FAQ

Is approval from my PCP for mental health services required?

Category:
Billing

In most cases, a referral from your PCP is not required unless you are a Tricare Prime Active Duty Member.

Related Billing FAQs

Can I use Medicaid to cover mental health services in Colorado Springs?

Yes, Medicaid covers a wide range of mental health services in Colorado Springs, including therapy, counseling, psychiatric evaluations, and medication management.

There may be some restrictions, but it is rare. For detailed coverage information, please refer to the Health First Colorado (Colorado's Medicaid Program).

What is my copay for therapy?

A copay, or copayment, is a fixed amount that you, as the client, are required to pay for each counseling when we bill your insurance. The exact amount varies based on your specific health insurance plan.

A counseling session will usually have the same copay as a PCP (Primary Care Physician) visit and/or an Office Visit.  If you have a copay plan, you'll sometimes see your copay listed on your insurance card.

Example Insurance Card

How can I find a safe space for mental health treatment that respects my individual needs through Medicaid?

Yes. Medicaid ensures access to a variety of mental health services provided in a safe and respectful environment. By utilizing the Medicaid provider directory, individuals can find licensed professional counselors and therapists who offer a safe space tailored to their specific needs. For the most current information on Medicaid coverage for mental health services, including a comprehensive list of covered therapies and how to access them, please visit Colorado's Medicaid website.

My insurance says that my counselors is out-of-network?

If you have called your insurance and the representative told you that your particular counselor is out-of-network, that is because we submit claims under our group name (Overcomers Counseling) and/or our clinical admin (Jennifer Luttman, LPC) and both of which are in-network.  We accept most major insurances and will provide you an estimated cost prior to your session.

Is Overcomers' in-network with Medicaid across the entire state of Colorado?

Yes!  Health First Colorado (Medicaid CO) is broken up into seven regions (RAEs), and Overcomers is in-network with all regions.  On rare occasions, Overcomers may not be able to accept a client with specific stipulations with their Medicaid benefits.  Upon booking a session, Overcomers will verify your benefits.