
Manager at (919) 434-6398. We will call and verify your mental health
benefits and any out-of-pocket cost that you may have. If you do not
have insurance we offer a limited number of sliding fee appointments for
those with financial hardship.
How does my insurance work? Do I have to do anything?
There are a wide variety of insurance providers, and an equally wide variety of requirements from each. The
Office Manager will file claims on your behalf (when eligible and
applicable) in a timely manner through whichever medium is requested by
your insurance provider. Frequently, your patient
responsible portion for charges can’t be accurately quoted until we
receive an explanation of benefits (EOB) from your insurance provider;
this happen as soon as a few days from the date of filing, or as long as
several weeks.
Some insurance carriers require documentation above and beyond your basic member information to accept claims. This may include clinical documentation, diagnoses, or other information relevant to services provided at this clinic. Please
note that we will make every effort to provide only that information
which is mandatory for your insurance to accept the claim.
For any additional questions regarding insurance coverage, payment, or benefits, please contact the Office Manager.
Do you accept Medicare?
No.
Only Psychologist, Psychiatrist, and Licensed Clinical Social Workers
are able to accept Medicare. Even if you have other insurance, Medicare
is always primary, therefore the clinician must be approved by
Medicare.
What portion of my fees will my insurance pay?
There
is a wide range of factors that affect how much your insurance may or
may not pay for mental health services, including whether the provider
is in or out of your insurance’s network, if your deductible is met,
etc. We strongly advise that you contact the Office Manager with any questions regarding insurance coverage, even if you’ve called your insurance provider yourself for benefits information. We
want to make sure you’re getting the most accurate information
possible, and have access to alternate systems and contacts that we have
as mental health providers which a patient may not have.
Do you take credit cards?
Yes! We accept Visa, Mastercard and Discover. You can also pay online on the "Payment" page. |