Please contact your insurance company to verify whether preauthorization is needed for mental health visits per your plan. This is essential so that you have no surprises regarding the costs that you may incur.  Our office does not contact your insurance company on your behalf.  We can tell you which insurance panels accept our services in-network but this is no guarantee of coverage.  Each plan can vary slightly and some limited access plans may not cover our services even though we have an in-network designation with your insurance company.

Many insurance companies require you to contact them for authorization for mental health services even if authorization is not required for other medical services. Payment from your insurance company could be reduced or denied if authorization is not obtained. For all these reasons, it is essential that you contact the number on the back of your card prior to using our services to ask about your deductible for services, your copayment for services, and your out-of-pocket maximum for services.  To best determine this, please provide your insurance company with the name of the provider you will be meeting with and the codes that are provided in our Services section below.  Please note many services will be billed under Dr. Melinda Green as your billing provider with another provider listed as your rendering provider; check under both Dr. Green and your rendering provider’s name as you verify your benefits with your insurance company.  You are solely responsible for the full cost of treatment if your insurance company denies coverage for any services.  It typically takes 3-6 weeks for insurance to remit your first payment.   Therefore, you can accrue significant costs prior to receiving your first bill if you do not check with your insurance company in advance.  If you are having any difficulties ascertaining your costs, your HR representative can typically help you to better understand your coverage and insurance plan if you are unable to receive adequate answers from your insurance company.

For your convenience, we will submit the claim for each of your visits to your insurance company. We request that you pay your portion of the charges (your copay) at the time you receive your first bill (please note this process is different for our registered dietitian – see section below).  We send out all bills via email as soon as insurance companies have remitted payment and all bills are due 10 days after you receive the billing notice.  Since insurance reimbursement can take 3-6 weeks after your first session, it can take several weeks before you receive your first bill from us.  Therefore, it is essential that you verify insurance coverage and check your costs prior to using our services or there is a risk of accruing an unexpected bill.  Please remember the insurance contract is between you and your insurance provider. Questions about their payment and/or coverage should be directed to your insurance company.  Again, we cannot guarantee insurance coverage for services provided and it is your responsibility to understand your contract with your insurance provider.

In the event of a delay or a denial of your claim, you are responsible for full payment in a timely manner. If payment cannot be made when due, please contact our office to set up an extended payment plan. After 90 days, if no payments have been received or arrangements made, necessary collection proceedings will begin. You are responsible for all costs, including court costs and attorney fees, incurred in the collection of these charges.  We will attempt to call you once and contact you via email several times prior to the initiation of the collections process.  Please be sure you are checking the email that you provided to the practice regularly to ensure you receive these notifications.

There are several components to insurance coverage that are helpful to understand. Copayments (copays) are a set amount of money that you will be responsible for per session. Copays vary from plan to plan, but an example would be if your insurance policy covers $138 of a $158 session, they would then expect you to pay a $20 copay out of pocket. If you must meet a deductible before coverage kicks in that means that your healthcare spending/amount billed to insurance must reach a certain amount before insurance will start to pay for your sessions. It is important to know if your policy has a deductible that must be met as you will be solely responsible for costs until you go above that threshold. You will also want to be sure that you know how much mental health coverage your plan offers per year. Going above this amount would mean that you would be responsible for the cost of any services rendered once that spending limit is reached.

Timely Payment: We make every attempt to set up a payment plan for clients who are experiencing financial difficulties and struggling to establish timely payments. However, we will discuss referral options if unpaid bills exceed $500 at any point in the treatment process.

The coding for each of our services is provided below.  Please call your insurance representative to ensure these codes are covered by your existing healthcare plan.  Be sure to ask whether our providers are in- network with your plan.  You can request this information by calling the number on the back of your insurance card.  Please note for some plans where we are in-network they may still have limited access (usually these plans have a lower premium) where our services are not included in your in-network benefits.  Again, this is why it is essential for you to call your insurance company to verify coverage prior to using our services.

Therapy, Medication Management, and Dietitian Services:

• 60 Minute Psychotherapy Intake Session (90791 CPT code): $204.00

• 60 Minute Psychotherapy Session (90837 CPT code): $197.00

• 45 Minute Psychotherapy Session (90834 CPT code): $131.00

• 30 Minute Psychotherapy Session (90832 CPT code): $99.00

• Psychological Testing and Evaluation (96130 CPT code): $215.00

• 60 Minute Group Therapy Session (90853 CPT code): $43.00

• 60 Minute Couples Counseling Session/60 Minute Family Psychotherapy with Patient Present (90847 CPT code): $154.00

• 60 Minute Family Psychotherapy with Patient not Present (90846 CPT code): $128.00

• 15 Minute Psychiatric (Medication Management) Intake (99202 CPT code): $86.00

• 30 Minute Psychiatric (Medication Management) Intake (99203 CPT code): $132.00

• 45 Minute Psychiatric (Medication Management) Intake (99204 CPT code): $197.00

• 60 Minute Psychiatric (Medication Management) Intake (99205 CPT code): $260.00

• 5 Minute Psychiatric (Medication Management) Session (99211 CPT code): $27.00

• 10 Minute Psychiatric (Medication Management) Session (99212 CPT code): $68.00

• 15 Minute Psychiatric (Medication Management) Session (99213 CPT code): $109.00

• 25 Minute Psychiatric (Medication Management) Session (99214 CPT code): $156.00

• 40 Minute Psychiatric (Medication Management) Session (99215 CPT code): $218.00

• 60 Minute Dietitian Intake Session (97802 CPT code): $125.00

• 60 Minute Follow-up Dietitian Session (97803 CPT code): $100.00

• 30 Minute Follow-up Dietitian Session (97803 CPT code): $50.00
  

Late (less than 24 hour) notice to cancel or no show: reserve the right to charge a $75 missed appointment fee (please note insurance will not pay this fee).

Please note that the services for our Registered Dietitian are not covered by insurance.  Unfortunately, the State of Iowa has not passed a bill that requires outpatient dietitian services to be covered by commercial insurance plans.  Therefore, many insurance plans do not cover this vital service.  Therefore, our dietitian is unable to accept your insurance policy and will request payment at the time of your appointments.  Please read and sign the dietitian consent form which further explains these details.

Please note below the specific insurance plans typically accepted in-network for each provider (again verification of this with your insurance company is always necessary).

The outline below provides an overview of the insurance policies typically deemed in-network for each of our providers.  Again, this can vary depending upon the specifics of your individual plan.  For this reason, it is necessary that you verify insurance prior to beginning our services.

All Counselors and Therapists: Many of our counselors and therapists are typically in-network providers with most plans from the following companies: Blue Cross Blue Shield, Cigna, UnitedHealthcare/Optum/UMR, Aetna, Midlands Choice, Health Partners (please note we are not in-network with some limited access Health Partners plans)

Olivia Gradoville (Registered Dietitian): Does not accept any insurance due to limitations in the State of Iowa

Cancellations/No Shows
Your appointment time is reserved especially for you. If you are unable to keep your appointment, we ask that you notify us at least 24 hours in advance of your scheduled appointment time. If you miss your appointment and do not call to cancel at least 24 hours prior, you may be charged for the appointment. This fee is not reimbursable through insurance or third party payment. If less than 24 hours’ notice is given for a missed appointment, you may be billed $75.00.
Additionally, we ask that you commit to session attendance in order to ensure good therapeutic outcomes.  For that reason, if you miss more than 3 sessions in a 6-month period for any reason, we may ask that you reconsider your commitment to therapy and may refer you to another provider outside of our practice.