I am a provider for Aetna. I can assist you with filing out–of-network insurance claims. As of May 2016, I will no longer plan to be a provider for United/Optum/UMR because of their refusal to pay several of my clients’ claims and also their refusal to increase my provider rates after being with them since 2004. The amount of paperwork involved to be a provider with them does not warrant the low rates they pay providers. I am currently looking into becoming an in network provider with BCBS of Texas again, but the process usually takes about 6 months or longer. I am an approved out-of-network provider with BCBS Texas.
|Lori (schedule)||Initial Assessment (80-90 minutes)||$135 for the Intake (cash discount available)|
| No extra fees for case consults & treatment updates with Client’s other providers, no out-of-network form fee.
There is a fee for Disability paperwork, copying of records, or school letters.
|Subsequent Sessions (50 to 58 min)||$97 a session (cash discount available)
**SPECIAL DISCOUNT: pre-pay for 3 $97 visits and receive a 10% discount off each visit.
|Interns (Choose an intern)||Initial Assessment||Never over $65 for Interns|
|Intern individual, family, and couples’ counseling||Subsequent Sessions||Never over $60 a session
Suzie offers a $45 Intake special
Vann Counseling accepts cash, check, or credit cards for payment. Payment is due at the time of service. There is a $2 surcharge added to all credit/debit transactions $25 or more to help offset the card and bank fees, as I can’t adjust my contracted rates with insurance companies to offset the 3% taken out of each transaction. Given these fees and that I am unable to adjust my contracted rates with insurance companies, I have to have the $2 convenience fee to minimize the cost of offering credit card services.
HEALTH CARE REFORM ACT: please be aware that if you apply for the government’s insurance that they may ask for your mental health history, including any psychotropic medications that you have been on in the past or currently . If you apply for a government job at some point in the future, then understand that certain diagnoses, such as Bipolar and Major Depression can possibly affect your ability to get certain jobs. Due to the many issues that providers will have to deal with regarding the filing & processing of the government’s insurance, I am not planning on being a provider for the government’s insurance program.
Electronic Health Records: at this time Aetna and United are not requiring me to go EHR, but other insurance companies have mandated that providers go EHR in order to get reimbursed. Your EHR is your counseling session note. Aetna and United only require your diagnosis, the EHR would be the entire session note. Should I be required to go EHR, I will no longer be a provider with said company as it is my priority to protect my client’s confidential information & not have a 3rd party read what we discussed in session.
Due to PacifiCare PPO not covering depressive disorders or any other serious mental illness (Bipolar, Schizophrenia), I will no longer be seeing PacifiCare patients. Always be aware of the diagnoses that your insurance may or may not cover.
Medicaid & Medicare patients, please be aware these providers have had to switch to an Electronic Health Record. Be an informed consumer and find out who is seeing your counseling clinical record. At this time, Aetna has not required me to switch to EHR from the paper charts, so at this time, they do not see your individual case notes.
With the “Affordable” Health Care Act, your co-pays and/or deductibles may increase, so it may become more financially beneficial to see an intern.
There are several reasons why seeing a LPC Intern can be helpful to you. Go to the Bios page to see the reasons.
I will gladly check your insurance company for your out-of-network benefits. Often times the reimbursement rate may be up to 70% of the client’s out-of-pocket expense. Since I charge competitive rates, often times the reimbursement rate brings the client’s fee back down to what his/her usual co-pay would be had I been on that insurance panel. It should also be noted that many insurance companies contract out their mental health benefits, so I may be on that contracted panel.
I am not on Medicaid/Medicare, CHiPs, NorthStar, Blue Cross/Blue Shield, Unicare, Value Options, UMR, MHN, PHCS, or TriCare. If you have BCBS, please check to see how your mental health benefits are processed; BCBS will contract out its mental health benefits to other companies that I am a provider for, such as United, or Aetna. Another option is to see one of my interns for a rate that may be close to your co-pay amount. NO ADDITIONAL FEE for filing Out-of-Network forms. The private pay rate includes all of the time & paperwork involved in filing those claims. HICFA forms can be provided to the Client for self-filing, too.
I accept cash, check, or credit cards for payment. Payment is due at the time of service. A cash discount is provided for all private pay transactions.
Notice of Privacy Practices–as of Sept. 23, 2013, all providers must provide this information to clients on their websites and in their offices.
A complete 5 page booklet of this office’s Privacy Practices is available in suites 120 & 121. Vann Counseling & Assoc. follow the guidelines that are listed through the Health & Human Services website at: http://www.hhs.gov/ocr/privacy/hipaa/modelnotices.html
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Work with a medical examiner or funeral director
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
Vann Counseling will never sell, market, or use your information for research without a client’s permission.