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Insurance

At Sacred Wandering, we believe in clear and responsible communication about all financial matters as it pertains to your healthcare needs. We do our best to collaborate with you and your insurance company to help you efficiently manage your healthcare resources, and are committed to providing the best treatment for our clients at affordable rates. We, therefore, do not nickle and dime our clients with late fees, no-show fees, or other punitive charges.  We charge only what is usual and customary for our area and industry for the services we render, and we are willing to work with individuals on a sliding fee scale.

We encourage you to clarify your insurance benefit information prior to beginning any treatment so that you understand what portion of services will be covered by insurance and what portion will be paid privately by you (deductible, copay, coinsurance, etc…).

We are currently in network for the following insurance companies:

  • Aetna
    • First Health Network – including Behavioral Health
  • Anthem / Blue Cross + Blue Shield
  • Badgercare / Forward Health / Wisconsin Medicaid
  • Cenpatico / MHS
  • Exceedent
  • Humana
  • iCare
  • Molina
  • Optum – Including
    • United Behavioral Health (Commercial and Medicaid)
    • United Healthcare (Commercial)
    • United Healthcare (Medicaid)
    • United Medical Resources (Commercial)
  • Together with CCHP (Children’s Community Health Plan)
    • Children’s Community Plan (Medicaid)

TERMS

Gifts of Emotion is happy to submit your claims to insurance companies on your behalf.  Please be aware that clients are responsible for confirming benefit coverage prior to first appointment.

Anyone who uses insurance coverage for any psychotherapy service must be given a diagnosis, as insurance-covered treatment must be deemed “medically necessary.” If you are concerned about a diagnosis remaining on your permanent medical record, or prefer not to frame your concerns in a medical model, we offer the option of paying for services directly. We will discuss the benefits and drawbacks of each choice with you at your first visit.

According to federal law, Licensed Professional Counselors are not eligible to participate in Medicare at this time.  There is, however, legislation before congress, which includes the possibility of LPC’s being allowed to see Medicare patients.

We are currently out of network for and have not applied to all other insurance companies.  Our services are generally eligible for FSA and HSA reimbursement.  If you are unsure about whether your insurance plan covers our services, please call your insurance or us; Kenn is more than willing to assist you.

Please keep in mind that all charges are the responsibility of the client regardless of insurance coverage.  If coverage is denied, the financial burden falls to the client.  As a service to our clients, we happily file claims with your insurance carrier on your behalf and accept their assigned benefits.  We resubmit all denials and request explanation of benefits for all our clients.  However, full payment for deductibles and co-pays are due at the time of service. We accept cash, checks, and major credit cards.