Insurance
Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your rates and insurance coverage carefully by asking the following questions:
- Do I have mental health insurance benefits?
- What is my deductible and has it been met?
- How many sessions per year does my health insurance cover and at what rate?
- Does my insurance company require an authorization?
- Is the clinician/ provider covered under my insurance?
*We will call to do an eligibility check on each client before their first session and will notify you of the information we receive on your insurance benefits. We recommend that you also call your insurance to ensure you understand your benefits and coverage of mental health services.*
Payment
Cash, check, health savings accounts, flex-spending accounts, and all major credit cards accepted for co-payments and out-of-pocket sessions.
Reports/Court Time
Additional time required for court, reports, and coordination for providers will be billed at the regular hourly rate. Court Rate is $150, and includes travel time.
Cancellation Policy
You may cancel your session without penalty by providing at least 24 hours advance notice. Failure to provide any notice (a no-show) will result in a a full session charge. Failure to provide at least 24 hours notice of cancellation will result in 50% of your session fee. You may speak with the administrative staff if a special circumstance has occurred. Unless your insurer is Medicaid/Medicare/Tricare, a credit card must be on file 24 hours before the first session.
Schedule Online
Request a therapy appointment online here.
Request a medication management/psychiatric evaluation online here (goes to separate contact form or simple practice)
Contact
Questions? Please contact us for further information.
Insurance / Billing
We are providers that accept many various types of insurance policies. Some policies cover services at 100%, while others may have a co-insurance/co-pay requirement, similar to what you might pay at your doctor’s appointments. For those without insurance, reduced fees may be offered at the discretion of each provider but are not guaranteed. Student interns are also available at a cost of $35 per session.
Insurances we are contracted with (call if not on this list):
- BlueCross BlueShield of Kansas (and other states) / BCBS
- United Healthcare Commercial
- UMR
- Medicaid (Sunflower/Cenpatico, Aetna Better Health, Kancare, KMAP, and United Medicaid)
- Medicare (Medication Provider only)
- Aetna Commercial
- ProviDRs Care
- GEHA
- Meritain
- TRICARE West
For all clients with private health insurance or paying out-of-pocket, we do require a credit card on file for copays, coinsurance, and fees for “no-shows” and “late cancellations”. We have a no-show and late cancellation policy that if you cancel your appointment with less than 24 hours notice, we charge a $75 fee and $150 if you don’t call or show up for your scheduled appointment. This is to protect our clinicians and other clients on the waiting list. We also send out courtesy reminders via text or email to those who ask as we try to be as helpful with this as possible. Don’t hesitate to ask us about these policies.
If you or a loved one is struggling with any of these issues, please contact us today to get a compassionate and thorough intake so we can connect you with the best services possible. Hope is just a phone call away! (316) 201-6047 or contact us here.
Insurance FAQ and Definitions
Q: What is a deductible?
A: The amount of money you must pay out of your own pocket before your insurance company starts to pay for covered expenses.
Q: What is coinsurance?
A: The percentage of costs you share with your insurance company after you’ve paid your deductible. For example, if you have a 20% coinsurance rate, this means that your insurance will cover 80% of costs, and you are left to cover the remaining 20% of costs.
Q: What is a copay?
A: A copay (or copayment) is a fixed amount you pay for a covered healthcare service.
Q: What is an out-of-pocket maximum?
A: The out-of-pocket maximum is the most you have to pay for covered healthcare services in a policy period (usually one year). In most cases, once your out-of-pocket maximum has been met, your services are covered at 100%.
Q: What is an insurance claim?
A: An insurance claim is a request for payment submitted to a health insurance company by the healthcare provider for medical services received.
Q: What is a coordination of benefits?
A: Coordination of benefits (COB) is the process used to determine how multiple health insurance policies will share the cost of a claim; i.e. which one is primary payer and secondary payer. The order of the payers is important for the billing process. Please confirm which of your insurances is primary prior to scheduling with us to avoid billing mishaps and unexpected fees. This only applies if you are covered by more than one insurance policy.
Q: Who determines the session cost when using insurance?
A: When filing to insurance, your insurance determines the cost of each session based on the specifics of your insurance policy. If you choose not to file to insurance, our clinicians offer same-day appointment rates specific to each individual provider.
Q: What is an insurance adjustment?
A: At the time of your visit, you are billed for the estimated session cost. At times, once the insurance claim is fully processed, the insurer may come back with a different amount than initially quoted or leave claims to a deductible. When this happens, an insurance adjustment is made and the client is responsible for what the insurance determines is the cost, ultimately we must charge clients what the insurance leaves to the patient’s responsibility due to our contractual obligations with insurance. If you have questions about what your insurance determines are your costs, fees, and responsibilities, please reach out directly to them (you can usually find this number on the front or back of your insurance card).
Q: Why does SOMA only accept certain insurances?
A: Each individual provider is able to choose which insurances they’d like to be credentialed with and which insurances they will and won’t accept.
Q: What is Medicaid?
A: A state and federal program that provides health coverage if your household income is below a certain amount.
Q: What is Medicare?
A: Medicare is a federal program that provides health coverage if you are 65 or older or have a severe disability, no matter your income.