Accepted Forms of Payment

• Self-Pay 

• Aetna

• Blue Cross Blue Shield (Anthem, Premera, Regence, etc.)

• PacificSource

• Providence

• Our providers do not accept EAPs, Medicaid, and Medicare.

• Note:

  • While we accept the insurances indicated above, we may not accept your specific insurance plan. Clients are responsible for ensuring our organization is in-network with their specific insurance plan and ensuring services are covered by their plan.

  • The insurances our providers work with can vary from provider to provider. To learn what insurances a provider accepts, please visit their About page or contact us.

Clients Using Insurance

• For individuals using insurance to cover appointments, the costs of appointments are determined by each insurance’s contracted rates with our organization. Thus:

  • The cost of appointments may be notably different than the cost of appointments for individuals who are self-pay.

  • The cost of appointments may change if your insurance changes.

  • The cost of appointments may change if our contracted rates with your insurance change.

• The cost of appointments may vary from appointment to appointment depending on the services provided (medication management, therapy, etc.), the length of appointments, the time spent completing tasks on the date of the appointment, and the complexity of appointments.

Clients Who Are Self-Pay

• Rates vary depending on type of service (therapy vs. medication management) and length of session. Please contact our office for additional information.

All Clients (clients who are self-pay and clients using insurance)

• Forms, letters, or other paperwork completed complete outside of appointments: $150/hour.

• The no show/late cancellation fee will be automatically charged to the card on file for no shows and appointments canceled/rescheduled with less than 48 hours’ notice.

• The no show/late cancellation fee is an out-of-pocket expense, as insurance companies cannot be billed for missed appointments. We must enforce fees for missed appointments and late cancellations to ensure we are treating all clients consistently and ethically and to be respectful of our providers’ time.

Payment Policy

• Clients are required to have a valid debit card or credit card on file at all times.

• Clients are required to pay all outstanding balances within 21 days of the invoice date or by 4 p.m. PST the night before their appointment (whichever comes first). Outstanding balances may include copays, deductibles, co-insurances, and fees associated with no shows and late cancellations. 

• All payments and outstanding balances that are not paid by 4 p.m. PST the night before an appointment will be automatically charged to your card on file. 

Insurance

• Clients are responsible for fully understanding their insurance coverage.

• Clients are responsible for all costs not covered by their insurance.

• Despite having insurance, clients may still have a “patient responsibility” for visits. The “patient responsibility” is determined by insurance and depends on several factors to include your copay, deductible, and co-insurance.

• Clients are responsible for ensuring their provider is in-network with their insurance. Furthermore, clients are responsible for ensuring services are covered by their insurance.

• Clients are responsible for promptly notifying the office of insurance changes.

• Failure to promptly notify the office of insurance changes may result in visits being denied by insurance. In the event that a visit is denied, clients will be charged the full self-pay rate listed above. 

• Clients are advised to contact their insurance directly to confirm coverage. Important questions to ask your insurance include: 

1. Is the provider in-network with my plan? 

2. Does my plan cover outpatient mental health treatment? 

3. Does my plan have a separate “carve out” insurance that covers outpatient mental health treatment? 

4. Is a referral needed for outpatient mental health treatment? 

5. Is prior authorization needed for outpatient mental health treatment?

6. Does my plan cover telehealth for outpatient mental health treatment? Are telehealth visits covered regardless of the platform used?

7. What is my copay for outpatient mental health treatment? 

8. What is my deductible? Does my deductible apply for outpatient mental health treatment? 

9. What is my co-insurance for outpatient mental health treatment?

• Upon request, Mindful Mental and Behavioral Health PLLC may attempt to estimate the cost of appointments. Estimates may not reflect the true cost of appointments. The cost of each appointment will be determined by clients’ insurance after the visit details are submitted. Clients are responsible for paying the amount specified by their insurance.