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Insurance &
Billing
 

Tranquil Solutions for a Centered Mind accepts all insurances, whether in or out-of-network. Whether benefits and eligibility are obtained and verified, it is not a guarantee of payment, as in- or out-of-network factors may apply; details are subject to change per any insurance policy and guidelines. We do our best to verify client benefits and/or establish single-case agreements, if necessary, to be apprised of the costs that our clients may have for their therapeutic services. 

Insurance policies may include one or more cost-share factors to the client's responsibility per session, depending on the individual policy.

  • A deductible, coinsurance, and/or copay are considered out-of-pocket costs to the client's cost-share responsibilities per the contract agreement with the client's insurance policy. Copays are expected as sessions are held, whereas coinsurances and deductibles are billable first to the carrier(s), and then payment is expected upon receipt of the explanation of benefits provided by the insurance(s) and/or our account statements.

  • If you have more than one insurance carrier that covers your services, it is the client's responsibility to establish the coordination of benefits (COB) to correctly provide which policy is primary, secondary, or tertiary. When more than one insurance is involved, depending on each of the policy benefits, a secondary policy may not solely cover the balance left by the primary policy, or the secondary policy may still require a cost-share responsibility of the client for services to be covered. It is the client's responsibility to know what their benefits are with their insurance carrier(s) and to make prompt payments towards their financial responsibilities as directed by their explanation of benefits and/or our account statements.​

 

  • A copay is a flat fee paid for certain healthcare services.

    • Example: $15 per session

  • Coinsurance is a percentage-based fee assessed for certain healthcare services.

    • Example: 10% of the allowable amount per billed session

  • A deductible is a total amount assessed for certain health care services that must be paid and met before the insurance company begins contributing payment(s).

    • Example: $800 total out-of-pocket cost to be paid in a plan year, broken down accumulated applied per session

 

In-Network Insurance Carriers

  • Aetna/Aetna Behavioral

  • AmeriHealth Caritas (DE Medicaid)

  • Blue Cross Blue Shield

  • Cigna/Cigna Behavioral

  • ComPsych

  • Highmark Health Options (DE Medicaid)

  • Independence BCBS

  • Optum/United Healthcare/United Behavioral

  • Tricare Prime/East

​Note:

If you do not see your carrier listed, you can contact your carrier to confirm our network status. Most insurers are linked with one of the above insurers as their "sister-plan" and follow the billable allowances of the major carrier.

 

If your insurance is not on our list, please inquire directly with the office to see what can be done to be considered in-network with your carrier or if a single-case agreement can be established.

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We do not remit to auto or workmen's comp insurances for therapeutic services.

 

Fee Schedule, as of 1/1/24

Insurance Billable or Out of Pocket

Intake/First Session $300.00

Follow-up Sessions $100.00 to $250.00

The service fee ranges are calculated based on complexity and time spent.

Tranquil Solutions for a Centered Mind reserves the right to make changes to fees without notice.

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