Our standard rate for therapy ranges from $130 per hour (53 minutes face-to-face, 7 min. administrative) for our provisionally licensed therapists to $150 per hour for our fully licensed therapists. These rates are fairly standard among licensed therapists in our community who have specialized training in specific areas. We offer a limited amount of reduced rates for clients whose financial or insurance situation presents a hardship; please feel free to inquire about whether you qualify. If you find that you have insurance we do not accept, you may still be covered, as most insurance companies do offer reimbursements (see below).
How do I use my health insurance?
Our fully licensed clinicians are in-network with:
Blue Cross/Blue Shield (NOT BlueValue or BlueLocal)
Behavioral Health Systems
Carolina Behavioral Health Alliance (MedCost)
Wake Forest Employee Assistance Program (EAP)
*Please note that our provisionally licensed therapists are only in-network with BCBS (except BlueValue and Blue Local), and Gilsbar
*BCBS State Health Plan Members have a $0 copay through 2022 per Blue Cross and Blue Shield, as Banyan Tree Counseling providers are members of the State Health Plan Clear Pricing Project.
We are Out-of-Network with the following insurance:
BCBS Blue Value and Blue Local plans
* We are NOT associated with Medicaid, Medicare, or TriCare.
What if you aren't in-network with my insurance?
You may still get reimbursed! Many of our clients use their PPO insurance plans to obtain reimbursement for our services, even if we are out-of-network. In all cases, it is advised to check with your insurance company about the terms of your coverage before obtaining services. (For additional information, see the American Psychological Association's coverage guide).
How do I get reimbursed?
We'll provide you with a "superbill" which is a detailed receipt for services with all applicable insurance codes listed. You can then submit this directly to your insurance company for reimbursement, depending on your specific policy. Another option is to utilize Reimbursify, an app that helps patients who pay out of pocket receive reimbursement from their insurance company. We provide you with a superbill which you submit via the app. Reimbursify acts as the intermediary to get claims reimbursed.
Are there advantages to NOT using insurance?
There are several advantages to not using your in-network insurance, even if the cost is higher. Successful therapy requires a provider who is a good match for you. Because insurance companies often limit the size and scope of their provider networks, it can sometimes be difficult to find an in-network therapist who is qualified, available, nearby, and a good personal match. Insurance companies may also put restrictions on your treatment and limit the number of sessions demanding justification of medical necessity. They may also request access to your confidential record. Many insurance companies contract with therapists at rates that are far below market value, which means that providers with specialized qualifications may be underrepresented on insurance panels.
Lastly, when you call your insurance to verify your benefits for therapy, that's not a guarantee of payment. Insurance determines payment at the time the claims are reviewed, and this amount may differ drastically from what is initially quoted. Unfortunately, providers have no control of the timeline of insurance claims processing. We submit in-network claims within 24 hours of client appointments, but insurance can take between 30-120 days to process claims. There is no way to be 100% certain about exactly what you will owe per session until claims are processed and your provider receives the Explanation of Payment.
What questions should I ask my insurance company?
Mental health benefits are specific to your individual plan. We suggest calling the number on the back of your card and asking the following questions:
Do I have mental health insurance benefits?
What are my mental health benefits?
Is Banyan Tree Counseling an in-network provider?
What is the coverage amount per "psychotherapy session"?
How many "psychotherapy sessions" does my plan cover?
Is approval required from my primary care physician (PCP)?
How much does my insurance pay for an in-network (INN) provider? Out-of-network (OON) provider?
Do I have a deductible? If so, what is it?
Have I met my deductible? If not, how much is left before it is met?
Do I have a co-pay?
Do I have co-insurance?
Do I have a secondary insurance plan for Mental/Behavioral Health?
How do I pay?
Payment is due at time of service and a credit card is required to be kept on file at all times. Visa, MasterCard, Discover, and AmericanExpress are accepted. If you would like to pay using cash or check, payment must be made at least 72 hours in advance.
What if I need to cancel?
A 48 hour notice is required to cancel your appointment. If you do not give this advance notice of cancellation, a missed appointment fee of $95 will be charged to your credit card on file.
I'm ready to schedule!
To book an appointment or obtain more information, call 336-448-4451 or click here.