Service Fees
Service Fees:
Cedar Mental Health is an out-of-network (private pay) clinic. Our services are typically a FSA/HSA eligible expense.
Benefits of Private Pay:
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Increased confidentiality: Private pay allows for greater privacy and control over your mental health record, as insurance companies are not involved in the process.
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Flexibility in therapy: This model provides more flexibility in the type and frequency of therapy, allowing your family to work collaboratively with the therapist to determine the best approach.
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Control over sessions: You have more control over the number of sessions and the specific focus of their therapy, without restrictions from insurance companies.
Insurance Reimbursement:
While Cedar Mental Health does not bill insurance directly, many insurance plans offer out-of-network benefits. You may be eligible to receive reimbursement by submitting a superbill, which Cedar Mental Health will provide.
The superbill contains all the necessary details for clients to submit to their insurance company for reimbursement.
Understanding Coverage:
To learn more about your out-of-network benefits, here are some questions you can ask your insurance carrier directly to help you understand what reimbursement you might receive.
- Do I have out-of-network benefits for mental health services (provided via telehealth if applicable)?
- What is my yearly deductible? Has it been met?
- How many sessions per year does my plan cover?
- How much does my insurance plan reimburse for an out-of-network provider for CPT codes 90791, 90834, 90837, 90847, and 90846?
- How much does my plan cover for an out-of-network mental health provider?
- How do I obtain reimbursement for therapy with an out-of-network provider?
- Do I need prior authorization?
$200
$150
Billed in 15min increments:
$200
Customizable Service:
$2000
Customizable Service:
$150
Customizable Service:
No Surprises Act/Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals that are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
- 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