Summary of coverage questions regarding Outpatient Behavioral Health
- What is my yearly deductible and has it been met?
- Do I have a co-pay and/or coinsurance does it apply to outpatient mental health?
- Is there a session limit per calendar year?
- What are my “In-Network and Out-of-Network” Benefits?
In-Network with the Following:
Medica-Mayo Health System Employees
Security Health Plan – Commercial and some Marketplace plans
Group Health Cooperative of Eau Claire
Group Health Cooperative of South Central Wisconsin
Anthem Blue Cross/Blue Shield
Other Insurance companies such as Cigna, often allow some reimbursement for out-of-network providers. Again, we encourage you to contact your individual insurance company regarding your particular plan. if you have employer-based health insurance, your Human Resources Department may also be a resource for you.
Most sessions are 50 min in length unless previously arranged.
Clients may make their co-pay, deductible, co-insurance or fee-for-service payments using check, cash, Visa, MasterCard or Health Saving/Reimbursement Account (HSA/HRA) debit card.
If you miss your scheduled therapy appointment for any reason other than an emergency or you have not notified us at least 48 hours in advance, you will be required to pay the full cost of the session. It is important for you to be aware that Insurance companies do not reimburse for missed appointments.