Billing
Our Rates
90837 Psychotherapy
Duration:
Typically 50 minutes
Rate:
$250
90846 Family Psychotherapy
without patient present
Duration:
Typically 50-60 minutes
Rate:
$250
90846 Family Psychotherapy
with patient present
Duration:
Typically 50-60 minutes
Rate:
$250
90791 Psychiatric Diagnostic Eval
Duration:
Typically 50-60 minutes
Rates:
$325
IN Network:
Aetna
Premera BCBS
BCBS
Regence
Anthem
Aetna
EBMS
Meritian Health
Optum
TriWest Healthcare Alliance
Tricare West
GEHA
UHC PPO plans
EAP: MOS
Curalinc
Compsych
Empathia
Aetna EAP
Optum EAP
OUT of Network:
Moda
Cigna
UHC (EPO, HMO policies)
EAP: Lyra Health
Elizabeth Briese
Billing Administrator
Other Information
Insurance Coverage
Navigating insurance coverage can be confusing, but we’re here to assist every step of the way. Karuna Counseling, LLC is an in-network provider with most major insurance companies. However, benefits and coverage can vary widely depending on your plan.
Verification Process
Before your first session, we recommend contacting your insurance company to verify your mental health coverage. Key questions to ask include:
– Is Karuna Counseling, LLC covered under my plan?
– Do I have a deductible, and if so, has it been met?
– What is my copayment or coinsurance for counseling sessions?
Our administrative team is also available to help with verification, explain benefits, and answer any questions you might have about the insurance process.
Direct Billing
For your convenience, we offer direct billing to your insurance company. Please provide us with your insurance information before your initial session, and we will take care of the rest. Any copayments or deductibles will be due at the time of service.
Sliding Scale
Understanding that financial situations can vary, Karuna Counseling offers a limited number of sliding scale spots based on income and need, ensuring that our services are accessible to those who may not have insurance or whose plans do not cover our services. Availability may vary, so please contact us for more information.
Courtesy Billing
We provide courtesy billing services to a wide range of insurance providers, ensuring that your claims are processed efficiently and accurately. Our team will handle the submission of claims directly to your insurance company, reducing your administrative burden. We work with the following insurance providers:
- Aetna
- Blue Cross Blue Shield (BCBS)
- BCBS Federal Employee Program (FEP)
- Tricare
- Triwest
- Beacon
- Employee Benefit Management Services (EMBS)
- Optum
- Anthem
- Cigna
- Government Employees Health Association (GEHA)
- United Healthcare
Super Bills
For those whose insurance plans do not fall under our direct billing list or prefer to submit their claims independently, we provide super bills. A super bill is a detailed receipt outlining the services provided, which you can submit to your insurance company for reimbursement. This document includes essential information such as:
- Date of service
- Type of service (e.g., individual therapy, family therapy)
- Provider details
- Diagnostic codes (ICD-10)
- Procedure codes (CPT)
- Fee for each service
Our administrative team is available to assist you with any questions regarding super bills and guide you through the submission process to your insurance company.
Pre-authorization and Verification Assistance
Insurance policies can be complex, with varying requirements for pre-authorization and coverage. To help you navigate these complexities, we offer pre-authorization and verification assistance. Our team will:
- Contact your insurance provider to verify your mental health benefits.
- Determine any pre-authorization requirements.
- Provide you with information on your coverage, including copayments, deductibles, and any limits on the number of sessions.
Flexible Payment Options
Understanding that everyone’s financial situation is unique, we offer flexible payment options to accommodate your needs. In addition to accepting major credit cards and Health Savings Account (HSA) cards, we offer payment plans for those who may need them.
No Surprise Act Notice: As a client, you have the right to receive a Good Faith Estimate explaining how much your mental health care will cost. Under the No Surprise Act, mental health providers need to give clients who do not have insurance or who are not using insurance an estimate of the bill for mental health 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 no show fees, and records fees. You have the right to receive a Good Faith Estimate in writing at least 1 business day before your mental health service or item. You can also ask our office or provider, 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 more questions or more information about your right to a Good Faith Estimate. Visit cms.gov/nosurprises for more information.