Integrated Behavioral Care does not participate as an In-Network provider with any of the major health insurance or managed care company plans. However, most Indemnity, PPO, and POS plans have optional “Out-of-Network” benefits available. Contact your plan’s customer service representative and request information about coverage for Mental or Behavioral Health Outpatient Services rendered by a “Non-Participating Provider” in order to answer any questions:
- Is there is an individual or family out-of-network deductible, the amount, and whether any of that amount has already been satisfied for this year
- Once the deductible is met how much will insurance cover and how much will be your responsibility; frequently this will be a percentage of the total billed amount
- Is there is a limit to the number of visits covered per year
- Are both “biologically based” and “non-biologically based” conditions covered
- Is a referral from your primary care physician required, or if there are other pre-certification or authorization requirements
- Is it possible to obtain reimbursement for psychotherapy through a pre-tax Health Savings Account (HSA or Flex Account)
On an individual basis some IBC staff members do participate as in-network providers with CONCERN Plus and/or accept Medicare.
Charges vary depending upon the type of service and the provider. Please discuss fees directly with your psychiatrist or therapist. Payment in full is expected at the time of service. Cash and checks are accepted for payment (checks can be made out to “Integrated Behavioral Care, P.A.”). We do not accept credit card payment. At the end of your appointment you will be provided with a superbill which includes all information necessary for you to submit these charges directly to your insurance company. Once your insurer has processed the claim they will then reimburse you directly for any “Out-of-Network” covered costs. The superbill also serves as your receipt when itemizing medical costs for tax purposes.
When an appointment is scheduled that period of time is reserved exclusively for you. It typically is not possible for your provider to fill that appointment time with another patient at the last moment. If you miss or forget an appointment or need to cancel with less than a 24 hour notice you will be charged for the session. In the event of serious or contagious illness, extreme weather, family or personal emergencies the fee may be waived. Please note that insurance companies do not reimburse charges for missed appointments.
It is truly essential that you be able to speak freely about your concerns, knowing that this information is kept safe and confidential.We respect the dignity and worth of all people, and the rights of individuals to privacy, confidentiality, and self-determination. Confidentiality is an ethical and legal obligation to not disclose any private information about the individuals and families we treat (even the fact that you are being seen for professional services). An individual can waive this right at their own discretion. For instance if you would like a referring doctor to be able to speak directly with your psychiatrist, you may choose to grant the doctors permission to communicate with one another regarding your symptoms or progress.
In addition, there are legally mandated exceptions to patient confidentiality, including when there is reason to believe
- a child or elder adult has been abused
- you present a serious danger of violence to others
- you are likely to seriously harm yourself
- your child is at risk of serious harm to themselves or others
- Or when disclosure is required by Federal or state law or regulation or by a judge’s order
These situations arise very infrequently and we will discuss with you our concerns at any time circumstances might warrant such actions. If you have any questions or concerns about the limits of confidentiality please discuss this with your provider.
Privacy and HIPAA
IBC does not electronically transmit any of your Personal Health Information (PHI) to any outside billing service, insurance company or government agency. This makes us a “non-covered entity” under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). In our commitment to safeguarding your privacy your records will not be accessible to any networked computer or entered electronically into any outside organizational or public database.