Frequently Asked Questions
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MaineCare Members:
Our practice is proudly enrolled as an official MaineCare provider. If you are covered by MaineCare, your services will be billed directly to the state in accordance with MaineCare Section 90 guidelines. By law, we cannot accept cash payments or issue private receipts (superbills) to individuals with active MaineCare coverage for covered psychiatric services.
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Commercial Insurance (Out-of-Network / Superbills):
For all other commercial health insurance plans (such as Anthem, Aetna, Cigna, or Harvard Pilgrim), this practice operates strictly as an Out- of-Network provider. We do not bill commercial insurance companies directly.
Payment is due in full at the time of your appointment. Upon request, our office will gladly provide you with an itemized monthly document called a Superbill.
You may submit this superbill directly to your insurance company’s out-of-network claims department to seek independent reimbursement.
Because every health plan handles out-of- network mental health benefits differently, we highly recommend calling the member services number on the back of your insurance card prior to your first session to ask:
“What are my out-of-network behavioral health benefits for outpatient psychiatric care?” “Do I have an out-of-network deductible that must be met before I can get reimbursed?”
Self-Pay (Uninsured):
If you do not have health insurance, you have the right to receive a “Good Faith Estimate”; outlining the expected costs of your healthcare under the federal No Surprises Act before your care begins.
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Yes. Private pay clients can use HSA/FSA cards for evaluations and follow up visits.
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Invoices are sent electronically the day of the service. Payment is collected at the time of the visit.
Please note that if you no call/no show for visit you will be charged the full amount of visit.
Self-Pay (Uninsured):
If you do not have health insurance, you have the right to receive a “Good Faith Estimate”; outlining the expected costs of your healthcare under the federal No Surprises Act before your care begins.
-
You may request receipts for private pay visits and superbills for out-of-network reimbursement.
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If you are unsure what your plan covers, it would be best to contact them directly to clarify.
Because every health plan handles out-of- network mental health benefits differently, we highly recommend calling the member services number on the back of your insurance card prior to your first session to ask:
“What are my out-of-network behavioral health benefits for outpatient psychiatric care?” “Do I have an out-of-network deductible that must be met before I can get reimbursed?”