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Rates

The rate for each therapy session (55 ~ 60 minute) ranges from $150 - $250. Rates differ based on provider licensure and client insurance plan. Payment/insurance verification is expected at the time of your session. Debit cards-including Flexible Spending Account (FSA) and Health Spending Account (HSA)-are accepted. All Visa, Mastercard, American Express, and Discover credit cards are also accepted.

Cancellation Policy

Rose Legacy Institute Rates

We understand that last minute issues/events may arise. If you’re not able to keep your scheduled appointment, please notify us at least 24 hours in advance to avoid being charged a $50 fee. 

Insurance

At this time Jemia Warner is accepting Texas and Wisconsin clients with the following insurances: 

 

-UnitedHealthcare                         -Oscar
-Oxford Health Plans                    -UHC Student Resources
-Aetna                                              -AllSavers UHC
-UMR                                                -Harvard Pilgrim

-Out-of-pocket
 

At this time Dr. Ryan Warner is accepting Virginia and Texas clients with the following insurances: 


-Aetna
-Out-of-pocket

Out-of-Network

If you have a Preferred Provider Organization (PPO) or Point of Service (POS) medical health plan, you may be eligible for partial reimbursement after meeting your out of network deductible. The specific amount of your out of network deductible as well as the percentage of partial reimbursement you may be entitled to depends on your specific medical plan. Partial reimbursement is based on a usual and customary fee (UCF). It is possible that the rate of reimbursement from your PPO or POS medical plan will substantially reduce your net out of pocket costs.

 

We recommend calling the member services center for your healthcare provider and finding out more about your out-of-network coverage before scheduling your video consultation.

Here are the questions you will need to ask to obtain the information needed to calculate your net out of pocket costs:

  • Are telebehavioral health (video/online counseling sessions) with an out-of-network provider eligible for partial reimbursement?

  • What is my out of network deductible?

  • Do I need to obtain pre-authorization for 60-minute sessions (CPT 90837) with an out-of-network provider?

  • What is the percentage of reimbursement for out- of-network 60-minute sessions (CPT code 90837)?

  • For the purposes of my out of network deductible, does my year begin on January 1 or another date?

  • What is my annual out of pocket maximum?

  • Can electronic claims be submitted by my out-of-network mental health provider? If so, what is the Payer ID number for the submission of electronic claims?

If you plan to submit claims to your insurance company for reimbursement, we will give you a statement each month that you will be able to submit to your insurance company for reimbursement of payments made. Also, as a courtesy, we will submit electronic claims on your behalf if your insurance company allows this.

Rose Legacy Institute Rates

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

-You have the right to receive a Good Faith Estimate for the total expectedcost of any non-emergency items or services. This includes related costs likemedical tests, prescription drugs, equipment, and hospital fees.

-Make sure your health care provider gives you a Good Faith Estimate inwriting at least 1 business day before your medical service or item.

-You can also ask your health care provider, and any other provider youchoose, for a Good Faith Estimate before you schedule an item or service.

-If you receive a bill that is at least $400 more than your Good FaithEstimate, you can dispute the bill.-Make sure to save a copy or picture of your Good Faith Estimate.


For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (505) 585-4276.

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