Insurance
Can we use our Insurance?
Maybe. Insurance does NOT pay for Coaching, Marriage Counseling, Family Counseling, Relationship Problems, Religious or Vocational concerns. There may be other exclusions for some forms of consultation, personality assessments, training services and classes. Please be aware that your specific plan must have Mental Health Benefits coverage for “Psycho-therapeutic” services. In order to provide our clients with full disclosure we want you to be aware that your insurance company will always provide the disclaimer that they do NOT EVER guarantee payment for services rendered even when a listed provider is contracted to provide services. And, further, you, yourself are the guarantor for any and all payment(s) for services rendered and NOT your Insurance Company. In the end, it is our understanding that the insurance company maintains the right not to pay for their own reasons and purposes. Our contract for the specific services we provide to you is only between you and us at Access Strategies, Inc. Insurance merely exists to help you pay for those services. Your personal contract with the insurance company is separate and distinct from us as your provider of services (it is between you and them, and not with us). And, our provider contract with the insurance company is ours alone and is separate from you as their member.
Then, you, as a person, must be identified as the “patient.” And, in order for them to “help you” the Insurance Company demands the right to review all records to determine whether or not these services are Medically Necessary Services for you and your Mental Health situation. And, further a valid Psychiatric Diagnosis must be made for you individually, applied to you, and maintained with you during the entire course of all Psycho-therapeutic assessment and treatment. It is our understanding that your Psychiatric Diagnosis remains on your permanent medical record through out your lifetime. It is our experience that for your Insurance Company to help pay for psycho-therapeutic services your diagnosis must be of the kind like a depressive disorder (eg. depression) and, or anxiety (eg. Panic Attacks) type of Psychiatric Disorder. For these reasons, and perhaps others, many of our clients choose NOT to use their insurance benefits even if they do have them. Over the past 20 plus years in the mental health industry we have found insurance coverage to be full of vastly different conditions, limitations and liabilities. We will be more than willing to try to further explain opportunities, and, or limits or liabilities in attempting to use your insurance benefits. Please feel free at anytime to ask any questions you may have about the use of insurance benefits. We will do our best to try to assist your navigation through this, admittedly sizable and confusing maze.
Please note, currently, we only accept new insurance clients at the Dahlonega office. Both the Cumming and Johns Creek offices are out of network. In that case we may be able to give you a Super Bill for you to send to your insurance company for reimbursement according to your plan's benefits.
Maybe. Insurance does NOT pay for Coaching, Marriage Counseling, Family Counseling, Relationship Problems, Religious or Vocational concerns. There may be other exclusions for some forms of consultation, personality assessments, training services and classes. Please be aware that your specific plan must have Mental Health Benefits coverage for “Psycho-therapeutic” services. In order to provide our clients with full disclosure we want you to be aware that your insurance company will always provide the disclaimer that they do NOT EVER guarantee payment for services rendered even when a listed provider is contracted to provide services. And, further, you, yourself are the guarantor for any and all payment(s) for services rendered and NOT your Insurance Company. In the end, it is our understanding that the insurance company maintains the right not to pay for their own reasons and purposes. Our contract for the specific services we provide to you is only between you and us at Access Strategies, Inc. Insurance merely exists to help you pay for those services. Your personal contract with the insurance company is separate and distinct from us as your provider of services (it is between you and them, and not with us). And, our provider contract with the insurance company is ours alone and is separate from you as their member.
Then, you, as a person, must be identified as the “patient.” And, in order for them to “help you” the Insurance Company demands the right to review all records to determine whether or not these services are Medically Necessary Services for you and your Mental Health situation. And, further a valid Psychiatric Diagnosis must be made for you individually, applied to you, and maintained with you during the entire course of all Psycho-therapeutic assessment and treatment. It is our understanding that your Psychiatric Diagnosis remains on your permanent medical record through out your lifetime. It is our experience that for your Insurance Company to help pay for psycho-therapeutic services your diagnosis must be of the kind like a depressive disorder (eg. depression) and, or anxiety (eg. Panic Attacks) type of Psychiatric Disorder. For these reasons, and perhaps others, many of our clients choose NOT to use their insurance benefits even if they do have them. Over the past 20 plus years in the mental health industry we have found insurance coverage to be full of vastly different conditions, limitations and liabilities. We will be more than willing to try to further explain opportunities, and, or limits or liabilities in attempting to use your insurance benefits. Please feel free at anytime to ask any questions you may have about the use of insurance benefits. We will do our best to try to assist your navigation through this, admittedly sizable and confusing maze.
Please note, currently, we only accept new insurance clients at the Dahlonega office. Both the Cumming and Johns Creek offices are out of network. In that case we may be able to give you a Super Bill for you to send to your insurance company for reimbursement according to your plan's benefits.
