Insurance Options
Insurances accepted:
Aetna
Anthem
Blue Cross Blue Shield
Cigna
Empire BCBS
Optum
Oxford
United Healthcare
We do NOT accept Medicaid.
For all other insurances, please check with your insurance providers to see if you are eligible for out-of-network benefits.
Paying out of pocket, no problem, we will provide you with a superbill after the session in order to submit an insurance claim. In some cases, we can submit to your insurance company for reimbursement.
Those paying out of pocket, please see the Good Faith Estimate disclaimer below.
It is important to understand the limits and restrictions we have when billing insurance companies. Please read the section below regarding the limits and restrictions below. Please feel free to reach out if you have any questions.
Out of Pocket Rates
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$185 / 50-minute Initial intake session
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$165 / 50-minute Individual Counseling session
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$165 / 50-minute Family Counseling session
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$165 / 50 minute Parenting Skill Building session
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$75 Late-cancellation or No-Show fee
Payment
Cash, check and all major credit cards are accepted as forms of payment. Payments can also be made via the secure client portal.
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*We DO NOT accept payments via Venmo or other digital wallets or mobile payment services.
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Cancellation Policy
If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand, otherwise, you will be charged the $75 late-cancellation fee.
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The limits and restrictions of billing insurance
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It’s not confidential
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Insurance companies require use of an Electronic Medical Records system. The Department of Health and Human Services records HIPPAA violations, and have recorded up to 24,000 violations in a single year from Electronic Medical Records. We are required to disclose information to a third-party insurance or technology company (for the Electronic Medical Records), and this creates increased risk of your information being compromised. Additionally, if you ever need a federal background check, want to be a pilot, or for a variety of other reasons, a diagnosis can be disclosed through your insurance company.
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Insurance companies require a diagnoses
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In order to have insurance cover counseling, a diagnosis is required. Even if it’s not appropriate, there must be a diagnosis. For example, if someone comes in for counseling for help adjusting to a new life event, or for help creating and maintaining a healthier lifestyle, in order for it to be covered by insurance, they require a diagnosis. In the event your insurance company requires preauthorization for treatment and/or reviews your file, additional information, such as therapeutic session notes, must be provided to your insurance company and your diagnosis may stay on your permanent health records.
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They can decide your treatment
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Insurance companies can decide treatment. They may determine the number of sessions and the frequency. This removes the collaborative decision between you and the therapist. Sometimes you need shorter sessions or longer ones. Maybe you need them twice per week or once per month. We like our clients to enjoy the freedom of choosing which treatment is best for them. We want you to get the best quality of care under your own terms.
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*Good Faith Estimate/Disclaimer*
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.
• 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 contact the office at: contact@evolutioncounselingnj.com
