Insurance & payment

In-network insurance

Some therapists at Sandhill Counseling & Consultation are contracted to provide in-network services to clients. Sandhill will submit claims on the client's behalf for in-network services for the following insurance companies:

• Aetna
• Anthem/Blue Cross Blue Shield
• Cigna
• Medicare
• United Healthcare
• Tricare

When you call to set up your intake session, let the staff know that you plan to use your insurance and which carrier you have. Since not all therapists are contracted with all insurance plans, the staff member scheduling your intake session can set you up with an in-network provider. Co-payments must be made at the time of the service via cash, check or credit card.

If your insurance company is listed above, this does not guarantee coverage of services at Sandhill Counseling & Consultation. Clients must verify their specific plan's benefits.

Private pay

Many clients choose to pay privately for their counseling services as it allows the benefit of receiving counseling without a mental health diagnosis or the constraints of an insurance plan. In order for insurance to cover treatment services, there has to be (1) an identified patient, (2) a diagnosis, (3) it must be medically necessary, and (4) the treatment must be focused on treating the diagnosis. Counseling services not treating a mental health diagnosis are private pay services. Couples and Marital Therapy is 100% private pay at Sandhill.

Out-of-network insurance

Clients with insurance from a company with which Sandhill or its therapists are not contracted may choose to submit their receipts to their insurance company for out-of-network reimbursement. A mental health diagnosis is required to utilize health insurance. Sandhill does not submit claims for out-of-network services.

Health Savings and Flex Spending Accounts

If available, clients may use their Health Savings Account or Flex Spending Account to pay for services.

Questions to ask your insurance company

Understanding your behavioral health benefits will help you feel more in control and minimize the possibility of unexpected expenses. Call the phone number on the back of your insurance card and ask:

• Which types of therapy services are covered (individual, couples, family, group)?
• Does my plan cover in-network services at Sandhill Counseling with my therapist?
• Is pre-authorization required before seeking treatment?
• What is my ID number for behavioral health?
• What is my co-pay per session?
• What is my annual deductible, and has it been met?
• What are my behavioral health claims address and phone number?

Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Under the law, health care providers 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. Ask our staff for a Good Faith Estimate when you schedule.

Paying your balance

If you have a co-pay, you may receive a text message before your appointment asking you to pre-pay. After your insurance processes your visit, any remaining self-pay balance can be paid through the secure payment link we send by text or email. For help with payments, call 636-379-1779 extension 2 or email billing@sandhillcounseling.com.