Payment Options
We Currently Accept the Following Insurances:
Aetna
Ambetter
Amerigroup
Blue Cross Blue Shield (BCBS)
CareSource
Cigna
Peach State
Humana
Humana Medicare
Medicaid (Straight)
Medicare (Straight)
United Healthcare
United Healthcare Medicare
Don’t See Your Insurance?
Not a Problem!
We understand that navigating insurance can be tricky, and not everyone’s insurance provider is listed. No worries! We offer services to those outside of the listed providers and even to individuals who don’t have insurance coverage.
If you don’t see your insurance or if you’re self-pay, simply contact our office. We’ll be happy to provide you with further pricing details and discuss affordable options that work for your budget.
Your mental health is important, and we’re here to make sure you get the care you need, no matter your insurance situation. Reach out today, and we’ll work with you to find a solution that fits.
Income Based Option
| Family Size & Income | $40 Session | $60 Session | Full Rate |
|---|---|---|---|
| 1 Person Household |
$15,650 - $23,475 | $23,476 - $31,300 | $21,301 |
| 2 Person Household | $21,150 - $31,725 | $31,726 - $42,300 | $42,301 |
| 3 Person Household | $26,650 - $39,975 | $42,301 - $53,300 | $53,301 |
| 4 Person Household |
$32,150 - $48,225 | $53,301 - $64,300 | $64,301 |
| 5 Person Household |
$37,650 - $56,475 | $64,301 - $75,300 | $75,301 |
| 6 Person Household | $43,150 - $64,725 | $75,301 - $86,300 | $86,301 |
| 7 Person Household |
$48,650 - $72,975 | $86,301 - $97,300 | $97,301 |
| 8 Person Household | $54,150 - $81,225 | $97,301 - $108,300 | $108,301 |
| Federal Poverty Level | 0% - 150% | 151% - 200% | >200% |
Income Based payments are available as an alternative payment option for people to receive quality mental health services with a lower fee.
The rates listed are based off the Federal Poverty Level standards. Proof of household income is required.
Procedures are in place to help patients who are below 100% of the Federal Poverty Level and cannot afford the nominal fee.
For households with more than 8 persons, add $5,380 for each additional person
Procedures are in place to help patients who are below the 100% of the Federal Poverty Level and cannot afford the nominal fee.
Must provide proof of household income.
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. Under the law, health care organizations need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care organization gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care organization, and any other organization you choose, for a Good Faith Estimate before you schedule an item or service.
Evergreen Counseling provides session and service fees in our initial intake documentation with clients who are private pay which clients must sign before their first session.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Good Faith Estimate
Before Attending Your First Appointment
To ensure you have all the information you need and avoid any surprises, we recommend calling your insurance provider directly before your first appointment to verify the cost of services.
INSURANCE VERIFICATION WORKSHEET
Let’s work together
To help you get the exact answers you need from your insurance, we’ve provided a list of questions that will help you gather the necessary details to confirm your coverage, co-pays, and any other costs you may be responsible for.
Understanding what your insurance covers can be tricky, but we’re here to help. Asking a few key questions can make it much easier to understand your options.
When speaking with your insurance provider, be sure to mention that you’re seeing a Licensed Professional Counselor. You may also need our National Provider Identifier (NPI) number: 1174196612.
Is Evergreen Counseling Services, LLC in network for my plan?
Do my benefits include outpatient counseling?
The procedure codes are 90791 and 90837
Are there any exclusions or limitations?
Am I responsible for any copay or coinsurance for the visit?
Is there a different copay or coinsurance for telehealth services?
Are my visits subject to a deductible?
Has the deductible been met for the year?