FAQ
Accepted Insurances
Geisinger Commercial Plans (PPO or HMO—this does not include Medicare or Medicaid)
Highmark (Blue Cross Blue Shield)
Optum/United Behavioral Health (UBH)
Why Don’t You Accept Other Insurance Plans?
At this time, Verus Ridge is only in network with the three insurances listed. This is because we aim to view each person and their treatment needs individually, and insurance companies can at times dictate terms of treatment, such as length or number of sessions permitted, which may interfere with a client’s treatment goals. We believe the complexity of clinical work we hope to achieve with our clients is best completed through the mutual decisions of client and therapist, without parameters set by outside parties such as insurance providers.
Out of Pocket Fee for Services
For clients who choose not to use insurance or have an out-of-network plan, our initial intake appointment fee is $150. All appointments after that are $135. Sessions last approximately 53-60 minutes.
How Do Out of Network Benefits Work?
Clients pay the whole cost of the session up front via credit card kept on file via their unique Simple Practice Client Portal. Then, if eligible with their insurance plan, they can submit the superbills provided by their therapist for the therapy sessions directly to their insurance companies and may be reimbursed a percentage of the fee for the sessions in the superbill. Typically, clients must first meet their insurance deductible in order to be eligible for out of network reimbursements. Individual deductibles can vary widely, and each client is encouraged to check with their insurance provider to discuss out of network benefit options.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
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.
If you believe you’ve been wrongly billed or for more information about your rights under Federal law, you may visit: www.cms.gov/nosurprises or call 1-800-985-3059.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.