Insurance / Managed Care
The insurance and the health care system has become very confusing!
Please try to verify the specifics of your plan before you see me so you know what your out-of-pocket costs will be. I may be able to help if
you provide me with your insurance and some personal information.
Look on the back of your insurance card and call the member number
for Mental Health or Behavioral Health to verify details.
Many companies contract out for their behavioral services, so sometimes counseling services are under a different name than your insurance company.
I am on the following insurance companies provider lists (in general) but please double-check in case your specific plan is different:
*not on medicare (advantage or supplement plans, or medicaid plans.
Beacon Health Options
Cigna, now Evernorth
Regence Blue Cross Blue Shield (all Blue Cross plans, except UofU)
EMI (Educator's Mutual Insurance)
Optum or One Healthcare (most plans)
PEHP (Public Employees Health Plan) School district employees
are required to get pre-authorization, check your plan.)
United HealthCare (One Healthcare, Optum)
Also, some various EAP plans.
Other good information to know about insurance and counseling:
*Is there a deductible? Has it been met for this plan year? You pay
the full contracted amount your plan specifies until the deductible
is met, then you pay the co-payment amount.
*What types of issues are covered? Most require a diagnosis of a
current emotional problem, such as depression, anxiety, etc.
* What is not covered? They may not cover couples counseling,
career counseling, or other life problems unless there is also a
primary emotional diagnosis that is covered.
* EAP plans will cover any life problems for a limited number of
sessions, at no cost to you. They need to authorize services
ahead of time and will give you an authorization number.