Psychotherapy billing

Billing FAQ

We want to make your experience as clear and smooth as possible. These answers to common questions should help you navigate the billing process. If you don’t see what you’re looking for, or need further assistance, feel free to reach out and we’ll work with you to find a solution.

  • How much do your sessions cost?

    Our rates depend on the type of service provided and the discount the insurance provider applies. Full billable rates for some of the most common services are listed below, with some listed as ranges depending on the length of the session and other factors. Please reach out if you have questions.

    • Psychotherapy
      • Intake (Diagnostic) Assessment: $250
      • Follow-Up: $145-$185
      • Group: $100
      • No Show / Late Cancel: minimum $100
    • Psychiatry / Medication Management
      • Intake (Diagnostic) Assessment: $425+
      • Follow-Up: $225+
      • No Show / Late Cancel: minimum $180
    • Nutrition Therapy
      • Intake Assessment: $240
      • Follow-Up: $70-$140
      • No Show / Late Cancel: minimum $100
    • Psychological Testing
      • Intake (Diagnostic) Assessment: $250
      • Follow-Up (depending on sessions and tests administered): $138-$2000+
      • N-648 (Medical Disability Exception for U.S. Citizenship): $500+
      • No Show / Late Cancel: minimum $180
    • Neurofeedback
      • Rates: Variable
      • No Show / Late Cancel: $75
    • Acupuncture
      • Rates: Variable
      • No Show / Late Cancel: $75
    • Yoga Therapy
      • Intake: $170
      • Follow-Up: $85
      • No Show / Late Cancel: varies by provider
    • Reiki & Wellness Coaching
      • Please inquire
    • No Show / Late Cancel Fee
      • Minimum fee of $100 for psychotherapy and other services
      • Minimum fee of $180 for psychiatry and psychological testing
      • No Show / Late Cancel fees are unable to be billed to health insurance
      • Clients with certain state-sponsored plans are not subject to late cancel fees
    • Sliding Fee Scale
      • A reduced/sliding fee scale is offered by many providers to those eligible and is standardized based on the Federal Poverty Guidelines
  • Do you accept health insurance?

    LynLake is in-network with most major commercial and state-based insurance plans, including:

    • Aetna (note: We are not in network with Aetna Allina plans)
    • America’sPPO / HealthEZ
    • Behavioral Health Plan (BHP)
    • Bind/Surest
    • BlueCross / Blue Shield (BCBS, BCBSMN)
    • Cigna
    • Health Partners (HP)
    • Hennepin Health (HH)
    • Magellan
    • Medica
    • Medical Assistance (MA / MHCP)
    • Medicare Part B
    • Optum
    • PreferredOne
    • UCare
    • United Behavioral Health (UBH)
    • United Health Care (UHC)
    • United Medical Resources (UMR)
    • Veterans Affairs (VA) Community Care Network (CCN)

    In addition to commercial and state-based insurance coverage, LynLake provides the following payment options:

    • Employee Assistance Program (EAP) (select plans and select providers only)
    • Private / Self Pay (please see above for rates)
    • Pro-Bono (as eligible; limited)
    • Sliding-Fee Scale (as eligible; standardized based on Federal Poverty Guidelines)

     

    * If you have an insurance type that is not listed above (e.g., PrimeWest; Tricare) we may still be able to provide services that are covered “out of network” by your insurance. For more information, please call the Member Services number on the back of your insurance card to see if your health benefits cover services at Lyn-Lake Psychotherapy & Wellness. Our NPI# is 1609355163.

     

    * Please note that not every LynLake provider is in-network with every plan, and your plan may or may not cover particular specialty services, such as nutrition therapy, psychological testing, or acupuncture. We recommend you contact your insurance plan for information. Our Referrals Specialists will work with you to match you with a provider who best meets your needs. Your provider will also talk with you about how to check your benefits prior to beginning services.

  • How do you handle billing and client payments?
    1. Your provider is expected to bill your services within 48 business hours. Your payment is due at the time of billing. Of course, due to life circumstances, there may be a slight delay in your provider’s billing. If this is a concern for you, please discuss with your provider.You have two options for paying your portion of the service.
      1. You can either pay your provider in session with cash or check AT THE TIME OF SERVICE (some, but not all, providers accept payment. Nurse Practitioners never accept payment), or…
      2. We will charge your card on file when your insurance processes your service (this can take 1-6 weeks, but usually happens within a month – your Square receipt lists the service(s) we have charged). This is called “autocharge” and it is the default option at LynLake.

      NOTE: LynLake does not send regular invoices for services EXCEPT in the case of a Third Party paying for your service (like a parent paying for the child/adult child).

  • What happens when I have a question about a charge, need a receipt for insurance, would like to discuss a payment plan, or I need to do something like update my address, insurance, or credit card on file?

