Insurance & Fees

Remedy Counseling, LLC make every effort to run benefits for client’s insurance companies when we are able too. Insurance portals are sometimes unavailable or do not very benefits due to being out of state insurances. Please ontact your insurance company after scheduling your evaluation to verify we are in-network, deductibles that may apply for outpatient mental health-professional, copay amounts if applicable, and need for pre-authorization for services.

Accepted Insurances:

*You are responsible for verifying your insurance benefits, deductible and co-pays, need for a referral, and pre-authorization for your outpatient treatment through your insurance. You are responsible to tell us immediately when you are switching Insurance companies and provide us the new Insurance card or member ID# when your new policy takes effect.

  • BlueCross BlueShield/CareFist/Blue Choice/Anthem/GHMSI

  • Union Insurances through BlueCross BlueShield

  • Union Insurances In-Network

  • Local 99 Insurance In-Network

  • Cigna Behavioral Health/Evernorth

  • United Behavioral Health Private

  • Aetna

  • John’s Hopkins

  • Medicaid (All HMO’s Except for Kaiser). It is mandatory to send an image of your card when scheduling an appointment as authorization has to be completed for your treatment.

  • Medicare

  • Brainspotting Sessions: In-Network Insurances cover this Intervention (Brandy Roberts, LCSW-C ONLY).

Good Faith Estimate:

Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provider a "Good Faith Estimate" about out-of-network care. The Good Faith Estimate works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, and a reason for therapy. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new "Good Faith Estimate" should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate.

Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a "Good Faith Estimate" of expected charges.

Note: The PHSA and GFE does not currently apply to any clients who are using insurance benefits, including "out of network benefits (i.e.., submitting superbills to insurance for reimbursement).Feel free to contact the office for any questions regarding the above.

You have the right to a GFE as a patient.

Out of Network Insurances:

Fees: Self-Pay/Out of Network

  • $170 - Individual, Family and Couple’s Treatment: 60 minutes

  • $215 - Clinical Psychosocial Assessment: 60 minutes

  • $275 - Bariatric Surgery Clearance Evaluations are paid out of pocket if it is not covered by our in-network insurances and/or do not meet the insurance company's diagnostic criteria that is determined after the evaluation is completed: 60 minutes (Brandy Kolenbrander, LCSW-C ONLY).

  • $175 - Brainspotting Session if we do not participate with your insurance: 60 minutes.

    (Brandy Kolenbrander, LCSW-C ONLY).

  • Some insurances allow for “out of network benefits” and it is your responsibility to call your insurance to verify if you have this benefit and if you have this benefit please do the following:

  • Clarify your reimbursement out of network rate you will receive, what process you need to follow to submit documentation, the necessary form you need to complete with our superbill, and where to mail/fax your claims. We will provide you with a super-bill 1 time monthly and it will include all necessary information for you to submit to your insurance company to be reimbursed as they require certain information from us.

  • Remedy Counseling, LLC cannot bill for your out of network services. Payment for sessions must be submitted before you are seen for each scheduled session. If you do not see your insurance listed we are not in network with your insurance company and can offer therapy services on “Self-Pay” basis. Sliding scale’s for self-pay are offered at the Owner’s descretion

  • You can get your benefit information by contacting your insurance carrier by using the number listed on the back of your insurance card for eligibility and benefits.

    Please advise your member service representative that you are verifying your outpatient mental health benefits (professional services-out-patient) to determine what cost is associated for your mental health treatment. Your member service representative can determine if you have a copay and the amount, determine if you have a $0 copay, or if your copay is a percentage of the contracted insurance rate. They can also verify if you require a referral from your doctor or require preauthorization.

    They will provide you with information regarding deductibles by confirming you have no deductible, if your deductible applies to outpatient mental health services (this varies), and deductible amount/remaining balance to meet deductible. If you do have a deductible we still bill for the service, so it applies to your deductible.

    Our Office Manager is here to assist you with what your deductible fee will be because different insurances companies have different contracted rates for the same service.

    **Please be aware that while we do check your benefits on the provider portal it can have wrong information about your benefits regarding copays and deductibles on their site.

    Medicaid (All HMO’s Except for Kaiser). It is mandatory to send an image of your card when scheduling an appointment as authorization has to be completed for your treatment.