Beacon Health Options: Strategies Only

• Cigna
• Alameda Alliance
• San Francisco Health Plan
• San Francisco Partnership

For those with PPO insurance plans and out-of-network (OON) benefits, we will gladly provide you a statement that will allow you to bill your insurance for reimbursement.

We urge you to contact your insurance provider to learn more about your benefit options. Contact the number listed on your card and ask about your behavioral health coverage on your plan (some cards may actually have a separate Mental Health number). The following questions will help you to determine what will and will not be reimbursed by your provider.

In many cases, the answer is yes.

We charge a $120 registration fee to gather the necessary information to determine if you have Out- Of -Network Coverage, eligibility, and your benefits.

The time spent gathering such information is not covered by insurance companies and therefore not reimbursable. Additionally, the time spent billing insurance companies and/ or ensuring payment is also not covered.

We are happy to work with your insurance plan to either bill them directly or support you in being reimbursed. If we are unable to bill them directly you will be required to pay privately.

We will provide you with the necessary documentation and support to ensure you are reimbursed at your plan’s rate.

Information We Will Gather

-Plan Details (Eligibility and Benefits)

-Deductible and calculate any copay costs.

-How much of the deductible has been met.

-Reimbursement rates

-Authorization requirements for the treatment

-How many sessions are allowed in a calendar year.

-Diagnostic limitations, if any.

Being will use the following CPT codes: Please note that reimbursement rates vary and some codes are reimbursed at lower rates no matter the amount of time spent in session. eg. Couples therapy )

• 90791 (initial visit)
• 90837 (regular therapy visit)
• 90846 (Meeting with family without client present)
• 90847 (Meeting with family with client present)
• 96130 (Psychological Testing- 1st hour)
• 96131 (Neuropsychological Testing additional Hours)
• 96132 and 96133 (Neuropsychological Testing additional hours)

For those that wish to secure services but do not have, or do not wish to use their insurance, we do offer our services on a fee-for-service basis. The cost of therapy is $220 per session. Assessment services are charged at $250 per hour.

Our offices offer a reduced fee for service, however, the rate is based on annual income and the Federal Poverty Guidelines. Proof of income will be required at the time of the request.

Scholarships are available for those that qualify and can be applied for quarterly.

If you have an HSA, you can use the invoice provided at the end of each month to submit your payment. HSA’s act like credit and debit cards. We simply use the HSA card in the same manner as any major credit or debit card. There is a small surcharge should you choose to use your credit card or debit to pay for services.

The “No Surprises Act” enacted January, 1st 2022, was designed to support patients in better being prepared for the costs of their medical and mental health services before receiving services. To eliminate sticker shock, providers are required to provide a good faith estimate that details expected costs for the service.

Being provides an estimate of the cost for the first 6 weeks of services. which includes the cost of services on a monthly basis. This document is provided at the outset of treatment for both therapy and testing.