INSURANCE & PAYMENT INFORMATION

COMMONLY BILLED INSURANCES:

This list is not all inclusive.  If you do not see your insurance company on this list, please call the number on the back of your card to verify if your provider is in network, or to determine if you have out of network benefits.

  • Aetna

  • Blue Cross of Idaho

  • Bright Path

  • Business Psychology Associates (BPA)

  • Carelon

  • Evernorth Behavioral Health

  • Idaho Medicare

  • MHNet

  • Pacific Source

  • Regence Blue Shield

  • Tricare

  • Optum/United Health Care

We offer a sliding fee scale for patients with no insurance and the rate is based on proof of income level and family size. We use the Federal Poverty Guidelines.

We accept these forms of payment: checks, money orders, cash, and these credit cards:

 

Co-Pay/Coinsurance/Deductible/Cash-Pay

It is your responsibility to know your insurance benefits. You can call the customer service number on your insurance card and ask for your "mental health benefits in an office setting", specifically if you have: co-pay, deductible and/or co-insurance, any limits on number of sessions per policy period, and any authorization requirements for counseling or psychological testing.

It is our policy to collect your CO-PAYMENT at the time of service. If you have a DEDUCTIBLE and/or CO-INSURANCE, we will submit the claim for service to your insurance company, and when we receive the Coordination of Benefits/Explanation of Benefits statement (with or without payment from your health insurance company), we will send you a statement indicating your payment-due amount. In the event your insurance does not pay, the patient is ultimately responsible for the charges.

The billing statements to you go out during the first week of each month, and payment is due by the end of the month.  You can mail your payment, call us to take a payment by credit card (we do NOT store/save card numbers/information), or bring cash and pay at your next appointment (if it is within the current month). If you choose to pay with cash, please bring the exact amount. We do not make change or carry credit amounts on your account.

CASH-PAY charges are due at time of service, and we do require a payment card to be saved on file for payment.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, visit

    www.cms.gov/nosurprises or call (208) 344-2071.

Additional Administrative Fees/Charges:

  1. Letter writing on behalf of the patient/client will be billed at $200 per hour.

  2. Telephone calls made on behalf of the patient/client will be billed at $200 per hour after five minutes

  3. Electronic communications/E-mails made on behalf of the patient/client will be billed at $200 per hour after five minutes.

  4. Excessive postage costs for mailing documents will be assessed to the patient/client.

  5. Copying of notes, assessments, or other legal documents will be billed as:  1-20 pages/$1.50 per page, single sided; 20-60 pages/$0.25 per page, single sided. 

  6. Written requests for copying of documents are required, and must include:  date of request; patient name, address, telephone/contact information; patient date of birth; dates of treatment; description of information you would like copied.