Insurance Plans We Accept
Our providers participate with many insurance networks including but not limited to Blue Cross Blue Shield, Aetna, Cigna, United Behavioral Health, Healthlink, Medicare, MHN, Tricare, and others. Please check with your individual insurance carrier or our office, 630-986-0599, to find out if a particular provider in our group is in your insurance plan network.
As a courtesy to our client’s whom we are in network with your insurance plan, our billing staff will submit claims on your behalf to your insurance carrier. If we are out of network with your insurance plan your fee for services are due at the time of your appointment. If you are out of network we will provide you with the appropriate documentation to submit to your insurance plan.
You are responsible for your deductible, co-payment, or any co-insurance. We expect co-payments to be made at each visit so that we may keep our billing costs down. We also request that we have a credit card on file for each client so that we can settle your account once your insurance company determines what your financial responsibility is. If you are unable to provide us with a credit card, we ask that you make your co-payment and pay off any remaining balance at each visit.
Our fees are based on the educational level of the provider you wish to see and are divided into three tiers: physician, psychologist, and master’s level clinician. These fees apply to those individuals who wish to pay out of pocket for services and NOT utilize their insurance benefits. If you are paying out of pocket for services, we will provide you with these fee schedules at the time of your initial visit. If you choose to use your health insurance, then each provider who participates in that network has agreed to receive the contracted rate that the company has determined for a particular service rendered. Please note that certain services ARE NOT REIMBURSABLE BY INSURANCE. These services include school visits made on behalf of the patient (time and travel expenses apply), extended psychotherapy sessions beyond what insurance will cover, phone calls to collateral sources (e.g., telephonic contact made on client’s behalf to another doctor, school representative, lawyer, etc.), and a missed appointment fee for any appointments not kept where 24 hour’s notice of cancellation was not given.
If you should have any questions or need clarification, please call our office. We look forward to assisting you with your behavioral health treatment needs.
What does my insurance plan cover?
Since each person’s health insurance plan is different, you will need to call the 1-800 number on the back of your insurance card where it lists phone numbers for members. Make sure you call the number specifically listed for mental health or behavioral health services. In general, you should ask the following questions when inquiring as to your health benefits:
1. Do I have a calendar year deductible?
2. Do I need a preauthorization for services?
3. What is my co-payment per session, if any?
4. How many sessions am I allowed per calendar year?
Remember that it is each person’s responsibility to get preauthorization for services prior to coming in for an appointment so it is important that you find out the answers to these questions. We would be happy to assist you with finding the answers to these questions at the time you schedule or come in for an appointment.
Please let our support staff know before you see the clinician that you would like assistance with obtaining your benefit information.