How do I get started?
First, give us a call at 920-733-1992. Our support staff is available Monday through Thursday from 8:00 am to 3:00 pm to answer any questions you may have and to help you schedule your appointments. Then, if you will be billing to insurance, call the customer service number listed on your insurance card. They can inform you of what your outpatient mental health benefits are (including any out-of-pocket expenses you may incur), confirm that your counselor is in-network with your plan, and advise as to whether or not a pre-certification is required before beginning services.
Do I need a referral to begin services?
In most cases a referral to our clinic is not required, but it is always a good idea to check with your insurance carrier to be certain of your particular plan’s referral requirements.
Can I get after school or evening appointments?
Each of our counselors has their own set schedule and all offer a variety of daytime and evening hours for your convenience. Please note that after school and evening hours are very popular times and do fill quickly, so it is a good idea to expect a longer wait for these appointments.
What questions should I ask my insurance company?
1.) What are my outpatient mental health benefits?
2.) What are my out-of-pocket expenses, such as deductible or co-pay?
3.) Is my counselor “in-network” with my plan?
4.) Do I need a pre-certification for outpatient mental health services?
Do I need a prior authorization for services from my insurance company?
Please call the customer service number on your insurance card to inquire if this is needed under your plan. If your policy does require a pre-certification or prior authorization and you neglect to get this in advance, your claims may be denied.
What are “out-of-pocket expenses” and when must they be paid?
Many plans are subject to meeting a set deductible before covering the cost the services. Once the deductible is met, it is common to have a co-pay or co-insurance for each session.
Please call the customer service number on your insurance card to find out what your particular out of pocket expenses are under your plan. We kindly request that you pay any portion that is your responsibility at the time of service.
Which insurance carriers are you considered “in network” with?
Our counselors are “in network providers” with most major insurance carriers, including, but not limited to:
- Anthem Blue Cross/Blue Shield (although not with Blue Priority networks)
- Department of Veterans Affairs
- Health EOS by Multiplan
- Health Payment Systems
- Network Health Plan (although not with any marketplace plans)
- United Healthcare
Unfortunately, none of our providers are in network with any Medicaid or Medicare plans.
In-network status with your carrier can easily be confirmed in your preliminary customer service phone call to your insurance company.