We are in-network providers for Blue Cross Blue Shield PPO and Humana. Your plan determines your deductible, copay, coinsurance, and whether or not mental health services require authorization. So, we encourage you to call the number on your card to check your mental health benefits. See the list of questions below for ideas of what to ask when you call.
After you've paid for your session, we are happy to provide you with a Superbill, which can be submitted to your insurance company for reimbursement of some of your cost, depending on your plan. You can call your insurance company to see if you have out-of-network benefits and what your out of pocket costs will be.
While we are out-of-network for BCBS HMO, you may be eligible for 50% coverage by calling and requesting a “50/50 mental health agreement."
To request a Superbill from Spout, please email firstname.lastname@example.org.
An app called Better may help you to submit your Superbills faster.
Our full fee per session is $150. We are glad to offer sliding scale services to clients in need. We prefer credit card payment, but also accept checks and cash.
Whether you are in-network or out-of-network, we recommend calling your insurance company to check your coverage carefully. Asking the following questions may help:
Is my plan in-network with Sprout Family Clinics?
Do I have mental health benefits?
Do I have a deductible, and if so, do I need to meet it before insurance will begin covering my sessions?
How many sessions per year does my health insurance cover?
Do I need preauthorization?
What is my co-payment per session?