Insurance Benefits and Financial Responsibility

 

Be WEll INSTITUTE of Texas

Ms. Amanda Koenig-Reed, LMFT

INSURANCE CURRENTLY accepted:

Aetna

Blue Cross Blue SHIELD

 

I offer a safe, comfortable and confidential space for our work together. I accept cash pay, sliding scale, Aetna, Blue Cross/Blue Shield and some Medicaid plans. For your convenience, we accept cash, checks, and credit cards.

Billing and Payments – Full payment is due at the time services are rendered. Other services including non-emergency phone calls over ten (10) minutes, generating reports, consulting with other agencies and professionals at your request, and the time spent performing any other services you may request will be charged to you.

Please note that your insurance company does not guarantee payment of benefits. Some insurance companies reimburse clients for services, and some do not. Those that do, usually require that clients to pay a standard amount before reimbursement is allowed (a deductible) and then they pay a percentage of the fee. We advise that you contact your insurance company representative to determine what your deductible is and what percentage of the fee they pay. The client remains responsible for payment in full, including any portion not reimbursed by insurance.

 

When using insurance, you agree:

 

1.

Certification of Sessions

You are responsible for verifying benefits, obtaining referrals from primary care physicians and pre-certifying your sessions unless we are contracted as a provider from your insurance company.   Failure to contact your insurance company for pre-authorization usually results in a denial of payment.  In this case we must hold you financially responsible for the full amount due for all services performed. 

 

2.

Financial Responsibility

Ultimately, you are responsible for the total amount due including any amount not covered by your insurance company except when covered by insurance companies with whom we are a contracted network provider. Please understand, your insurance company does not guarantee payment of any claim we submit.

If payment is not made prior to the third session, your session will be cancelled and won’t be rescheduled until payment is received. A $10 monthly billing charge will apply to unpaid accounts. A $35.00 fee will be charged for returned checks.

 

3.

Assignment of Benefits

We will accept assignment of benefits under the following conditions: (1) deductibles and co-payments are paid at the time services are rendered or within 30 days of receiving a bill and (2) completed and signed intake forms are provided to our office by the patient in a timely manner. Please note that insurance companies have time limits on the amount of time we are allowed to submit a claim.

If using insurance, please be aware we have no control over the confidentiality procedure of third parties once the clinical information leaves our office. Typically, third-party payers generate computer records with this information.