INSURANCE
Please note, clients must call their insurance company to verify benefits for Outpatient Therapy (in-network or out-of-network benefits if Wake Counseling provider is not in-network with your insurance plan). You can also check each clinician's profile to see which insurances are commonly accepted, however, it is strongly encouraged to call your insurance to confirm benefits to be fully aware of deductible, copay or coinsurance per session.
Insurance Benefits
Unsure if your insurance covers counseling, ask your health insurance these questions to get a summary of your benefits:
Do I have mental health/in-office counseling insurance benefits?
Is my selected provider (with Wake Counseling & Mediation) in-network or out-of-network with the insurance?
How much will be the copayment or coinsurance per session?
Do I have to meet my deductible before insurance covers the cost?
Do I have out-of-network insurance benefits?
Do I need prior approval from insurance or primary care physician for counseling in-office visits?
Out-of-Network/Self-Pay
If our practice is out-of-network with your insurance, you can still see our provider by paying at the time of the service. The provider will provide a Super Bill or an Invoice for you to submit to their insurance for reimbursement. Client is responsible for verifying out-of-network benefits with their insurance plan so you’re making an informed decision.
Service for Out-Of-Network Billing - Mentaya
Just because your therapist doesn't take insurance, doesn't mean you can't use your insurance benefits. You can use Mentaya to check your Out-of-Network benefits and if you’d like, they can file your claims (for a 5% filing fee) to help you get money back from insurance for your therapy visits: https://www.mentaya.com/patients
Self-Pay Rates
Initial Assessment/Consultation - $170
Individual 40-45-minute session - $105; Individual 46–60-minute session - $140
Family 45-minute session - $120; Family 46–60-minute session- $160
Additional 15 minute- $35
Case Management tasks (emails, phone calls, coordination of care, attending meetings with other providers, referral sources, school staff, providing documentation, etc.) – will be paid by the client (as this is not typically covered by insurance) at a regular visit rate, or $35/15 minute increments depending on the complexity of services
Cancellation Policy
There will be $105 no-show/late cancellation fee for missed appointment unless cancel/reschedule appointment with a 24-hour notice in advance. No-Show or Late Cancellation can be waived for a family emergency or with a medical note from a physician. We do offer an option to switch your appointment to Telehealth if you’re unable to attend in-person to avoid fees.
Payment
Client(s) pay the fee required by your insurance plan or for self-pay at the time of the visit, we accept checks, cash, and credit card.
If you have more questions call us at (919) 647-4600 ext 3 to speak with our billing assistant or email billing@wakecounseling.com
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
Check each clinician's profile to see which insurances are accepted.
