Fees and No Surprises Act
Appointments & Fees
Cost of Services:
Initial Intake Session $230
Psychotherapy Session(s) $150-$205*
*Please note, the cost of services may depend on several factors including copays, coinsurance, deductibles, etc.
Currently, we are accepting and billing for Medicaid and Private Providers. Unless you opt to use your Out of Network Benefits, our System of Care grant will serve as payer for services. If we serve as payer, you cannot use the benefit toward your Out of Network deductibles/benefits.
In-Network participation (for select providers) with Medicaid including:
Molina Healthcare (formally Healthy Blue)*
Maximus
Nebraska Total Care
United Optum*
In-Network participation (for select providers) with Private Providers including:
Aetna*
Blue Cross Blue Shield
Midlands Choice
Tri Care*
United Healthcare*
As a courtesy, we will attempt to contact your insurance company to better understand your coverage and benefits, however, it is the policy holder’s responsibility to know and understand the benefits and limitations of your policy. This includes information such as your co-pay amount, your annual deductible amount, your lifetime benefit, whether or not pre-certification for service is required, and if your coverage limits the maximum number of therapy sessions each year.
We recommend checking & confirming your benefits with your insurance plan first to avoid any surprises of uncovered costs to you.
OUT-OF-NETWORK BENEFITS (OON)
Many insurance companies do offer "out-of-network" benefits. OON means you will pay out of pocket and then submit to your insurance company for possible reimbursement of a percentage of the cost.
If OON benefits are available with your plan, we will provide you with the proper paperwork necessary, called a Superbill, to submit to your insurance company for reimbursement. If it is your intent to maximize your OON benefits, it is your responsibility to communicate that with your SMH Therapist and/or SMHS Program Coordinator, Jen Pollock at 402-597-4891.
No Surprises Information
The No Surprises Act: This act aims to protect clients from unexpected medical bills. Prior to the No Surprises Act, someone who had health insurance but received care from an out of network provider or facility could receive a "surprise bill."
As of January 1st 2022, healthcare providers are required to offer "Good Faith Estimates" for those who do not have health insurance. A Good Faith Estimate shows the list of expected charges from your provider.
To learn more visit: https://www.cms.gov/nosurprises/consumers/understanding-costs-in-advance