All of our mental health providers are in-network providers for most Anthem Blue Cross and Aetna HMO and PPO mental health benefit plans. To ensure a clear and efficient experience, please review the following information regarding what to expect when using your in-network insurance benefit. 

Verification of Benefits & Your Costs:

We will verify your insurance coverage online before your first appointment.

• If anything is unclear, we will call your insurance company directly to confirm.

• Before your first session, we will inform both you and your clinician of your estimated out-of-pocket costs (copays, coinsurance, deductibles).

Your Responsibility: If you believe the quoted benefits are incorrect, you must contact your insurance company for clarification before your first session. You are ultimately responsible for confirming your coverage and will be responsible for paying for the full cost of services if your insurance company denies a claim.

Payment at Time of Service:

You are responsible for paying any applicable copays, coinsurance, or unmet deductible amounts at the time of service.

• For our mutual convenience, we require a credit card on file so that payments can be processed automatically. 

• A payment receipt is automatically generated and sent to your email on file after every transaction. You may request monthly statements if you prefer.

Denied Claims & Grace Period:

We strive to ensure your insurance covers services, but denials can occur. We will investigate and may ask for your help in advocating for coverage.

• If a denial is upheld, you will be given a 30-day grace period to either pay the contracted rate or the private pay rate, depending on the reason for the denial, or resolve it with your insurance. If the amount due is not paid after 30 days, your card on file will be charged.

• If ongoing services are likely to be denied during this grace period, you will be required to pay either the full contracted rate or the private pay rate, depending on the reason for the denial, at the time of service. If insurance later pays, you will receive prompt reimbursement for any previous payments.

Important Considerations:

Your Plan: Mental health benefits vary; it is your responsibility to understand your specific plan. Quoted benefits are not a guarantee of payment.

• Changes in Coverage: Notify us immediately if there are any changes to your insurance coverage. Failure to do so may result in you paying the full private pay rate for sessions during a lapse in coverage.

Authorization: Some plans may require prior authorization for ongoing therapy; we will assist with this.

Credit Card Storage:

Your credit card data is securely processed and stored by Vantage*, a PCI-compliant third-party processor integrated with TheraNest (our electronic health records system).

• Credit card information is never stored within TheraNest, nor is it stored on any Greenhouse devices or servers.

• You can securely enter your card details via your client portal, or your clinician can take the information during your first session.

*We will shortly be transitioning to Stripe. Updated information will be available soon.