WHOLE WELLNESS THERAPY SERVICES

PRICING & INSURANCE

We are very proud to provide discounted rates for most all of our services, and are amongst the lowest priced private providers in the state of NY (By 50%+!) We are a recognized out-of-network provider, which means that we are not paneled with insurance companies, but work along side them as a courtesy to our clients to secure cost reimbursement when possible for as many clients as we can. Clients can be provided a receipt or “superbill” which can be turned in to your insurance company for cost reimbursement. NOTE: We can now submit and track Out Of Network claims on your behalf through our partner program Mentaya. Scroll to last section of this page for more information!

Why Out-of-Network?

1. Privacy; Insurance companies require therapists to provide an official mental health diagnosis for each client in order to pay for your services. This becomes a part of your permanent medical record. Many clients find this to be invasive, and we find it to be unnecessary.  Even if you are provided with diagnostic services at WHOLE per request, this is not reported to medical networks or any other overseeing body unless requested.

2. Cost; Many clients today have high-deductible insurance plans. When a client enters therapy and uses their high deductible plan, often they incur thousands of dollars in charges before any of their sessions are covered. Unfortunately, the cost of these sessions are typically $175-300 or more per session. This means that a client may end up paying thousands for only a few sessions before anything is covered in contrast to paying for many high quality sessions with a discounted private-pay provider like ourselves.

3. Flexibility: Insurance companies make it exceedingly difficult for counselors to customize a program tailored specifically to you by requiring that specific treatments be used, a certain schedule for treatment is met, and that therapists continuously justify a client’s “medical need” for treatment. We are unable to keep your medical record private, and often the number of sessions covered as well as the length/type of each session that can be covered is dictated by the insurance company. Family and couples sessions as well as adjunct services are almost never covered. Our belief is that your care should be customized to meet your needs, because your needs are totally unique to you. For these reasons, we make every effort keep our prices reasonable and in line with many network co-pays.

4. Quality:  In Network providers & agency clinicians often must take on huge caseloads and complete extensive paperwork continuously for every client. These providers spend much more time on clerical tasks trying to meet audit requirements for insurance companies and aren’t able to dedicate as much time to each client. With this, these providers can be over-worked, burned out, and have little time for additional continuing education. The private providers at WHOLE can dedicate their full attention to each client’s case and are often performing at a higher level and training continuously in new areas.

Need Financial Assistance? You May Be Eligible For Full Cost Reimbursement!

Do you have out-of-network insurance benefits? If so, most insurance companies will reimburse you for therapy and medical services provided by NYS Licensed Clinicians and we are happy to assist you with this process as a courtesy as many private organizations do not. *We are now able to submit and track claims fully on your behalf with our partner program MENTAYA. This means that your insurance company will provide you with a check covering any sessions you have already paid for as treatment occurs. We encourage you to check with your particular insurance company to see if this is the case before booking. If you’d like to check immediately, please navigate HERE, choose any service and provider (this doesn’t need to be accurate) and enter your insurance information to be shown the terms of your Out Of Network benefits immediately. If you have not met your deductible, your services with us may be applied.

If you would like to submit for reimbursement without assistance, we will provide you with the needed completed form post payment (after at least two sessions) that you may submit to your insurance company for full reimbursement bi-weekly or monthly. All of the paperwork will be completed by us, so there is nothing for you to worry about filling out. If you would like us to submit on your behalf, please let us know. Our submission program Mentaya takes a small fee of a few dollars or less from claims that are accepted for tracking and servicing the claim until it is approved. They will challenge all claims that are denied until approval and guarantee approval for payout or application to your deductible if you have OON benefits.

Please note that insurance companies still require an official, permanent diagnosis for all in-network and out-of-network insurance reimbursement.* If you wish to forgo the use of insurance, diagnosis will not be a part of your experience with us unless you are seeking this out. Continue to the bottom of this page for instructions on asking your company for reimbursement on your own. *Note: Medicare and Medicaid insurance types do not reimburse in NYS.

If your insurance company offers limited or no reimbursement, fee for individual sessions begin at a reduced rate of $65-80,  depending upon your program and the types of sessions in which you choose to attend. Click here for therapy session pricing details & note that specialized program sessions such as EMDR, Medical Appointments, Evaluations, and Special Programming may be higher in cost. Cash, Check, Debit, Credit, FSA, & FHA are acceptable forms of payment. Please note there are automatic fees/taxes on card payments and all payments are due at time of therapy service.

To inquire with your insurance company regarding reimbursement:

1) Locate your insurance card and find the customer service number listed on the back side.

2) Call this number and state that you want to inquire about out of network coverage for mental health services. If you have used the checker above, you can discuss the terms listed.

3) Once connected to the proper party, ask, “Will my plan offer reimbursement for mental health services if I provide a super bill claim form?”

4) If your insurance company responds “YES,” ask them if they can provide you with an e-mail address to send your claims in. Be sure to ask for this!

5) After at least two sessions with us, email us with a request for a superbill at billing@wholewellnessservices.com.

Remember, we can now complete all of this on your behalf as well. E-mail us at billing to get started!

Reduced Pricing Options:

Referral Discount Offer: Each time a new client is booked with us via your referral, you will receive 50% off a session of your choice. We thank you for helping us to grow and add more services!

Package Rates: If you anticipate wishing to attend multiple session types, such as individual, family, and/or group sessions, purchasing a package will decrease the cost of each session, as well as increase your program's quality.

Payment types: We encourage you to use cash or check for sessions which saves you money on each transaction, as there are no processing fees as there are for card payments.