Insurance

I am currently in network with Blue Cross Blue Shield of Michigan. I am considered out-of-network with other insurances at this time. This means that you will pay at the time of service. However, depending upon your insurance, you may be eligible for full or partial out-of-network reimbursement for mental health services. You will want to contact your insurance provider to determine if you qualify for out-of-network mental/behavioral health service reimbursement. If so, Connected Wellness can provide you with a detailed superbill after each visit that you can submit to your insurance agency for reimbursement. If you contact your insurance agency regarding out-of-network benefits, some helpful questions to ask may be:

• Do I have out-of-network benefits for psychotherapy?

• Do I have an out-of-network deductible?

• The CPT code for a virtual diagnostic evaluation (intake session) is 90791-95 and for a virtual standard psychotherapy session is 90837-95. You will want to ask you insurance agency what the reimbursement rates are for these codes.

• Is prior authorization required for these services? Is there a limit to how many sessions are covered?

• Do I have co-insurance?

• How do I submit reimbursement, and how long do I have to submit a superbill to receive reimbursement?

Please note that you are responsible for determining if you have out-of-network benefits, and coverage is not guaranteed. You will still be responsible for providing payment at the time of service and for submitting for out-of-network coverage.

If you decide to use in-network or out-of-network insurance, please note that insurances require a diagnosis in order to cover services. Additionally, insurances may limit the amount of sessions covered and the type of service used.

Intake Session (60 minutes)- $200

Connected Wellness accepts all major credit cards, including Visa, MasterCard, American Express, and Discover.

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) are also accepted forms of payment. Please verify eligible expenses with your provider.

For your convenience, Connected Wellness participates in automatic billing, and a credit or debit card will need to be kept on file. Payment will be charged at the time of service. Payments are processed through a secure payment processing platform, Stripe, that is integrated into our HIPAA-compliant practice management software.

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 800-985-3059.