Rates and Insurance

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Rates and Insurance

90791 Initial evaluation for counseling services/Intake session $150
90837/ 90837-FQ (95) Counseling session (includes individual counseling session for child/adolescent/adults) Telehealth or in person counseling session. $140
90846/ 90846-FQ (95) Family session without patient (includes individual and/or joint parent sessions/co-parenting for minor clients)/ Telehealth family session without patient $140
90847 Family session with patient/Family session $140
90847 Marital/Couples counseling $140

INSURANCE

**HOPE currently does not accept Medicare**

At present, Medicare does not accept Licensed Professional Counselors in their network.

HOPE is not accepting new clients with the following insurance:

  • United Health Care/Optum

** Please contact your insurance provider prior to completing the intake paperwork or us meeting to confirm that HOPE is an in-network provider. As well as, if your coverage includes mental health benefits, specifically if it covers online mental health therapy (or telemental health services)**

OUT-OF-NETWORK:

Hope is more than happy to provide you with a super bill that includes relevant information needed to submit to your insurance provider or employer for possible reimbursement. Services may be covered in full or in part by your health insurance plan. Please contact your insurance provider to verify how your plan compensates you for mental health services to include telemental health (audio and visual or audio only).  Some questions to ask include:

  • Do I have mental health/behavioral health benefits?
  • Is there a deductible that I have to meet before benefits will kick in?
  • What is the reimbursement rate for out-of-network providers?
  • Do I need pre-approval or a referral?
  • How many sessions per calendar year will my plan cover?
  • Does my plan cover online mental health therapy (telemental health)?

NO SURPRISES ACT - GOOD FAITH ESTIMATE:

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to provide a good faith estimate of expected charges for items and services to individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing, upon request or at the time of scheduling health care items and services. It is used by health care providers to inform individuals who are not enrolled in a plan or coverage or a Federal health care program (uninsured individuals), or individuals who are enrolled but not seeking to file a claim with their plan or coverage (self-pay individuals) of the expected charges they may be billed for receiving certain health care items and services.

In summary:

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
  • You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 cms.gov/nosurprises.

PAYMENT

Payment by cash/check is expected at the start of each appointment. A receipt will be sent via email once payment is made. We do not accept credit cards at this time.

CANCELLATION 

HOPE requires 24-hour notice for all canceled appointments, to include intake consultations. If patients or prospective patients do not provide at least 24-hour notice, they will be required to pay the full cost of the session. Please note, your insurance company will not pay for a missed session. Therefore, if you cancel an appointment without 24-hour notice, or if you fail to show up to a scheduled appointment, you will be responsible to pay the full session fees for any missed sessions; this will need to be paid prior to scheduling another appointment with any provider at HOPE. If you have a late cancellation or a No Show more than 3 times in a two-month period, you will have to wait 2 months prior to rescheduling. This is not punitive but is simply time given to you to adjust your life to prioritize yourself and attending counseling.

ADDITIONAL QUESTIONS

Please call HOPE Counseling & Consultation at 540-965-6468.

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