INNOVATIVE, HOLISTIC WOMIN-AFFIRMATIVE™ COUNSELING
SistahPeace™
~ ReShaping SistahPeaceful WellBalance™ . . .
. . . Through Mindful, Proactive SheChange™ ~
SistahPeace™ ReShaping™ WellBalance™ Counseling & Coaching Services - Long Beach ~ (((( * )))) ~ AfraShe Asungi, HHHAS, LCSW, MFA, MSW, CAODC
3939 Atlantic Ave
Long Beach, CA
ph: Messages 562.498.3318 10 am - 8 pm PST]
WellBala
. . . MINDFULLY SHEINSPIRED™ WELLBALANCE RESHAPING™ ~
INNOVATIVE, HOLISTIC WOMIN-AFFIRMATIVE™ COUNSELING FOR YOU . . .
FYI
For Our Counseling Clients
Who Wish To Use Insurance Plans:
****WE HIGHLY RECOMMEND THAT ALL CLIENTS INTENDING TO USE INSURANCE TAKE TIME TO READ THIS PAGE:
Yes, we currently do accept insurance plans.
Yes, we accept Medicare & some Medi-Cal insurance as well as those insurance plans with PPO plans, several other health insurance plans, and Victims Of Crimes referrals; please check with us to see if we currently accept your insurance plan.
We'll provide you with monthly Superbilling for those with 3rd Party or Out-Of-Network Insurance Coverage. The reimbursement process is pretty easy - you just submit a form to your insurance plan and they will reimburse you for a predetermined amount for counseling services.
Most health insurance plans provide partial reimbursement for mental health services.
However, many of these plans have deductibles, restrictions on the number of sessions... and you may need to make a co-pay with your plan.
Please also be mindful that certain mental health services may not be covered by some insurance companies.
Because our clientele are primarily wimmin and in keeping with our social work ethical guidelines, we have decided to offer affordable rates across the board to anyone w/out an insurance plan or who are in need of "non-covered" services.
Our sliding scale rates are meant only for those clients who do not have any insurance.
Please be sure to verify your plan with your company and then let us know whether you will need us to provide you with a Superbill for insurance reimbursement purposes when we arrange for your Intake session.
If you do decide to use 3rd Party/ Out-Of-Network insurance by submitting Superbilling for reimbursement for your counseling services ~ they may be covered in full or in part by your health insurance or employee benefit plan.
Please check your coverage carefully by asking the following questions:
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Our mission and goal is to always endeavor to provide you with "best practices" counseling, psychotherapy and coaching services. We have therefore provided you with basic information below in the spirit of social work "best practices." Please note, you should always check directly with your own insurance provider to be sure about their specific policies.
Most insurance plans will readily reimburse you for all or a good portion of your counseling or therapy fees for Out of Network/ Out of Plan Mental Health Providers, upon your filing for reimbursement benefits. Please ask them what they reimburse for- it can even be equal to the deductible you pay for those providers who are on the various panels.
We'll provide with you a monthly statement, a treatment plan, and a standard HICF 1500 claim form with a diagnosis and treatment code completed [w/ superbill] to help you streamline your claim filing process.
If you do decide to use insurance for your counseling services ~ they may be covered in full or in part by your health insurance or employee benefit plan.
What is a Superbill? How Do I Use It To Get OON/ OPP Insurance Reimbursement Benefits ?
A superbill is a form used by medical/ mental/ health practitioners and clinicians that can be quickly completed and submitted to an insurance company or employer for reimbursement. Nowadays, many health professionals do not work directly with insurance companies.
That is, they do not sign up to be a part of a medical panel or part of an insurance panel; they work as independent consultants. As such, a need arose to provide patients and clients with a document that could be submitted to insurance companies that would allow clients to be reimbursed by their insurers.
