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(512) 546-6798 | Mon - Thur 9AM - 8PM
Insurance
At the moment our practice accepts Baylor Scott & White Health Plan, Optum/United Healthcare, CIGNA, CIGNA EAP, Aetna, Aetna EAP, Lyra and Modern Health. We recommend confirming that your requested provider is in network before scheduling your first appointment.
What is a Single Case Agreement and How Can I Obtain Approval?
A single case agreement, is an agreement between the provider/practice and the client’s insurance carrier in which the insurance company agrees to a negotiated rate to help you maintain your providers. This usually allows your copay to remain what it typically is for an in network provider and the insurance company eats the other end of the bill. Many insurance companies may not grant it or attempt to force you into utilizing other providers in your network. You are able to list the benefits, hardships it would cause if you had to seek a new clinician, access to in-person services, diversity of the clinician and treatment options offered such as EMDR, Sandtray or play therapy. Sometimes speaking to a supervisor may make increase your likelihood of approval. Single case agreements will not always be accepted or negotiated at a rate equitable to your provider’s private pay rate. To request a single case agreement, clients will ask our front office for single case agreement provider info and we will send you everything you will need before calling your insurance company to request single case agreement requests. If you currently have a high deductible plan, it may not be worth the extra step.
What Are Some Financial Resources Available to Me?
What are some ways in which I can see a therapist out-of-network with my insurance?
We utilize and are now accepting CareCredit for behavioral health services, please apply now directly through CareCredit. and let us know you'll be using CareCredit as a form of payment when you sign up for services.
What Does Out-of-Network Billing Mean and What is a Superbill?
“Out-of-network” means providers and facilities either haven't signed a contract with an insurance company or have terminated their contract with an insurance company. Providers who are considered as out-of-network does not agree to your insurance plan terms, agreements or rates and provides services at their own determined private pay rates. The client then submits a superbill to their insurance plan for payments to count towards their out-of-network benefits and/or for reimbursement by their insurance plan.
A Superbill is an itemized list of all services provided to a client. The Superbill will also contain additional information about the patient visit including practice information, CPT codes, ICD-10 codes, referring doctors and more. If you intend to submit this document to your insurance panel for reimbursement, please let us know so that we can provide a diagnosis. Clients are responsible for submitting this superbill directly to their insurance company.
The provider must be an unrestricted licensed individual for these options LPC, LMFT or LCSW
How Does Out-Of-Network Reimbursement Work?
Check your out-of-network deductible, the amount you have to spend before your insurance plan reimburses you. You will pay the providers full fee at the time of service and submit the superbill to your insurance plan for direct reimbursement to you. Your reimbursement rate is dependent upon your plan, so you will want to ask.
Example:
Therapist charges $100
Client out-of-network deductible is $1000 with a reimbursement rate of 70%
Client has me their out of network maximum of $1000 so the client pays $100 at the session and insurance reimburses them $70 in cash, check or direct deposit.
HOW DO I SUBMIT A SUPERBILL?
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