131 Oak Meadow Dr., Pataskala, OH 43062

Investment & Insurance

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In-Network Insurance Plans

We are currently in-network with the following:

AARP Medicare

Aetna Better Health

Aetna Commercial

Aetna Medicare

All Savers Insurance

AmBetter

AmeriHealth Caritas

Anthem

AllOne Health EAP

Buckeye Healthplan

Carelon Behavioral Health

CareSource Commercial

CareSource Medicaid

CCA EAP

CHAMPVA

Cigna

Health Advocate EAP

Highmark

Humana Commercial

Humana Medicaid

MedBen

Medical Mutual

 

Medigold

Meritain Health

Molina Commercial

Molina Medicaid

Mutual of Omaha

Wellspring

SpringHealth EAP

Ohio Healthy

OSU Healthplan

Ohio Medicaid

OhioRISE

OptumHealth

Optum VA

Oscar

Oxford

Tricare East

Trustmark

Ulliance EAP

United Behavioral Health

United Healthcare

United Medical Resources (UMR)

United Student Resources

In-network insurance plans vary by the clinician. You are responsible for confirming that your plan covers telehealth sessions with your specific therapist.  If you use insurance, your payment will depend on your specific plan. You are responsible for verifying your coverage and confirming the details of your copay, coinsurance, and deductible. Your portion of the payment is due at the time of service.

If you have questions about your specific insurance plan, or would like a complementary insurance verification of benefits and coverage, please contact our office by phone or email.

Even if we’re out of network, your insurance may still cover all or a portion of your counseling sessions. The difference is that they reimburse you directly instead of us. We can easily provide you with paperwork (“superbill”) for you to claim out-of-network benefits from an insurance company not listed above.

We will soon be in-network with the following:

  • CareSource Medicaid
  • Humana
  • United Healthcare Community Plan

No-Show Policy

This No-Show Policy is established to ensure the efficient and respectful use of psychotherapist time and resources. It is crucial to uphold the commitment to providing quality mental health services to our clients. Failure to attend scheduled sessions without proper notice not only disrupts the therapeutic process but also prevents other clients from utilizing available appointment slots.

Policy Details:
Appointment Confirmation:

Clients are responsible for confirming their appointments at the time of scheduling.

A reminder will be sent 24 hours before the start time of the session, as well as 1 hour before the start time of the scheduled session via email and/ or text message. You can also check all scheduled appointments in your patient portal.

Cancellation Policy:

Clients must cancel or reschedule appointments at least 24 hours before the scheduled session start time.

 Cancellations can be made by contacting the office manager directly by phone call or email.

No-Show Fee:

A fee of $99 will be charged for all appointments that are not canceled within the 24-hour notice period.

The fee will be automatically applied to the client’s account and must be settled before scheduling any future sessions.

Exceptions:

Exceptions may be considered in case of emergencies or unforeseen circumstances. Clients must communicate these situations to the office manager as soon as possible.

Rescheduling:

Clients who need to reschedule a session within the 24-hour notice period will be subject to the no-show fee.

Psychotherapists will make reasonable efforts to accommodate rescheduling requests, taking into account availability.

Multiple No-Shows:

Clients with a history of multiple no-shows may be subject to further review, and their continued enrollment in therapy may be reconsidered.

Communication:

Open communication between the client and psychotherapist is encouraged to address any challenges or concerns regarding scheduling and attendance.

Acknowledgment:

By scheduling an appointment, clients acknowledge and agree to adhere to this No-Show Policy. Psychotherapists reserve the right to enforce this policy to maintain the integrity and effectiveness of the therapeutic process.

Information for Self-Pay

We accept cash-pay clients at a rate of $175 for the initial assessment and $150 for each session following. We can also provide superbills that can be provided to insurance companies for reimbursement.

The No Surprises Act is a federal law that gives you the right to a good faith estimate of the cost of services at this practice.  However, Ohio licensing board rules require clinicians to provide you with the actual cost of charges in a written informed consent form to which you must agree before receiving services.  That will be available to you before you are seen for services and before any billing.  In most cases, estimating how many sessions you will need is impossible. That will not be determined until your concerns are evaluated and will also vary based on the progress you make, which depends in part on your efforts with the process.  You will be free to discontinue services at any time or the services may otherwise be terminated in accordance with the informed consent form language.

The No Surprises Law states that you may initiate a dispute process if the actual charges are substantially in excess of the Good Faith Estimate charges, i.e., if you are charged $400 more than the estimated cost for a session or the total estimate provided. That is unlikely to happen and would be a violation of licensing board rules since you will agree up front to actual charges per session prior to being seen.  Dispute information is available upon request, however.  Any changes to fees will require a change in the informed consent form fees, which you must agree to prior to having them go into effect. Otherwise, the fees will remain in effect for 12 months.

Benefits of Self-Pay

Without restrictions, you may find the ideal therapist for you. One of the key elements for successful treatment outcomes is the relationship you have with your therapist. You can locate a highly skilled therapist with whom you feel comfortable without overcoming the insurance hurdle. You require an expert for your various bodily health issues, just as you require one for your various emotional issues. Finding a therapist “who gets it,” as well as one who can assist you in getting “out of it,” is crucial. You and your therapist completely control the therapy and treatment decisions. Insurance companies set restrictions on how much therapy you may receive, how frequently, and how long sessions can last using their own internal rules (which are not supported by any evidence or study concerning treatment). Ideally, you and your therapist should decide on your course of therapy. When utilizing insurance, insurance can discontinue paying for treatment sessions.

You can utilize your Flexible Spending Account (FSA) or Health Savings Account (HSA). Private payment offers significantly greater privacy. Having insurance does not ensure your privacy. Your insurance provider does not promise to keep your most private information private. Claim processing involves a large number of parties and departments. Therapists must frequently provide insurance companies with client information to support therapy. Not just for illnesses but also for mental wellbeing, you may get treatment. People seek therapy for a wide range of legitimate reasons that insurance does not cover, including personal development and exploration, emotional health and welfare, self-care, mental health prevention, strengthening bonds with others, enhancing sexual wellness, and more. Insurance mandates “medical necessity” for therapy, and therapists must substantiate this to the insurance company to pay for care. If there isn’t a forced diagnosis of mental illness, there is also no diagnosis on your medical file. We may discuss this and determine what works best if a certain diagnosis is essential to you. Not everyone, though, qualifies for a mental health diagnosis. Many of our clients don’t. Insurance companies require a diagnosis even if there isn’t one and will only pay for particular disorders to fund mental health therapy.