Accepted Insurances

Please note: there are restrictions on my ability to take some plans and some out of state plans. Please check with your insurance to identify if there are restrictions on which providers you can see with your insurance if you are unsure. 

Aetna

Anthem

CareSource

Cigna

Humana

Magellan

Medicaid (depending on insurance provider and plan)

Medicare (depending on insurance provider and plan)

Molina

Ohio Healthy

Optum

UnitedHealthcare

What will I owe for my sessions?
 

 Fees through insurance are dependent on insurance provider fees, individual copay and deductible details. This can range from $0 to the full fee-- up to $180 dollars. Please check with your insurance company for more specifics to be sure that you understand what fees your insurance will require of you. Fees are non-negotiable and once services have been rendered, I am unable to adjust or waive fees.

Contact your insurance company to be sure what you will owe
 

If you are unsure about the details of your insurance copay or deductible, it is a good idea to check with them before your first appointment so you do not have any unexpected fees. Once you have agreed for me to bill your insurance and once I have sent a claim for your session to insurance, it is typically non-reversible. Although I will attempt to understand your insurance requirements and fees, it is your responsibility to ask your insurance about expected fees for routine outpatient behavioral health services if you are concerned about finances and/or if you do not know the details of your insurance. Insurance companies require “CPT” (service codes). The codes that may be used for your sessions are 90791-GT, 90837-GT, 90834-GT, and 90832-GT. It may be helpful to have these codes handy when calling your insurance company

Self-Pay Fees

"Self-pay" refers to paying for services without use of insurance.

$150 per 50-60 minute session, $180 for the "Intake" appointment (first appointment). Sliding scale available, must be discussed prior to first session.

Late cancellation and no-show fees:

We require that you give a minimum of 24-hours notice for telehealth sessions and 72-hours notice for in-person sessions when unable to attend a scheduled appointment. You can call the office number, email, or reschedule through the client portal.

This includes your first session.

 

Failure to cancel within the above guidelines will result in a $50 cancellation fee unless you have Medicaid.

This fee will not be covered by your insurance. Check with your insurance company to see if you're able to use your HSA to pay these fees.

Please discuss if there are special circumstances to your situation with your therapist. Frequent missed appointments or cancellations prevent others who need support from being seen.

Columbus, OH 43214
Email: sbergstein@mantramentalhealthllc.com Tel: (614) 984-4394
Fax: (614)319-5618