Payment
Navigating the US health insurance system can be complicated, confusing, and stress-inducing. Private insurance policies can also significantly limit the mental health services that individuals are able to access. For these reasons, we are mainly a private pay/out-of-network company. We are also contracted with CO Medicaid* - CCHA and CO Access, including RAEs 3, 5, 6, and 7.
We accept Visa, Mastercard, Discover, HSA and FSA health cards. We provide a safe portal for all credit card information to be kept confidential. Read through our FAQs below to learn more about the benefits of private pay.
*Medicaid clients are asked not to keep a credit card on file.
We believe that compassionate and effective therapy services should be accessible to everyone. That's why we do things a little differently.
We are a private pay/out-of-network company and in process for Medicaid credentialing. We offer superbills for out-of-network reimbursement from private insurance companies, but please note that reimbursement is not guaranteed.
A health insurance program created in 1965 that provides health benefits to low-income individuals who cannot afford Medicare or other commercial plans. Medicaid is funded by the federal and state governments, and managed by the states
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Confidentiality: Self-paying provides a higher level of privacy. If insurance is used, the insurance company has access to the client's diagnosis, treatment plans, and progress notes. Some people might prefer to keep this information entirely private.
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Choice of Therapist: We choose to specialize in areas of trauma that require advanced studies and consistent consultation. Specialists provide a more direct concentration of skill to those searching for highly individualized treatment.
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Avoiding Diagnosis: In order for insurance companies to cover therapy costs, a mental health diagnosis is often required. Some clients might not meet the criteria for a mental health diagnosis, or they might not want to have a diagnosis on their medical record.
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Scheduling Flexibility: Therapists who don't deal with insurance may offer more flexible scheduling options. Some therapists might offer longer session times or different formats (like walking therapy or online therapy) that may not be covered by insurance.
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Control over Treatment: When using insurance, treatment might need to follow certain protocols and timelines set by the insurance company. By self-paying, the client and therapist have more freedom to determine the course and length of treatment.
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Limited Coverage: Some insurance plans have limitations on the number of sessions covered or only partially cover the cost of therapy, making self-pay a more straightforward option for those who can afford it.
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A superbill is a receipt of service needed to get reimbursement. A diagnosis code must be used for the superbill to be viable. This means that you are accepting that this will be on your medical record. We are not under contract with any private insurance companies.
We are only to be credentialed with Medicaid. It is important to check with your insurance company for details on reimbursement. Your insurance company generally provide a portal for you to access details of your plan. You will need to look at out-of-network benefits that may or may not include a deductible and a percentage they will reimburse. This differs for all insurance companies and plans within them.
Benefit: the amount payable by the insurance company to a plan member for medical costs.
In-network provider: a health care professional, hospital, or pharmacy that is part of a health plan’s network of preferred providers.
Out-of-network provider: a health care professional, hospital, or pharmacy that is not part of a health plan's network of providers.
Out-of-pocket maximum: the most money you will pay during a year for coverage. It includes deductibles, copayments, and coinsurance, but is in addition to your regular premiums. Beyond this amount, the insurance company will pay all expenses for the remainder of the year.
Deductible: the amount of money you must pay each year to cover eligible medical expenses before your insurance policy starts paying.
Copayment: one of the ways you share in your medical costs. You pay a flat fee for certain medical expenses (e.g., $10 for every visit to the doctor), while your insurance company pays the rest.
Coinsurance: the amount you pay to share the cost of covered services after your deductible has been paid. The coinsurance rate is usually a percentage. For example, if the insurance company pays 80% of the claim, you pay 20%.
Allowable charge: sometimes known as the "allowed amount," "maximum allowable," and "usual, customary, and reasonable (UCR)" charge, this is the dollar amount considered by a health insurance company to be a reasonable charge for medical services or supplies based on the rates in your area.