top of page

Medicare

Authorization must be confirmed prior to starting therapy. The member can call the mental/behavioral health or member services phone number on the back of the insurance card. Please note this does not ensure a guaranteed space as a new client at our agency. Availability, goodness of fit, scope of our practice, amongst other factors, must be discussed first before a new client can be established.

It is imporant to also understand that any time insurance benefits are utilized, the insurance company has the right to audit records from the provider to ensure appropriate care is being rendered.  When this happens, we only provide the necessary information asked for by the insurance company to protect the confidentiallity of our clients as much as possible.  
Medicare

Authorization must be checked prior to starting services. Please call the mental/behavioral health or member services phone number on the back of your insurance card to verify coverage at The Whole Soul Counseling in Fair Oaks. Prior authorization must be obtained prior to starting services. Please note that there may be a copayment or coinsurance that is due the week of each appointment. It is recommended to learn the details of the deductible (if applicable) for your plan, as sometimes the deductible must be met prior to insurance covering psychotherapy sessions. In this case, the full amount of the reimbursement claim would be paid directly to this agency until the deductible is met. The amount of the reimbursement claim can be verified by Medicare and/or your secondary insurance provider.

bottom of page