FAQ

What is my copay if I have Medicaid?

Category:
Billing

Medicaid members will usually have a $0 copay for counseling or psychiatry.

Related Billing FAQs

How many therapy sessions per year does my insurance plan cover?

Most insurance plans will cover unlimited therapy sessions per year as long the sessions are medically necessary.

Does Medicaid cover solution-focused therapy for goal-oriented individuals?

Solution-focused therapy, a goal-oriented approach that emphasizes solutions rather than problems, is covered by Medicaid. This type of therapy is beneficial for individuals looking for short-term, objective-focused treatment options.

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

Is approval from my PCP for mental health services required?

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

How do I update or change my insurance information?

To update or change your insurance, follow the steps below:

  1. Log into the Client Portal
  2. Select Documents from the main menu.
  3. Select Client Insurance Form.
  4. Complete the required fields to update your insurance! The Billing team will review and notify you of your new copay/coinsurance.