Being Mentally Well Blesses Your Family & Every Aspect of Your Life

We accept Debit & Credit Cards and HSA Payments

We do NOT accept insurance, however, we offer all mental health clients a Super Bill to submit to their insurance to potentially be reimbursed

Financial Assistance is available to those who qualify

_ image slides Group Therapy
updated RT pricing
updated RT pricing

Testing / Evaluations / Support Animal Letters

ADHD, Autism, Diagnostic Clarifications, Personality Testing, IQ Testing, IEP Academic Testing for School Accommodations, Court-Ordered Evals, Pre-Surgery Mental Health Evaluations
Psychology Support Animal Letters

CANCELLATION POLICY

PLEASE READ CAREFULLY

Therapy Cancelation Policy

YOU MATTER

It is the responsibility of the client to speak with their insurance company prior to their first visit about reimbursement possibilities as
Experience Mental Wellness Clinic has no authority to guarantee insurance reimbursements, nor do we attempt to make any such guarantees

COMMONLY ASKED QUESTIONS ABOUT PRICING

Which insurances does Experience Mental Wellness accept?

Experience Mental Wellness does not accept any insurances.

At the end of each month, client will be given a “Super Bill” they can potentially submit to their insurance company for a refund of fees paid.

Does Experience Mental Wellness accept HSA funds?

YES!
We do accept payments using HSA (Health Saving Account) funds.

I can't pay when I schedule, how do I pay later?

In order to conserve accounting fees and avoid paying Debt-Collecting fees (which saves you money because it enables us to charge a lower rate) full payment is due at the time of each service.

Why is there a VR or High Risk surcharge?

The technology used with Virtual Reality Therapy allows the therapist to control the stressors & environment the user is immersed in, making the experience dynamic and highly effective. This technology has a high charge per use. We cover a portion of this cost through our normal session fee, and ask the client to cover the remaining portion of their session technology fee.

High Risk activities require our practice to provide additional malpractice insurance specific for the activity. In order to provide these specific activities, and keep our normal session fees as low as possible, we only charge a High Risk surcharge on activities that mandate higher insurance coverage.

How do I know if my experience will require a High Risk surcharge?

Whenever a provider includes an activity with a High Risk surcharge he/she will consult with you first.

What is an Intake Session?

An ‘Intake Session’ is the first session you have with your provider. You will be asked to bring some paperwork (that is emailed to you). During this session the provider gets to know you and gathers pertinent information about treatment needs. The treatment goal is established and the frequency of your sessions will be determined.

All new clients MUST schedule an INTAKE session as their first session. Within 48 business hours of the conclusion of the intake session, a receptionist will call the client to schedule future sessions and help the client select their preferred pricing plan.

A client will only have 1 intake session unless the client terminates treatment and then returns several months later. If more than 3 months have elapsed between sessions, another intake session will be completed in order to re-establish the treatment needs and goals.

What is the Pricing for Psychological Evaluations?

Psychological Evaluations have a rate of $160 per hour.
Tests typically require 2-8 hours face to face with the provider, and an additional 6-10 hours of diagnostic writing time.

For Example:
A typical autism diagnostic exam takes an average of 3 hours face to face + 8 hours diagnostic writing time (11 hours total).  11 hours x $160= $1760.

A $800 down-payment is required at the time of testing, and the balance is required to before the Provider can release a copy of the test or schedule a session to review the test results.

If you would like more information, or would like to schedule a Psychological Evaluation, please call our receptionist at (385) 312-0787

What is a Superbill?

Superbills are receipts given to a client that contain all information required by insurance companies for billing and reimbursement purposes. It is the client’s responsibility to submit the Superbill to their insurance and seek reimbursement.

How do I know if my insurance company will reimburse me for my session fees?

Call them and ask them.
We advise that you call them prior to your first appointment.

On the back of your insurance card should be a customer service phone number. The next FAQ entry has a list of questions that might be helpful to ask your insurance company when you call them.

 

Be advised that even insurance companies which offer refunds do not commonly offer a 100% refund.

What questions should I ask my insurance company when calling to ask if they accept Super Bills?

When calling your insurance company, make sure you have a pen and paper so you can reference the information later.

  1. What is my out-of-network deductible?

    This tells you know how much money you need to spend out-of-network before your benefits will kick in. This amount varies from $500 – $4000.

  2. How much of my out-of-network deductible has already been met?

    Once you know how much you’ve already spent, you’ll know how much more you need to spend before you meet your out-of-network deductible. For example, if your out-of-network deductible is $500 and you’ve already spent $400, you will only need to spend $100 more before your out-of-network benefits kick in.

  3. What is my coinsurance?

    This is the % amount your insurance company will reimburse you for each visit after your out-of-network deductible is met. For example: if your therapy visits are $150 per session and you have a 60% coinsurance. This means your insurance company will reimburse you for 60% of the session fee, which is $90.

  4. What is my policy period?

    A “calendar year” policy starts on January 1 and ends on December 31. A “policy year” policy is a 12 month policy that will have a different start and end date, for example, August 1-July 31. It is important to determine your policy period when factoring in how much more time you have to meet your deductible.

  5. How do I submit for reimbursement?

    You will be provided a Superbill at the end of each month. Insurance companies have different ways to submit the Superbill, typically through snail mail or fax; some are even allowing you submit them online. Each insurance is different so you will need to ask them.

  6. How long do I have to submit my Suberbill?

    There is a time period after the “date of service” to submit the Superbill to your insurance company for reimbursement. This usually ranges from 90-180 days. Make sure you find out how much time you have to submit the Superbill after “the date of service” when you call your insurance company.

  7. What address do you have on file to send my refund to?

  8. So you’ve submitted your Superbill and are entitled to a refund, hurray! You want to make sure the refund will actually get to you. Take a second a double check that the address on file is your correct mailing address.
  9. What else do I need to know about submitting Superbills?

  10. If your insurance does not accept Superbills, ask them if there is another method you can use to seek reimbursement.

 

We advise you to be wise and ponder what additional questions you might want answered before calling your insurance company. Experience Mental Wellness is providing this information simply as a courtesy for our clients – the information is not meant to be absolute or complete. There are other questions a client may likely feel the need to ask their insurance providers, and there may be other pertinent information insurance providers have which applies to some clients.

I've lost my Superbill. How do I get a replacement?

So you’ve lost your Superbill, huh? No worries!  Simply login to your account and access the billing history. There is an option to reprint your superbills.

If you need more guidance, call us and we’ll happily walk you through it.

Contact Us

Give us a call at (385) 312-0787  or fill in the form below and we will contact you. We endeavor to answer all inquiries within 24 hours on business days.