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White Sheet

Insurance Information

Statement from all insurance companies to patients

Unless otherwise required by state law, this notice is not a guarantee of payment. Benefits are subject to all contract limits and the member's status on the date of service. Accumulated amounts such as deductibles may change as additional claims are processed.

Please Note

Per EVERY insurance agreement, it is the responsibility of the PATIENT/CLIENT to know their copay amount and annual deductible balance and to pay your outstanding balances on your account promptly per your contract.

Sessions that occur in our offices are eligible for insurance reimbursement. However, other services such as telephone consultation, email communication, document review, and report writing may not be covered by insurance. A  fee will be assessed for these services.

Accepted Insurances

Benefit Information is given to Rapha Counseling from your insurance company and represents estimates only. Rapha Counseling is not responsible for co-pays and/or deductibles that may differ from what Rapha Counseling is told when verifying benefits. The Client/Guarantor gives permission to Rapha to contact any third-party payer for payment. Rapha Counseling will submit claims to my insurance company on behalf of the Client/Guarantor.

Aetna
Aetna Open Access / Elect Choice
Aetna Choice POS II
Aetna Meritain
AllWell
Ambetter
Anthem Commercial
BCBSTX
Bind
Boon Chapman

Carelon Health Options
Champ VA

Cigna
Community First Commercial

GEHA
Humana
Imagine 360 
Optum
Oscar
Oxford
PHCS/Multiplan
Partners Direct Health

Redirect Health - Open Access Plan
United Health Care (UHC / Optum)
UMR

We currently accept the following

Employee Assistance Program

Aetna

Anthem
Carelon Behavioral Health

Corporate Counseling Associates CCA

Health Advocate EAP  

CuraLinc Healthcare

Mutual of Omaha EAP

​We are constantly updating and adding new insurances

Cash Options

All sessions are 50-55 minutes in duration unless otherwise specified

Rich Text
Service
Type of Session
Cost

Licensed Professional

Individual
Initial Session Intake
150
Subsequent Sessions
120
Additional 30 minutes
75
Family Session / Couples
Initial Session Intake
175
Subsequent Sessions
150
Additional 30 minutes
75
NC / NS fee
No Call / No Show fee
75

Accelerated Resolution Therapy

ART for Trauma
Eye movement therapy
150

LPC-Associate

Individual
Initial Session Intake
75
Subsequent Sessions
75
Additional 30 minutes
75
Family Session / Couples
Initial Session Intake
100
Subsequent Sessions
100
Additional 30 minutes
50
NC / NS fee
No Call / No Show fee
50

Practicum Student

Individual
Initial Session Intake
50
Subsequent Sessions
50
Additional 30 minutes
25
Family Session / Couples
Initial Session Intake
75
Subsequent Sessions
75
Additional 30 minutes
35
NC / NS fee
No Call / No Show fee
25

Court Cost*

300

Legal Retainer Fee*

1,750

* Please be advised that we strongly advise against going to court, understand providers will give their honest assessment as an objective third party.

Court cost appearances may not be covered by insurance and will be the responsibility of the client

We accept Cash, Visa, Master Card, Discover and Some FSA cards

There will be a $ 75.00 no show fee assessed for cancellations under 24 hours notice.

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