health insurance for behavioral health

In network insurance

Insurance companies that The Bridge Therapy & Wellness is considered in network for:  

  • BCBS

  • Preferred One

  • Medica

  • Optum

  • United Behavioral Health

  • United Healthcare

  • UCARE/UCARE-MA

    All other insurance companies are considered “out of network”.

    Read below about contacting your insurance company.

Out of network insurance

Insurance companies that The Bridge Therapy & Wellness is considered OUT OF network for:  

  • Health Partners

  • Cigna

  • Medicare

If you still wish to pursue services at The Bridge Therapy & Wellness you can do one of two things:

  1. Private Pay

  2. Call your insurance company to see what your “out of network” benefits are; typically this means you will have a deductible or a minimum amount you need to meet before they will cover services.

 

Contacting your insurance company

Using insurance will mean that we need a copy of your insurance card.  If you are using insurance it will be important to contact them prior to the first appointment to make sure they cover our services.  The phone number that you will need to call is located on your insurance card.  When you call they will ask the company name (The Bridge Therapy & Wellness) and your providers name.  They will then tell you if your provider is an in-network or out-of-network provider.  If they ask for the “service code” you will give them one of two options; 97801 or H0031.  The code you choose depends on whether or not the appointment will include an eating disorder assessment.  

Billing Codes for the initial session (intake):

  • General Intake Assessment: 1 hour, code: 97801                           OR  

  • General Intake Assessment & Eating Disorder Assessment, 2 hour; code: H0031   

Billing Codes for ongoing sessions:

  • 53 minute appointment 90837

  • 37 minute appointment 90834

Your insurance company may inform you that "no prior authorization is needed"...this means your assessment/intake appointment is covered and there is nothing more you need to do (besides making sure we get a copy of your insurance card).  They may give you a "prior authorization code", please write this down and make sure that you provide this to your provider on (or before) your initial appointment.         

Once you have “authorization” for your initial appointment:

THE BRIDGE THERAPY & WELLNESS WILL BILL THE INSURANCE COMPANY DIRECTLY AND COLLECT ANY CO-PAY OR DEDUCTIBLE AT TIME OF SERVICE.  

After your first appointment your provider will call your insurance company and give them information about your assessment appointment and recommended treatment (i.e. meet with therapist once a week, bi-monthly, engage in group therapy).  Insurance will either authorize or deny further services.  Typically, initial services are authorized; although they may have a limit on how many sessions are allowed per year.  Please note that insurance authorizes session times which are usually either 45 minute or 53 minute sessions.  While we know that most individuals would prefer to have a 53 minute session it is something that is approved based on your assessment and what your insurance company approves.  

All payments are due at time of service.