Insurance and EAPs

Insurance

We believe access to mental health care begins with being able to use your health insurance benefits. We work closely with you and your insurance company to make that happen.

If you are choosing to use insurance, fees and benefit information may be discussed directly with your insurance provider. If you are a self-pay client, fees will be discussed with a member of our Client Services Team at time of scheduling. All new client intakes and subsequent appointments will be charged a $100 retainer fee for each session until patient responsibility is confirmed by the insurance carrier in the client’s explanation of benefits (EOB). Any overcollections will be refunded to the credit card on file and any outstanding patient balances will be charged to the credit card on file. Alternatively, you may choose to provide written verification from your insurance of patient responsibility prior to scheduling your appointment. For additional information about how you can obtain and provide written verification of plan-specific benefits from your insurance provider, please click here. *Note - this process does not apply to clients with Medicare and/or Medicaid insurance*

If you choose to use your insurance benefits, and your therapist is a PARTICIPATING PROVIDER (IN-NETWORK), you agree to assign payment from your health plan to The Center and to always update The Center with your current insurance information. If there is a change in your insurance, we ask that you notify us of the changes at least two days prior to your appointment. Failure to do so may result in you being charged our standard rate per hour for your appointment. If your therapist is an in-network provider, we will bill your insurance provider directly; however, you are responsible for co-payments, deductibles and payments for services not covered or approved by your health plan on the day of service. This transaction may occur prior to the start of your first session. If you are seen after regular business hours or on a weekend, you may incur an additional charge (EMDR, crisis sessions, etc). Please follow up with your insurance carrier about any questions concerning allowable charges. If your insurance provider denies payment for any reason, you are responsible for payment. The Center does work with some EAPs following the guidelines of your plan.

Insurance issues can be discussed directly with your insurance provider. You are responsible for the balance due if your insurance does not cover services. You are also responsible for the balance if the insurance holder is different from yourself. If you have difficulties with your insurance company, you may file a complaint with the Texas Department of Insurance (1.800.252.3439 or www.tdi.state.tx.us)

If you choose not to use your insurance benefits OR if you choose to use your insurance benefits, and your therapist is NOT A PARTICIPATING PROVIDER (OUT-OF-NETWORK), you understand that you are responsible for obtaining prior authorization/certification for treatment, and for submitting your claims for reimbursement from insurance. You may request a superbill from your provider with all the applicable information so you may attempt to obtain reimbursement for services, however, you will be responsible for the full fee on the day of service regardless of whether your insurance company reimburses you. If The Center is not a contracted entity with your insurance company, you will be responsible for all communication with and attempts to obtain reimbursement from your insurance provider. If your insurance provider denies payment for any reason, you are responsible for payment, and your credit card on file will be used as the form of payment.

We are out-of-network with all insurance carriers for testing and assessment services.

Click here for Frequently Asked Questions (FAQs) regarding insurance verification.

The Center has therapists currently listed on the following panels, however, this is not a comprehensive list and is subject to change. Please consult with our office prior to your first appointment to verify insurance coverage.

• Aetna
• Ambetter
• Amerigroup
• BCBS/Anthem (except for Magellan Behavioral Health Plans)
• Beacon Health Options
• Baylor Scott & White Healthplan
• Evernorth (Formerly Cigna - LPC, LCSW, LMFT Providers)
• Healthscope Benefits
• Humana
• Medicare
• Molina
• Superior (Medicaid)
• TMHP (Medicaid)
• United Healthcare
• We are also in-network with several EAP providers.

The Center is proud to be a Preferred Provider for the Baylor Scott & White Quality Alliance.