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Insurance and Billing

We are happy to bill contracted insurance companies; please be aware that our providers may vary slightly by contract.

We will inform you if the provider you seek is not in network with your insurance carrier.
 
We will check your insurance benefits prior to your first appointment;

however, it is the patient's responsibility to be informed of their coverage.

 

The information provided to us by your insurance carrier is not a guarantee of payment.

Patients are ultimately responsible for payments of all costs not covered by insurance.

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All co-payments and current balances are due at the time of service.

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Please note that we have a 24-hour cancellation policy for all appointments. 

Cancelling lest than 24 hours in advance will result in a $75 no-show fee.

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PAYMENTS

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Payments are due at the time of service. Our preferred method of payment is via your patient portal.

Payments can also be made in person, over the phone, or by mail. Credit, debit, cash, and personal checks are accepted.

INSURANCES WE ACCEPT
 

  • Aetna

  • Cigna

  • First Choice Health

  • Kaiser HMO/Added Choice

  • Lifewise/Premera

  • Moda/ODS

  • Optum/United Healthcare

  • Pacific Source

  • Providence

  • Regence BCBS (and most other BCBS plans)

  • Some Medicare plans (including Kaiser and Regence MedAdvantage)

WE ARE OUT-OF-NETWORK AND DO NOT BILL THE FOLLOWING INSURANCES

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  • Beacon

  • CUP

  • DSHS

  • Some Medicare plans

  • Medicaid (OHP, Apple Health, etc.)

  • MHN (Healthnet)

  • Molina Healthcare

  • Tricare

  • Triwest

  • UMR (Legacy Network)

PROVIDERS

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Each provider is individually paneled with the different insurance companies we accept.

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  • Sheela Choppala-Nestor: all insurances we accept

  • Gabriela Guizar: all insurances we accept

  • Karen Suzanne McNulty: all insurances we accept

  • Victoria Boyd: all insurances we accept

  • Deja Lazenby: self-pay only (pre-licensed therapist)

  • Intensive Outpatient Program (IOP): all insurances we accept except Cigna

Considerations before using your insurance benefits:

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  • Is the provider in-network with your insurance plan

  • If you have a deductible, you will pay the full “allowed amount” before your insurance will cover any part of the cost

  • Your insurance company may put a cap on the number of sessions that they will reimburse

 

Questions to ask your insurance:

  • Is this provider in-network with my plan?

    • If YES: what is the policy/coverage for an in-network provider?

    • If NO: what is the policy/coverage for an out-of-network provider for outpatient mental health services?

  • Do I have a deductible?

  • What is my co-payment or co-insurance?

  • How many sessions are authorized per year?

  • Do I need prior-authorization?

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We additionally offer self-pay rates for all our clinicians.
Clinician rates vary based on license status or service provided
and information regarding clinician rates can be provided when you inquire into services.

SELF-PAY BENEFITS

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Electing to pay completely out of pocket allows you the most privacy and control of your treatment

  • Insurance is not informed of any mental health diagnosis or treatment

  • You have more flexibility around your session frequency, longevity, content, and interventions.

 

TYPICAL SELF-PAY RATES (These rates may vary due to complexity and time spent)

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ARNP Rates

$325 – Initial Psych Assessment (CPT code: 99204)

$220 – 50-minute Individual Therapy (CPT code: 90834)

$160 – 15-minute Medication Management (CPT code: 99213)

 

Licensed Therapist Rates

$175 – Initial Psych Assessment (CPT code: 90791)

$125 – 50-minute Individual Therapy (CPT code: 90834)

 

Pre-Licensed Therapist Rates

N/A – Initial Psych Assessment (scheduled with ARNP or licensed therapist and can be either billed to                   insurance or self-pay)

$75 – 50-minute Individual Therapy (CPT code: 90834)

 

Intensive Outpatient Program (IOP) Rates

$150 – Daily Rate (CPT code: S9480)

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