Insurance

Insurances Accepted*:

Aetna

BCBS/Regence

Cigna

Community Health Plan of WA

ComPsych

Coordinated Care

First Choice Health

Kaiser

Lifewise

Meritain

Moda

Molina

Pacific Source

Premera BCBS

Providence Preferred

United HealthCare/Optum (UHC)**

United Medical Resources (UMR)

*Each therapist on our team has their own unique licensing and paneling, which means not all of them can accept every insurance. You can explore this information in the ‘about’ section above, under each therapists profile.

**This does not include United HealthCare Community Plan (apple health) - we cannot accept this plan

As a courtesy, we bill insurance carriers directly. However, it is the client’s responsibility to provide accurate insurance coverage information, including copay/coinsurance amounts.

Clients are responsible for all charges resulting from treatment rendered by Wild Heart Society. Clients are required to contact their insurance company prior to their first appointment to confirm benefits, including fees due at the time of the appointment, deductibles, and authorizations for service. If a change of insurance occurs, it is the client’s responsibility to verify any new benefits and inform Wild Heart Society of the change before the next scheduled appointment/service.

Clients will be held financially responsible for services provided should their insurance benefits fail to cover services.

If a secondary insurance is to be billed, you will need to confirm which is the primary and which is the secondary with your insurance companies, and then provide all information for both insurances.

It is the client’s responsibility to be aware of their insurance benefit coverage, exclusions, deductibles, copay and coinsurance amounts. Any amounts not covered by insurance are the client's responsibility.

Please use these questions to guide you through the verification process:

• When did my coverage begin?

• What is the payer ID the provider should use when submitting claims?

• Does my policy cover mental health services (specifically these CPT Codes: 90791, 90837, 90834, 90847, and 90846)? If so, are there any types of mental health professional licenses that are excluded from my coverage?

• Is Wild Heart Society, PLLC in Vancouver, WA in network? (If needed, Wild Heart’s main address is 652 Officers Row, Vancouver WA 98661).

• (If Out-Of-Network) Will my policy cover services performed by this provider?

• Is my plan an EAP (Employee Assistance Program)? If so, are EAP-related mental health services covered at Wild Heart Society?

• Is there a maximum number of visits or amount per year for this service?

• Will I have a copay or coinsurance? If so, how much, or what percentage?

• Will these services be applied toward my deductible? If so, what is my deductible amount, and how much have I met?

• Will I be required to pay the full amount for services until my deductible is met?

Good Faith Estimates (GFE’s)

What are they, and who are they for?

A Good Faith Estimate is for clients not enrolled in an insurance plan or coverage, or are enrolled and choose to forgo using insurance for the expected cost of any non-emergency items or services.

How do I get one?

At any time, you may request a Good Faith Estimate from your therapist. If you choose to use a Good Faith Estimate, we recommend saving a copy for yourself and your records.

What do I need to know about a Good Faith Estimate?

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit CMS.gov/nosurprises