Questions & Answers
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We accept the following insurances
Aetna
Cigna
BCBS-Commercial
BCBS State Health Plan
Blue Home
Blue Value
Blue Local
Blue HPN (Atrium)
Blue Options
Blue Advantage
Blue High Performance
Blue Classic
Blue Care
United Health Care
MedCost
Optum
Self-pay
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What are the first steps to pay with insurance?
Confused about how to pay for mental healthcare with your insurance? First, learn more about your coverage by following these steps:
Find your insurance card.
Call your insurance company.
The phone number is likely on the back of your card and may be listed under "behavioral health service" or "member services." Keep in mind that some insurance companies are open 24/7 and others are only available during workday hours.
Get information about your benefits.
a) After dialing the behavioral health services or customer call phone number, you will be connected to an operator and eventually to a representative from your insurance company. They will ask you to verify some information to ensure that you’re covered by the insurance plan. When they ask why you called, you could say, “I want to find out what benefits I have to cover mental health services."
b) To learn how much your plan requires you to pay each time you go to a provider, ask how much you would pay per session. This payment is called a ‘copay’ or ‘coinsurance.’ Some insurance plans have an amount that you have to pay out-of-pocket first; this is called a ‘deductible.’ Once you pay that amount, your insurance company will cover part or all of your visit depending on your coverage.
c) Insurance plans tend to vary, so it is important to look over the questions to keep in mind when learning about your insurance benefits.
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The cost depends on the type of insurance plan you have and if your provider is in-network or out-of-network. Usually, all you have to pay when you’re going to a provider covered by your insurance company is a set amount of money called a copay (around $15-35).
This amount is usually printed on the back of your insurance card. Typically, you end up paying more when going to providers that are not covered by your company (out-of-network). For more information, contact your insurance company and ask them about their rates for providers that are in-network and out-of-network.
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Copays are flat fees that you pay during a visit to a health provider or for prescription medications. Coinsurances are similar to copays, but instead of a flat fee, you pay a percentage of the cost of service or prescription. For example, a 20% coinsurance for a $200 bill means you pay $40.
Each insurance plan has an out-of-pocket maximum and that number is the absolute maximum you have to contribute annually and this includes copays and coinsurance fees along with deductibles. Any other costs associated with your healthcare is expected to be covered by your insurance company.
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First, make sure your insurance covers these services.
You want to make sure that the services that you are interested in getting reimbursed are within your benefits by checking your EOB. Furthermore, consider if these services are in-network or out-of-network. Some insurances will only cover in-network services, so it’s important to check if your insurance also covers services from out-of-network providers. You can find this information on your insurance’s website or by calling and talking to a representative.
Second, follow these steps to get reimbursed by your insurance.
In some cases, your provider can fill out the form to get their services reimbursed. If your provider does not fill out the reimbursement form, you will have to do this. Here are the steps to file this claim:
Request receipts.
If the services are within your benefits, you will need to request itemized receipts from your provider to add to your claim.
Download claim.
To get this claim you can download it from your insurance's website. This form will have further instructions regarding the logistical information needed to add to the claim.
Cover your bases.
Claims may get rejected, so it’s important that the information is correct. Moreover, if a claim was lost or had slight mistakes, it’s handy to keep a copy just in case.tem description
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To learn more about your insurance company’s policies, you can look at the website or call to talk to a representative.
It’s important to know that some insurance companies outsource part of their mental health coverage to other companies. Again, you can look at the website or call to talk to a representative to find out if your insurance company outsources your mental health coverage.
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Of course! Our fees are set based on the area's typical rate. Please speak with the administrator for more information.
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We accept
Mastercard,
Visa,
Discover,
health savings cards,
checks, and cash.
Payments for services are due after sessions are completed.
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We thank you for requesting our offices and we are glad to serve you. If you are specifically wanting to see Dr. Stafford, we can add you to her waiting list.
However, we have six other therapists who are wonderful and connected to Dr. Stafford. At any time they can seek her guidance if need be. We suggest you look at Our Team page and select from the group!
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Your story and why we need to assess your history
Overview
The CCA is an intensive clinical and functional assessment that results in a written report summarizing the individual’s mental health and/or substance abuse disorder diagnosis:
Comprehensive assessment of the individual’s needs;
Pertinent social, family, and medical history;
Determination of what is needed and appropriate;
Evaluation of mental health, substance use disorders or other medical conditions; and
An annual assessment to determine if the desired outcome or level of functioning has been restored, improved, or sustained over the timeframe.
Services
What To Expect: The initial session with a therapist is an important one. This is when the therapist will ask a series of structured questions about your social and behavioral health history. The purpose of these questions is to explore abuse, substance use, trauma, social engagement with family and peers, employment, health, and overall well-being and mental status. By asking these questions, the therapist can get a better understanding of your individual situation and how to best help you. It is important to be honest and open when answering these questions, as it will help the therapist better understand how to support you.
Why Are Assessments Needed For Therapy: The assessment process is one of the most important steps in therapy. It allows the therapist to learn about their patient’s strengths, needs, and psychosocial history. This information is essential for developing an effective treatment plan. The assessment process should be tailored to each individual patient, as no two patients are exactly alike. However, there are some common elements that should be included in every assessment. These include a thorough medical history, a review of past mental health treatment, a discussion of current symptoms, and an evaluation of psycho-social functioning. By taking the time to carefully assess each patient, therapists can ensure that they are providing the best possible care.
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ABSOLUTELY!
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