RATES for INSURANCE AND SELF-PAY THERAPY

$125 – $175 PER SESSION

We understand that online therapy is a significant financial investment.  Our commitment is to provide quality counseling and match you with one of our dedicated licensed online therapists. Insurance and self-pay therapy rates are based on provider specialty, session type, and length of the session.

INSURANCE OPTIONS

In-Network Insurance

We accept the following insurance plans. Please inquire further during your initial intake call since not all of the therapists offer online therapy that accepts insurance plans listed.

  • Optum/U.S. Behavioral Health Plan, California (USBHPC)
  • Medicare
  • UMR
  • Cigna/EverNorth Behavioral Health
  • Halcyon Behavioral Health
  • Lyra
  • Blue Cross Medi-Cal
  • Imperial Health (Starting Sept. 1st)
  • Health Smart
  • Brand New Day
  • Aetna
  • Oscar Health
  • Oxford
  • UnitedHealthcare UHC
  • UHC Student Resources

Out of Network Insurance Benefits (self-pay and private pay therapy)

If your insurance company has “out-of-network benefits,” you may submit a copy of your bill (a “superbill“) for a percentage reimbursement of fees paid based on your insurance plan’s policy, paid directly to you. Many insurance plans offer out-of-network benefits so you can see providers who are not in contracts with your specific insurance company. Out-of-network coverage is usually less than in-network coverage. We encourage you to call your insurance company directly to determine your out-of-network coverage.

Exceptions of Out-of-Network Benefits

Contact your insurance company and ask about a “single case agreement” or “Out-of-network exception.” If granted, the insurance company agrees to pay for therapy as if it were in-network. These exceptions are for special situations in which your provider offers a service or specialty that you are unable to find within your insurance network.

Self Pay and Private Pay Therapy in Georgia, South Carolina, and California

Some people prefer to leave their insurance company out of their therapy. Insurance companies require mental health diagnoses and may dictate the length of sessions and eligibility for services. If you want greater flexibility and confidentiality, you may consider this option. Many people with high deductible insurance plans opt for paying privately.

PAYMENTS AND BILLINGS

All fees are required at the time of service. Elevate You Counseling accepts all major credit cards, debit cards, (HSA) Health Savings Accounts, and (FSA) Flexible Spending Accounts. Please contact your HSA or FSA company regarding questions related to covered funds.

CANCELLATION POLICY

For your convenience, Elevate You Counseling offers optional email reminders to notify you of your appointments. If you do not arrive for your scheduled online therapy appointment in South Carolina, California, and Georgia, and you have not notified the office at least 24 hours in advance to cancel or reschedule your appointment, you will be required to pay $125 for the scheduled appointment. This cancellation policy is a standard practice in the medical and mental health fields. Enforcing this cancellation policy allows us to offer your canceled time slot to another potential or existing client.

AFFORDABLE FEE SCALE

Elevate You Counseling therapists offer limited affordable fee scale options based on need. Please inquire with your provider to learn more.

SURPRISE BILLING PROTECTIONS

No Surprise Billing. Section 2799B-3 of the Public Health Service Act (PHS Act) requires health care providers and facilities to make publicly available, post on a public website of the provider or facility (if applicable), and provide a one-page notice that includes information in clear and understandable language on the restrictions on providers and facilities regarding balance billing in certain circumstances, any applicable state law protections against balance billing, and information on contacting appropriate state and federal agencies in the case that an individual believes that a provider or facility has violated the restrictions against balance billing.

For a complete downloadable report go to No Surprise Billing

Good Faith Estimate

 Good Faith Estimate (GFE)  Under Section 2799B-6 of the Public Health Service Act, health care providers, and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and 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 medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate. Make sure it is in writing at least 1 business day before your medical service or item. Additionally, you can also ask your health care provider. Furthermore, this can also be done with any other provider you choose, for a Good Faith Estimate before you schedule an item or service. Lastly, if you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. We can provide you with a Good Faith Estimate (GFE) for any service provided upon request.

Reasons to Consider a Self-Pay or Private Pay Therapy Option

  • You have the freedom to choose your out-of-network online therapist and what is best for you and your mental wellness.
  • Insurance companies will impose limits on your care and dictate how many sessions are allowed with your policy.
  • Plus, insurance companies require a diagnosis on your records or maybe you do not qualify for a diagnosis.
  • Insurance companies require providers to disclose information to a 3rd party insurance or technology company.
  • Additionally, high deductible insurance plans will need to be met regardless of whether or not you use your benefits.