Services Covered by Insurance
Light On Anxiety’s primary services of therapy, psychiatric medication management, and neuropsychological testing are usually reimbursable by your insurance company. Light On Anxiety is an in-network provider with the following insurers:
-
Blue Cross Blue Shield
- PPO
- Blue Choice
- MyBlue Plus
- Aetna Commercial Plans
Light On Anxiety is NOT a Medicare or Medicaid provider.
While the filing of insurance claims is a courtesy we extend to our clients enrolled in select insurance plans above, all charges are your responsibility from the date services are rendered. If your insurance company does not pay a claim, you accept full responsibility for payment in full for any outstanding balance.
For all other commercial insurance plans (non-Medicare or Medicaid), we are happy to submit claims electronically, on a monthly basis, to facilitate obtaining out of network payment. We recommend contacting your insurance company to learn about your out of network benefits.
All clients not utilizing in-network insurance have the right to receive a “Good Faith Estimate”. Private pay rates for clients not utilizing in-network insurance benefits are below.
- Master level therapists: $195 for 53 minute sessions
- Doctorate level therapists: $280 for 53 minute sessions
- Group therapy: $65 per session
- Medication management: Vary by service(s), typically $175-$375
- Outcome measures: $10 per brief assessment
Private Pay Services
Light On Anxiety offers additional services which are not covered by your insurance, including:
- Educational Consulting: $150 per hour, with bundle packages depending on your needs
- Out of Office Sessions: Travel time prorated at your clinicians' hourly rate, prorated in 15 minute increments
All Light On Anxiety therapists, whether Master Level or PhD Level, are Certified in CBT and ERP for Anxiety, OCD and related conditions. Light On Anxiety guarantees you will be in competent, well trained and caring hands no matter who you work with.
Frequently Asked Billing Questions
What are my mental health benefits?
It is recommended that you contact your insurance company prior to beginning treatment at Light On Anxiety in order review your specific benefits to determine if your plan requires preauthorization prior to obtaining mental health treatment as well as your copay and deductible amount.
For an explanation of terms associated with your health insurance benefits and financial responsibility, please visit our Understanding Your Health Insurance Benefits page here.
How much will I have to pay for therapy at LOA ?
To get the most accurate information, we recommend contacting your insurance company directly, as benefits and financial responsibility may vary depending on plan type. It may be helpful to provide your insurance company with the information below to expedite the process of them informing you of your financial responsibility for treatment at LOA.
NPI for Light On Anxiety: 1619308087
Therapy CPT/Billing Codes:
- 90791 for intake
- 90832 for 25 min session
- 90834 for 40 min session
- 90837 for 55 min session
Medication Management CPT/Billing Codes:
- 99205, 99204 or 90792 for intake
- 99212, 99213, 99214 or 99215 for follow-up appointments
They may also ask for the diagnosis code for what you will be obtaining treatment for. See list below for the most frequent conditions we treat and the associated diagnosis codes.
Sample Diagnosis Codes:
- Generalized Anxiety Disorder F 41.1
- Panic Disorder F 41.0
- Obsessive Compulsive Disorder F 42.9
- Social Anxiety Disorder F 40.10
- Specific Phobias F 40.2
- Trichotillomania F 63.3
Why don’t I see my therapist’s name on my insurance?
Light On Anxiety is in-network with BCBS PPO, Blue Choice PPO, MyBlue Plus POS and Aetna, even if a provider is not individually listed on your insurance’s provider finder.
I do not have BCBS or Aetna but I would like to try to use my insurance benefits for services at LOA.
We are happy to submit paid claims to your insurance company electronically, on a monthly basis, to facilitate obtaining out of network payment.
Some of our clients have been successful contacting their insurance companies directly and requesting a “single case exception” to be able to work with Light On Anxiety, given the difficulty of finding an in network therapists who specializes in anxiety.
Is Light On Anxiety in-network with Medicare?
Light On Anxiety is not in network with Medicare and is unable to submit out-of-network claims. By choosing to work with Light On Anxiety, you choose to completely forego the use of your health insurance benefits.
Why do I see a charge on a date when I did not have a session?
Light On Anxiety charges you for your co-pays and deductibles after claims have been processed and received from your insurance company. This ensures you are paying only what is owed. Insurance processing can take up to several weeks, so charges may be delayed from when the appointment occurred.
Do you offer sliding scale rates?
Light On Anxiety may be available to offer sliding scale rates for clinical services based on financial need and availability.
To learn more about sliding scale rates, contact our Care Management team at [email protected].
What is your cancellation policy?
There is a $100 fee for any appointments cancelled or rescheduled with less than 48 hours notice. The cancellation fee may be refunded if rescheduled within four (4) days.
Cancellation fees are not covered by insurance and are your responsibility. If you are ill, please consider the use of telehealth to keep your appointment. Emergencies or special circumstances where notice is unable to be provided are considered on a case-by-case basis and at the discretion of Light On Anxiety.
If you have any questions on Light On Anxiety’s financial policy, you can email us at [email protected]. If you are ready to schedule an appointment, you can do so now using our online calendar.