BILLING FAQ

Our rates depend on the type of service provided. Insurance may cover some or all of your session. You can call your insurance company to learn more, or contact us to discuss payment plans.

Initial assessment $225

Typical follow-up session 52- 55 minutes $160

Short follow-up up tom 30 minutes session $120

Our rates for Medication Management services

Initial Assessment $400

Typical follow-up session 52-55 minutes $275

Short follow-up session up to 30 minutes $225

Yes, we are in-network for most major insurance carriers. These include:

• BCBS
• Health Partners
• UCare
• Preferred One
• Aetna
• Cigna
• Medica
• Optum/United Healthcare
• MN Medical Assistance
• Hennepin Health
• Bind

If you do not see your insurance company listed, you can call your carrier and ask if they will cover our services.

Minnesota insurance companies pay for the teletherapy for Minnesota residents. The Minnesota Licensing Boards requires patients to be MN residents, though you can travel or temporarily reside in a different state and your therapy will be covered.

Note: Medicare is not a Minnesota insurance so they have different rules for telehealth. However, Psychotherapy Partners does not accept Medicare.

Your insurance coverage is a contract between you and your insurance company, so it is your responsibility to know your insurance benefits. This is as easy as calling your insurance company and asking.

The information provided by your insurance is an estimate of your benefits and may change at the time of billing.

You will need to give us all relevant information relating to your insurance so we can ensure your insurance payments go through.

All copays and balances not covered by your insurance company will be your responsibility. We are happy to work with you to understand what your copay or balance might be after your insurance has been billed.

We will verify your benefits before your first visit.

We will submit your claims and assist you in any way we reasonably can to help get the claim processed.

We are happy to discuss any billing, payment, or insurance issues and will do our best to work with you to find solutions or answers to your questions.

You have following option to pay for your portion of the services:

1. Cash or check at the time of service.

2. Pay by credit card after accessing your patient portal.

3. By credit card provided when you complete new patient forms. We will charge you card on record when your insurance processed your claim.

Psychotherapy Partners does not send statements on regular bases but will provide statements or payment receipts on request.

Deductible: The amount you pay for the covered health care services before your insurance plan starts to pay.

Copays: Copayment (copays) and coinsurance are two types of cost sharing measures built into your healthcare coverage plan. Your copays are fixed fee that partially pay for medical services. Your coinsurance is the percentage of the treatment cost that you are expected to cover.

Maximum out of pocket: The most you must pay for covered services in insurance plan year. After you spend this amount on deductibles, copayments, and coinsurance for in network care services, your health plan pays 100% of the costs of covered benefits.

Your billed amount depends on how much your insurance company pays for each visit. We send your claim to the insurance company, and then they respond with an EOB (explanation of benefits). We will then bill you for the amount not paid by the insurance company. You can also obtain your EOBs from your carrier.

• ● If you have a deductible the insurance company will calculate the payment amount, apply it to your deductible and you are responsible to pay this amount to us.
• ● If you meet deductible or don’t have deductible, you may have a copay or coinsurance and the amount depends on your policy. You are responsible to pay this amount to us.
• ● If you have no deductible and no copay/coinsurance the cost of your session is paid in full by the insurance company.
• ● In the case that you have a copay/coinsurance and you meet your deductible and out of pocket amount, the insurance company will pay in full for your session
• ● Sometimes insurance companies deny claims then revise their decision and make a payment to us. In this case we reimburse you by crediting your account for the amount paid.

If you have any questions about billing not answered here, or if you are a current client and have questions about your statement, amounts you were billed for, need a receipt or statement, or need to discuss a payment plan please contact our office manager CJ Hordynski at 612-237-9238 or by email cjhordynski@ptpmn.org.

We only provide prescription refills during the visit with the provider. We require office visits on a regular basis for all patients taking prescription medications.