Frequently Asked Questions

How do I schedule a therapy appointment?

A free consultation is highly encouraged and can be requested with the submission of your contact information, or you may directly call our office at (727) 481-6932.

Insurance benefits will be verified and all initial paperwork will be emailed to you before your appointment.

Do you accept insurance?

Yes, we do. Below are the insurance plans we are In Network with by state:

Florida: Cigna, Aetna, Optum/UHC

Illinois: Cigna, Aetna, Optum/UHC, BCBS of IL

We do not accept Medicaid or Medicare at this time

*If we are not in network with your insurance, you may have Out-of-Network benefits (OON) that will cover a portion of your sessions. Please call your insurance company to check your OON benefits to determine the cost per session.

If you plan on using your out of network reimbursement benefits, contact your health insurance provider and ask the following questions:

• Do I have out-of-network coverage?

• Does my out-of-network health insurance plan include mental health benefits?

• What dollar amount or percentage of each psychotherapy session is reimbursed or covered?

  These codes may help you:

  Initial/First Intake Appointment:

  *CPT Code 90791

  Ongoing Weekly Appointments:

  *CPT Code 90837

• How many outpatient mental health or psychotherapy sessions per calendar year are covered by my health plan?

• Do I need a pre-approval, pre-authorization, or referral from my primary care physician in order for services to be covered?.

What is the self pay cost per session?

The self pay rate for a session is $150

You may choose to not use your in network insurance benefits and self pay. You will be provided with an insurance opt out form if you want to pay for services without using your active benefits.

How does insurance work for therapy sessions and billing?

Using In network insurance benefits:

• Your insurance benefits will be verified prior to each scheduled appointment.

• You are responsible for payment of any copays/deductibles at the time of session in accordance with your policy plan.

• We will submit claims directly to your insurance provider for reimbursement.

• A valid credit card payment is required to be on file throughout your treatment.

Benefits and Limitations of using insurance benefits for treatment costs

Benefits:

Using insurance benefits saves you money on your overall cost for medical expenses throughout the year.

When you use an INN provider, the reimbursement rate is set between the provider and the individual insurance company. This means that you cannot be charged the difference between the self pay rate and the insurance rate.

Your copay/deductible responsibility may change throughout the year as you access medical care.

Limitations:

Insurance companies require specific documentation of services rendered and can request your session notes, diagnosis, and treatment plan. Insurance companies can use this information to determine if they will continue to approve (pay for) your treatment per their guidelines.

Some individuals will opt to not use their insurance benefits per the limitations. If you choose to opt out of using your insurance, you cannot submit a bill to your insurance for reimbursement purposes.

Frequency of Sessions

Counseling appointments are typically scheduled on a once-a-week basis to begin with. As you make progress with your goals, it may be recommended to decrease the session frequency.