Rates & Insurance

Insurance:

At this time, select clinicians are in-network with Aetna and Highmark insurance plans. Outside of those insurance plans, we can provide superbills upon request to assist in clients applying for out-of-network insurance reimbursement. Please note that out-of-network reimbursement is not guaranteed and is subject to individual insurance plans. It is recommended to contact your insurance directly to fully understand your benefits and coverage.

Rates:

At Growth Minded, we aim to be as transparent as possible about pricing when you are considering treatment. To help in understanding your costs, we have the following standard fee schedule for our clinicians providing therapy:

 

Level 1: Clinical Director and/or 10+yrs/Advanced Training and Experience: $180
Level 2: Clinical Supervisor and/or 5+years/Advanced Training and Experience: $160
Level 3: Licensed Psychologist: $200*
Level 4: Licensed Therapist with Doctoral Degree: $150
Level 5: Licensed Therapist with 5+ Years of Experience and Specialized Training: $140
Level 6: LPC/LCSW or Master’s Level Therapist with Specialized Training: $130
Level 7: Master’s Level Therapist: $110
Level 8: Intern: $80

If you are utilizing insurance, these fees will be submitted to your insurance, and once processed, you may owe your standard deductible contribution, co-pay, or co-insurance. We encourage all clients to contact their insurance to confirm their specific plan coverage.

 

If you are paying privately, we offer a sliding scale program (if applicable) and will provide the application during the intake process. Again, you can always attempt to submit your payments to insurance for out-of-network reimbursement. 

 

While outpatient mental health treatment can be difficult to estimate in terms of total length and cost, we are able to provide you with a Good Faith Estimate of specific costs by request.

*Please note: Level 3 rate is for a licensed psychologist providing therapy services. The cost for psychological testing differs.

No Surprises Act:

As of January 1, 2022, the No Surprises Act was put in place to protect people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

 

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

 

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

 

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

 

You are protected from balance billing for:

  • Emergency Services

    • If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

 

  • Certain Services at an In-Network Hospital or Ambulatory Surgical Center

    • When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensive services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

 

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections. You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

 

When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

  • Your health plan generally must: 

    • Cover emergency services without requiring you to get approval for services in advance (prior authorization).

    • Cover emergency services by out-of-network providers.

    • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.

    • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

Billing Contact & Support

For specific Growth Minded Billing Questions:

 

For General No Surprises Act Support/Questions:

  • Your Rights and Protections against Surprise Medical Bills​: OMB Control Number: 0938-1401 

  • Visit the CMS site for more information about your rights under Federal law.

  • To view Pennsylvania’s progress on passing House Bill 1862, Surprise Balance Billing Protection Act, click here