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BCBS.PNG

Our Services

We strive to make our therapeutic services accessible and affordable to all individuals seeking support and healing. We understand that navigating insurance coverage and fees can be complex, and we are committed to assisting you through this process. Below, we provide information on our insurance policies and fee structure:

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Insurance Coverage: We accept various insurance plans to accommodate the diverse needs of our clients. Our practice is in-network with several major insurance providers, listed above. If your insurance provider is not listed, we encourage you to contact us to discuss alternative payment options.

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Out-of-Network Benefits: For clients with out-of-network benefits, we can provide you with the necessary documentation to submit claims directly to your insurance company for reimbursement. We are dedicated to helping you maximize your insurance benefits and will assist you in understanding your coverage. 

 

Our out of network rates are $195 for 45 minute sessions, $260 for 60 minute appointments and initial diagnostic appointments, and $230 for couples therapy sessions. It is strongly recommended that you call your insurance company prior to beginning therapy, inform them that you would like to see a psychologist out of network, and ask about Out-of-Network Reimbursement rates for the following CPT Codes:

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90791: Diagnostic Interview

90834: Individual Psychotherapy - 45 minutes

90847: Family/Couples Therapy (if relevant)

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Fees and Payment Options: Our fees are determined based on the type and duration of therapy sessions. We offer competitive rates and strive to provide excellent value for our services. Fees for therapy sessions are discussed during the initial consultation or over the phone prior to scheduling an appointment.

Payment Methods: We accept various payment methods for your convenience, including:

  • Credit/debit cards

  • Health savings accounts (HSAs)

  • Flexible spending accounts (FSAs)

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Tricare Patients: Adapt therapy is currently contracted with Tricare as a nonparticipating non-network Tricare Certified provider while we continue to work on fully credentialing with Tricare at some point in the future. This means that you, the client, will be expected to pay for services up-front and receive a superbill for services rendered. You would also be responsible for filing your own claims with the provided superbill and will receive reimbursement from Tricare, minus any applicable cost share (deductible, copay, or coinsurance). Adapt therapists will only ever charge your Tricare allowable for appointments, not the full fee as listed on the Out of Network section above. We highly recommend that our Tricare clients reach out directly to Tricare to inquire about this arrangement before scheduling. See below for recommended questions to ask the representative and be sure to mention that you're inquiring about a "nonparticipating non-network Tricare Certified provider. If asked, you can include the following details about our practice. 

  • Provider: Adapt Therapy Services LLC

  • NPI 2: 1699530519

  • CPT Codes used: 90791 (Initially Appointment), 90934 (Individual Therapy - 45 minutes), and/or 90847 (Family/Couples Therapy) if applicable

What if we don't take your insurance?

Seeking therapy with an "Out-of-Network" provider may seem daunting, but it is often a great way to find the therapist of your choice with little to no wait time for a first appointment. Therapists, especially psychologists, who accept most insurance plans tend to be few and far between, particularly if you live near a major city. Those who do are usually not accepting new patients or have extremely long wait times.

 

If you're looking for therapy with a provider who is not in your insurance network, you will owe the full cost for the session at the time of the appointment. However, your insurance company may reimburse much of the cost of your Out of Network session.

 

First, check your "Summary of Benefits." This is typically included in the packet you received when you signed up for your insurance, and can also be found on your insurance portal online.

 

Next, call your insurance company using the number provided on the back of your card. Here are a few helpful questions to ask:

  • What is my out of network deductible for outpatient mental health? (Your deductible is the cost you pay before you can be reimbursed)

  • What is my reimbursement rate?

  • What percentage will I owe?

  • Do I need authorization or referral?

  • Are the following CPT codes covered Out of Network: 90791 (Diagnostic Interview) 90834 (Individual Therapy)?

  • How do I submit a claim form for reimbursement?

  • How will I receive my reimbursement?

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Once you've met with your therapist, you will receive what is called a Superbill. This is a document that includes all the information you will need to submit your claim. This is usually done at the end of each calendar month.

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Please don't hesitate to ask our team if you have any questions about this process. It can certainly be overwhelming at first, and we are here to help. 

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