Rates & Insurance FAQs

*All of our therapists at our Ann Arbor location are in-network with BCBS Traditional and PPO plans. Some select team members are in-network with Blue Care Network.

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. Check your coverage carefully and make sure you understand their answers. Some helpful questions you can ask them:

• What are my mental health benefits?
• Do you cover psychological (procedure codes: 96130 and 96131) and neuropsychological (procedure code: 96132 and 96133) testing? If so, what is the coverage amount?
• What is the coverage amount per therapy session (procedure code: 90834 or 90837)?
• How many therapy sessions does my plan cover?
• How much does my insurance pay for an out-of-network provider?
• Is approval required from my primary care physician?

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 CMS.gov website.

Contact your insurance provider to discuss this with them. Your insurance may provide an out-of-network reimbursement benefit; in this case, treatment may be covered at an out-of-network rate. A receipt will be provided at the end of an assessment and/or at the end of each therapy or advocacy session that you can submit to your insurance provider for reimbursement.

Out-of-pocket fees are determined by each individual clinician and vary depending on the their background, professional license and experience. Please call the office for information about your clinician’s rates.

We are pleased to be able to offer reduced rates to a limited number of clients who are in a lower income bracket or are experiencing financial hardship; this need must be demonstrated. Contact the office for details on how we may be able to help you.

We’ve partnered with Mentaya, a service that streamlines getting reimbursed for your therapy sessions through out-of-network benefits.

Mentaya is perfect if you:

• Have out-of-network benefits
• Feel overwhelmed by superbills and insurance
• Have submitted superbills but failed to get any reimbursement
• Simply want to skip the hassle of paperwork!

Here’s how it works:

1. Sign up for Mentaya: https://mentaya.co/inviteclient/0skCrcK1dDHxemlANRmf
2. Our practice will enter your sessions into the platform.
3. Mentaya submits the claim and handles any insurance follow-up.
4. You get reimbursed by insurance!

Mentaya charges a 5% fee per claim, which includes handling any paperwork required,
dealing with denials, and calling insurance companies.

It’s risk-free: They guarantee claims are successfully submitted, or a full refund of their fees.