Insurance and Fees
Blue Cross and Blue Shield
If your insurance company is not listed above, you may still be eligible for “out of network” benefits. Some companies / insurance plans have very good out-of-network benefits (e.g., PHCS/Multiplan, Cigna) while others offer none at all (e.g., United Health Care). Please contact your insurance company or your member benefits booklet to find out what your out-of-network benefits are. Typically we can bill for your out-of-network benefits through our online billing software, but if your insurance company prefers, we can also provide you with a receipt that you can use to file claims and be reimbursed by your insurance company directly.
Typically you will be responsible for your co-pay or a co-insurance (a percentage of the overall cost of the service) at the beginning of each session, unless you have a deductible to meet first. You can find information about the amount of your co-pay, co-insurance and deductible by calling your insurance company or looking in your member benefits booklet. Most of the time, you can also find this information on your insurance card under the category of “specialist” or “mental health” (sometimes abbreviated mh/sa/dd). Although typically we will call your insurance company to check benefits before your first session, you are responsible for knowing the details of your insurance policy so please follow up on your end as well to make sure that your policy is administered correctly.
As a courtesy to you, we will file any claims to your insurance company on the day of your session. Benefits will be estimated by your insurance company shortly thereafter (typical time frame is 2-4 weeks). Please be aware that, even after consultation with your insurance company, we cannot be certain of how your policy will pay until after the first session is filed and the insurance company determines your benefits. Therefore, please understand that you will be responsible for any amount that is not paid by your insurance company.
*We are certified providers with TriCare but not in-network. Please consult with your insurance company regarding the implications of this for your deductible, co-pay or co-insurance.
Payment Methods Accepted
· All major credit cards
· HSA (Health Savings Accounts) Cards
**A credit card on file is required to hold the first appointment and is only used in the case of no-shows or late cancellations. Our office is very busy and this helps to ensure that we do not hold appointments that end up being unused, therefore preventing other clients who need services from getting care.
Self-pay fees (for those without insurance) vary by practitioner and service and are as follows:
Practitioner Initial Assessment 45-minute 60-minute Couple's/Family Group Advisement Session
Tara Ferguson, PhD $150 $120 $135 $140 $70 A 30-minute
Stefanie Roback, LCSW $120 $100 $110 $115 $50 Advisement Session
Lauren Butler, LCSW-A $110 $90 $100 $110 $40 is $70 for any of
Marki Sulzbach, LCMHCA $110 $90 $100 $110 $40 the practitioners
Elizabeth Bain, LCMHC $125 $100 $115 $120 $55
Michael Helfer, PhD $130 $110 $120 $125 $60
Megan Fentross, LCMHC $125 $100 $115 $120 Varies
**Some practitioners may be willing to offer sliding fee scales for clients who are in need of financial assistance. Sliding scales cannot not be used in conjunction with insurance benefits.