What To Expect from Encompass Counseling
HELPING YOU NAVIGATE INSURANCE:
At Encompass Counseling we recognize that navigating insurance coverage for mental health can be daunting. We strive to make the process as simple as possible. Our office staff is glad to make phone calls to your insurance company to determine your coverage and benefits, co-pays and deductibles.
More and more insurance plans have mental health coverage, and most of our therapists are in-network with major insurance companies through various PPO plans. This includes:
- Blue Cross Blue Shield
- Aetna
- Cigna
- Magellan
- Meridian
- Humana
- United Health Care.
We are also part of the Illinois Health Partners HMO network, which includes:
- DuPage Medical Group
- Edward Health Ventures
- Edward-Elmhurst Health
We are associated with various Employee Assistance Programs, as well.
If you don’t see your insurance company listed above, give us a call. Heidi will check to see if we are in network with your provider.
Please note, that while we will assist you in taking full advantage of your benefits and will make every effort to help you understand your coverage, you will ultimately be responsible for any unpaid balance.
BEFORE YOUR FIRST VISIT:
You will receive a confirmation e-mail from Heidi, which will include your appointment details, our address with directions, and insurance details, such as co-pays and deductibles.
WHAT TO EXPECT ON THE FIRST VISIT:
We do not have a receptionist on staff at our locations during all of the hours we see clients. If a receptionist is not on duty, you will be met by your therapist. Your first session is considered a psychiatric evaluation, so be prepared with your forms filled out. You and your therapist will discuss your condition, so a medical diagnosis can be made, and a treatment plan can be implemented.
You should always expect to be treated with compassion, kindness, respect and empathy.
We will walk alongside you—working together to address your pain and find lasting ways to resolve it. You can count on us to mend the brokenness you’re experiencing.
UNATTENDED MINORS:
For the safety of you children, please do not leave children under the age of 13 in the waiting area who are not with an adult at all times. Out of respect for other clients, please keep voices down.
MISSED APPOINTMENTS:
Kindly give your therapist or the office at least 24-hour notice if you need to cancel an appointment. Otherwise, a missed-appointment fee of $75 will be applied to your account.
INCLEMENT WEATHER:
In the event of inclement weather, we will make an attempt to reach you and reschedule your appointment. However, if you are traveling from a distance and there is inclement weather there, please contact us as soon as you can, to let us know you will not be able to make your appointment.
SCHEDULING FUTURE APPOINTMENTS:
You can always call Heidi to book future appointments, but it is better to book directly with your therapist. You will receive reminder e-mails from our automated system. The e-mails will be from noreply@patientfusion.com.
WHAT ABOUT MEDICARE/MEDICAID?
Encompass Counseling accepts Blue Cross Community Family Health and Blue Cross MMAI plans, as well as Meridian Health Care. Unfortunately, we are not able to accept straight Medicare or Medicaid coverage. If you are a senior, with a supplemental plan, we can bill the supplemental plan.
NO INSURANCE?
If you have no insurance, our therapists are all members of Open Path Psychotherapy Collective, an organization that assists the uninsured, underinsured, or those unable to pay full market rates for therapy. Click here for more information: openpathcollective.org
PAYMENT PLANS:
While co-pays and co-insurance should be paid at each visit, we realize that some insurance plans have rather large deductibles. Please make arrangements, prior to your first visit, if you need assistance with a payment plan that can make meeting the deductible more manageable. Please contact Heidi for details. She will work to establish an individual payment plan that fits your budget.
HELP FROM OTHERS:
If you are still unable to make paying for therapy a fit for your budget, may we suggest asking for help from others? On many occasions, family members have been willing to help, as well as churches or other community organizations
