Here are some important things to consider prior to making an appointment:
Using Insurance Benefits. When you use health insurance benefits to pay for psychotherapy services, you waive certain rights to confidentiality. Meaning, your insurance carrier would have access to your clinical records including progress notes, if requested. Additionally, insurance carriers require an idenified patient, diagnosis, dates of service, information about your level of function and your therapeutic progress in order to cover the cost of treatment.
Private Self-Pay. Self paying for mental health services is often preferred by our clients because insurance-based medical systems require diagnosing, pathologizing, information about your level of function and your therapeutic progress to justify the medical necessity of your psychotherapy sessions in order to cover the cost of treatment.
Still considering using insurance? Here are some questions to ask your insurance carrier prior to making an appointment. Please note, we expect new clients to have a full understanding of their health insurance benefits prior to beginning treatment:
Do I have mental health coverage?
How many sessions are covered per year?
Are telehealth services covered by my insurance plan?
If I have a copay due at time of service, what is the amount?
If I have a deductible to meet, what is it and has it been met?
Do I need a referral?
If the therapist I want to see is out-of-network, do I have out-of-network benefits that would cover the service?
Evergreen Pathways is in-network with the following insurance carriers:
Harvard Pilgrim Health Care
United Healthcare / Optum / Oxford
Out of Network Benefits. If you have out-of-network insurance benefits and we are not considered in-network by your insurance plan, we can provide a superbill for any services rendered. We will discuss this with you when services are established.
We envision a society where all all individuals and families have an opportunity to thrive in their relationships and lives, please contact us to discuss fee arrangements, including sliding fee options.
No Surprise Billing: Under section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals of their expected charges when they are not enrolled in a plan or coverage or a Federal healthcare program, or not seeking to file a claim with their plan or coverage both orally and in writing. Upon request, or at the time of scheduling healthcare services, healthcare providers and facilities must provide to their clients, a “Good Faith Estimate” of expected charges.
What forms of payment are accepted? Payment is due at the time of service. We accept cash, check, and all major credit cards.
“A journey of a thousand miles begins with a single step.” - Lao Tzao
Ready to move forward?