Billing Insurance
Please be aware that you are responsible for determining your psychiatric or mental health benefits provided by your specific insurance policy, as these services may not be covered or may only be partially covered by your plan. This is especially important if the provider you'll see is not "In-Network" with your specific insurance company. However, even if that provider is "In-Network" with your insurance company this does not guarantee that your specific plan provides benefits for our services.
Not all of the providers at Hollywood Mental Health are in network with the same insurance companies. Some providers will submit claims to out of network insurance companies on your behalf but not all providers offer this service. You are welcome to request a receipt and submit claims to your own insurance should it not be one that the provider you see is in network with.
Please be sure to check with your insurance company regarding your benefits before contacting us to request an appointment. This will be an important determinant of the ongoing cost to you. Please be aware that while your insurance plan may provide some coverage, any amount not paid by the insurance is the responsibility of the patient or patient's guarantor.
Not all of our providers are In-Network with the same insurance companies, for specific information about each provider, please review the information below.
Please call us if you would like to know more about our rates for specific services.
We currently do not participate with Medicare, Medicaid or The Oregon Health Plan.
VERIFYING YOUR BENEFITS
We may be able to help you with verifying your benefits, however, it is your responsibility to determine the coverage you will receive for our services. Here's how we recommend obtaining this information:
On the back of your insurance card there will be a one or more phone numbers listed. If there is only one number listed for member services call that number but if there is a separate number listed for Mental Health/Behavioral Health or Substance Abuse this is the number to call in order to determine psychiatric or outpatient mental health benefits. Be sure to have a pen and paper ready to take down information provided. You should ask the following questions:
Is (clinician name) considered an in network provider? (They may ask for clinic address: 1827 NE 44th Ave, Suite 230, Portland, OR 97213)
If so, can proceed by asking about your "In-Network Benefits."
If not in-network, you should ask to get information about your "Out-of-Network Benefits."
What is the co-pay amount or co-insurance percentage specifically for outpatient mental health office visits?
If you are told that you have a co-payment per session, the cost is usually the same dollar amount each visit regardless of your deductible being met or unmet.
If you are told you have a co-insurance percentage, the amount your insurance covers and thus the amount you owe each session may vary. You are typically required to meet your deductible before insurance will provide payment. If you haven't met your deductible, you may be required to pay 100% of the cost. Amounts also vary depending on the services provided. We can help provide an estimate of the cost once you determine what your co-insurance percentage is.
What is the annual deductible and how much has been met?
This is the amount needing to be met before an insurance company begins to provide co-insurance.
Are there limitations on the number of outpatient mental health visits covered?
If you have additional questions after checking your benefits, please call or email us!