Insurance and Fee Details

We believe cost shouldn’t be a barrier to getting the mental healthcare you need. That’s why we are in-network with major insurance plans in Chicago in order to make treatment as accessible as possible. Here’s what you need to know about working with us.

insurance

In-Network Insurance Plans

Being in-network means we have a direct contract with your insurance company, so they cover a portion of the cost of your care and you’re responsible for your copay, coinsurance, or deductible as outlined by your plan.

We are in-network with the following insurance plans:

Blue Cross Blue Shield (BCBS) PPO Plans
Blue Cross Blue Shield (BCBS) Blue Choice
Aetna

Groundwork Psychology is in-network with BlueCross BlueShield of Illinois
We are also in-network with Aetna insurance plans

services

Therapy

In-Network

  • If you have an in-network plan, we’ll bill your insurance directly.
  • For many clients, a therapy session is subject to only a co-pay (typically $25-50 depending on your plan).
  • We’ll work with you to understand your coverage, including deductibles, copays, and any out-of-pocket costs.

Private Pay/Out-of-Network

  • Our private pay rate is $175 per session.
  • Sliding scale options may be available.
  • We provide superbills for clients to submit for any out-of-network benefits.

services

Testing and Evaluations

Many clients are able to use insurance benefits to pay for a portion of testing.  We accept the same insurance plans for testing, but benefits vary widely. It’s important to check with your specific plan for details, and we will check your benefits prior to testing.

For out-of-network clients, we typically conduct evaluations at a flat rate depending on the nature of the assessment.

Policies

Accepted Methods of Payment

We accept credit cards, HSA/FSA cards, and checks. Our EHR system uses Stripe to handle automatic credit card payments. Payment is due at the time of service unless other arrangements have been made.

Appointment Attendance Policy

We ask that clients notify us at least 24 hours in advance to cancel appointments. In the event of late cancellations or missed appointments, the session is subject to a fee equal to the standard rate or the amount your insurance usually pays. Please see the Policies page for more information.

Important note: Insurance companies do not cover fees for missed appointments or late cancellations, so these charges are the client responsibility.

No Surprises Act

Under federal law, if you don’t have insurance or choose not to use your insurance, health care providers must give you an estimate of the expected charges for medical services-including therapy and evaluations.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. This includes therapy sessions, evaluations, and any related services. If you receive a bill that is $400 or more than your Good Faith Estimate, you have the right to dispute the bill.

For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or reach out to us directly.

Ready to take the next step?

If you’re looking for a therapist who takes insurance in Chicago, we’d be happy to help connect you with a skilled clinician. Schedule a free consultation to discuss your needs, ask questions about insurance and fees, and see if we’re the right fit.

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