    Please reach out to our Billing Specialist using the form at the bottom of this page, by email (karenc@therapy-mn.com) or by calling our main number – 612-979-2276. PLEASE ONLY CHOOSE ONE OPTION

    If you over 18 and expect a partner, family member, or friend to need to access your client account information for any reason, please discuss a Release of information (ROI) form with your clinician.

    IF YOU ARE OVER 18 AND DO NOT HAVE A SIGNED RELEASE OF INFORMATION (ROI) ON FILE, no member of LynLake will be able to speak to a partner, family member, or friend regarding your account.

  • How do I read my receipt?

    Each time you are charged for your portion of your service, you will receive a Square receipt. This receipt will list not only the amount you are being charged, but also your first name, last initial, and the date of service for which you are being charged. See the example receipt below.

    receipt

  • Why am I sometimes charged different amounts at different times?

    There are many reasons you may be charged different amounts at different times.

    1. You may have been charged for more than one date of service at one time. This is because your provider (or providers) billed more than one service on the same day.
    2. Your deductible may have been met and now you only have a smaller copay or coinsurance. Similarly, your insurance plan year may have restarted and NOW you’ve switched from a copay/coinsurance back to a higher deductible.
    3. You may have a coinsurance. A copay is a flat fee while a coinsurance is a percentage of the service. So, depending on the code your provider bills that best corresponds to the service you received, you may have a different coinsurance percentage owed.
    4. Your provider billed a complexity code because the service you received involved more complex communication than services usually entail. Please discuss this further with your provider.
  • What do you mean by “deductible,” “copay,” and “coinsurance”?

    DEDUCTIBLE

    Most, but not all, insurance plans generally start with a fixed deductible that you will need to meet each insurance year (12 months from the start of your insurance) BEFORE insurance will cover services. This deductible could be $100 or several thousand dollars. If you have a deductible, insurance will process your claim and your responsibility will be the full contracted rate for the service. For example, if we have a contract with your insurance that we will be paid $125 for a service and you have a deductible, you will be responsible for the full $125.

    COPAY and COINSURANCE

    Usually after you meet your deductible in each insurance year, you may have a copay or a coinsurance. A copay is a fixed amount you will pay each session, like $20 or $50. Insurance will cover the rest of our contracted rate.

    A coinsurance is a percentage you pay for each session, like 20% or 30% of the contracted rate. For example, if our contract rate with your insurance is $125 and you have a 30% coinsurance, you would be responsible for $37.50 ($125 x .30 = $37.50). Insurance will cover the rest of our contracted rate.

    FINALLY…

    Sometimes insurance begins to cover the ENTIRE cost of your services. That’s because you have reached your “out-of-pocket” maximum, which is the maximum amount you and/or your family are required to pay out-of-pocket for deductibles and copays/coinsurances each insurance year.

    Please know this information is for educational purposes only and may not accurately describe how your specific insurance functions. It is the responsibility of each client of LynLake Centers for WellBeing to be aware of her/his/their insurance benefits. However, we hope this is a helpful guide to some terminology that you may encounter in your research.

  • Will my health insurance cover Telehealth?

    “In Minnesota” is not to be taken as the person lives in Minnesota. Medicare is not a Minnesota-based insurer, and telehealth has its own Medicare coverage rules that are federally regulated, not state-regulated. Also, some insurance plans associated with Minnesota-based companies (such as 3M or Medtronic) that self-insure (ERISA model) are not subject to state rules, but rather federal ones. Whenever you are preparing for an intake, confirmation of benefits is a key step. In telehealth it is even more important. Confirm the benefits in advance to avoid a later problem.

    What if I leave the State of Minnesota? Can I still see my LynLake provider via Telehealth?

    Your provider’s ability to provide professional mental health services when you are outside the State of Minnesota depends primarily on whether or not the provider (therapist, psychiatric nurse practitioner, dietitian) is licensed in the jurisdiction (location) where you are at the time of service. This essentially means “it depends” on the provider, their particular type of professional license, where you are, and where they are currently licensed to practice. You will want to check with your provider as well as your specific insurance plan for information on benefits and limitations.

  • Will Insurance cover Health & Wellness Coaching?

    Wellness coaching or lifestyle medicine coaching is a relatively new field. Because of this, private-pay is the only payment accepted. You can schedule your appointment and make your payment directly by visiting www.wellcoachbri.org

    We recommend you look for providers with certifications or wellness-related coaching credentials from organizations like WellCoaches, the National Board Certified Health & Wellness Coaches (NBHWC), or the International Coaching Federation (ICF).

  • Can I do one Wellness Coaching Session?

    Yes, you can. However, change takes time, especially if you’re working to make shifts in long-standing behaviors or want to introduce new ways of being. Signing up for a wellness coaching bundle helps show your commitment to change and dedication to the process.  After you’ve completed a 12-week program, monthly or quarterly drop-in sessions are typically available to serve as an accountability resource for you.

Billing question?