A superbill can be prepared for you bi-weekly or monthly. The superbill should contain the following elements:
* Your name
* Your address and phone
* Any additional identifying information (like your social security number)
* Your clinician's name
* Your clinician's address
* Your clinician's license number, NPI number, tax ID number
* Your diagnosis
* The treatment(s) rendered to you
* The cost of the treatment
* The amount you paid
* A release authorization statement
* Your signature
* Your clinician's signature
Once you receive your superbill, check it for accuracy (make sure the dates /times of your visit and the amounts you paid are correct). Then simply submit the document to your insurance company for reimbursement.
Your insurance company MAY reimburse you [we suggest you always call to make sure], depending on the level of coverage you have. Prior to starting work with a clinician who uses superbills, you should contact your insurance company and say, "I want to work with an out-of-network provider, how much will you reimburse me?"
The only way to know for sure what your insurance company will pay is to ask them directly, or better yet, get it in writing via fax or email. [please read the sample detailed question/ script which we have listed below for your convenience]
Be aware that should you choose to submit a superbill [or your insurance provider- clinician submits a claim on your behalf] that you will be releasing confidential medical information that is protected by law. You should be aware that your insurance company requires us, as a contracted provider, to release information relevant to the services rendered to you. This typically includes: a clinical diagnosis, a treatment plan, or even copies of your entire clinical record.
On Obtaining Out-of-Network Provider [OON /OPP] Insurance Benefits
If you have insurance coverage, you may be eligible to be reimbursed for our sessions by filing for out-of-network insurance benefits. Most insurance plans today do provide some sort of reimbursement option for therapy services received from out-of-network providers.
As a courtesy, we offer here a step-by-step walk-through of a simplistic process for filing your claims for reimbursement.
In fact, very often the actual cost difference [from In-Network Providers] to you usually is minuscule once the deductibles, co-pays, and limits on allowable sessions are factored in.
In instances of insurance reimbursement, we ask each individual to pay each session fee during the time of service and plan to be reimbursed directly by their insurance carrier.
We will provide you with a Monthly Billing Statement [Commonly called a Superbill] for the services rendered and fees paid] and a Treatment Plan (if required) which you can then submit to your insurance provider.
While all insurance companies strive to keep such information confidential, our office has no control over what they may or may not do with the your submitted information we provide them once it is in their hands.
When insurance companies require information from us, we will make every effort to release only the minimum information about you that is necessary for the purpose requested.
However, once we submit such information, it becomes part of the insurance company’s files and will probably be stored on a computer-database-server.
In some cases, they may share your information and diagnosis with a National Medical Information Databank, or MIB.
Should your clinical information become a part of the MIB, any further distribution or similarly based actions; then your confidential information is no longer under our office's control and may be made privy to other “exempted” mental health or national security entities, for a variety of reasons.
Therefore, it is important to take the above pros and cons into account, including the knowledge that you have the option of paying for therapy services yourself (unless prohibited by your insurance contract ~ please check) and steer clear of the problems and consequences described above.
Yes,
We Can Help You To ReShape™ . . .
happiness or misery
depends on
our disposition
and not our circumstances.
~ Martha Washington
One of the greatest gifts
of WellBalance™ we can give
our Self, is to cease striving
to seem
perfect
and daring to be
our most authentic best
~ AfraShe Asungi
DISCLAIMER: All information on our site and regarding our products is provided for informational/ educational purposes only and should not be used as a substitute for the advice of your own medical/ health care professional.
Please do not use the information supplied by SistahPeace WellBalance™. . . to diagnose or treat any health problem or disease. If you suspect that you have a medical problem /condition, please consult your medical/ holistic health care professional.
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Asungi, LCS 27091
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SistahPeace™ ReShaping™ WellBalance™ Counseling & Coaching Services - Long Beach ~ (((( * )))) ~ AfraShe Asungi, HHHAS, LCSW, MFA, MSW, CAODC
3939 Atlantic Ave
Long Beach, CA
ph: Messages 562.498.3318 10 am - 8 pm PST]
WellBala