Due to the various types of services and VARIOUS TYPES OF PROVIDERS, not all services or providers are covered by insurance contracts. This will result in an out of pocket expense for the entire cost. If you have questions please call us or your insurance company and ask your insurance COMPANY IF INDIVIDUAL NPI 1861948648 or group 1669183927 IS IN NETWORK FOR BEHAVIORAL health. For massage we are not in-network. See FAQ for further information.
As with all insurance there may be a deductible, a Copay or a Coinsurance, when we check your benefits we will do our best to know this in advance, however if the insurance changes information after verification, you may be responsible for the difference.
Our counselors may not show up on your insurance list because all insurance is billed under the main contract.
We do not take:
Community Behavioral Health (Pending 2025)
Some CHIP - Call to verify either by calling your insurance, and asking if we are in-network - NPI - 1861948648
Kidzpartners - Is Magellan we do not take this.
Medicaid plans - Magellan (See back of your card, it may be listed there but some cards are printed incorrectly based on your county, call them and ask for the payer ID for behavioral health): If we are in-network, it depends on the county you live in. Call your insurance and ask if Individual NPI 1861948648 or Group 1669183927 is in network for behavioral health.
We Take: *** Subject to verification because some of the below plans are managed by another regarding mental health services. You can tell the client this.***
Blue Cross Blue Shield - IBX (If the insurance card has an image of a suitcase on it, we are in-network).
Mental Health Consultants - Use Subscribers SSN not Insurance ID
Blue High Performance
CHOP Preferred Care Plan/CDHP
Drexel Preferred POS
Drexel Preferred PPO
Grand View Health
Keystone HMO Proactive
Keystone HMO/POS/Direct POS
Independence PA Kids
National BlueCard PPO
PennCare Network
Personal Choice PPO
Insurance IDs that start with:
OCR
Person Choice EPO
Temple Care Plan/Advantage Plan
1199 C Keystone HMO/POS
To check if insurance is in network go to: Profile - Mind Body Soul Wellness Center LLC - Blue Cross Blue Shield Association (bcbs.com)
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Search on Mind Body Soul Wellness Center LLC with our address. It is us.. If one comes up, select it and confirm it is us and if one does not, we are not in the network and give information to Bonnie to try and join it.
Highmark Blue Cross Blue Shield New Jersey - Traditional Indemnity Plan ONLY pending final contract so considered out of network.
United Health Care
Most plans
United Medicare Plans - Will be effective as in network on 1/1/2024
Cigna
Most plans
Aetna
Effective 5/30/23
Aetna First Health Network
Effective 10/1/23
Humana/ChoiceCare Behavioral Health - (Medicare Plans - Potentially in 2024) *** Verify through Availty ***
Commercial PPO Plans
Commercial HMO PLans
Commercial POS Plans
Commercial EPO Plans
Commercial HMX Network Plans
Commercial PPOx Network Plans
Commercial EPOx Network Plans
MagnaCare and Casualty - Effect 7/31/2023
Mental health Consultants - Effective 10/17/23
Medicare
MultiPlan
Quest Behavioral Health
Tricare - In-network with PPO Tricare Select. For Prime members we need a referral.
Choose Healthy Details:
- This is a discounted rate for the cardholder to pay to us directly.
- You must get a Choose Healthy Certificate from your insurance plan.
- An active insurance ID Card for plans on the below list.
- A valid Photo ID card such as a driver license, state issued photo ID or passport.
- No referral is needed as this is paid out of pocket at the time of service by client at the contracted rates.
To be eligible and book a session you must have:
• An active insurance ID Card for:
* Providence Health Plans
• A valid Photo ID card such as a driver license, state issued photo ID or passport.
• No referral is needed as this is paid out of pocket by client at the contracted rates.
* EPO Plans - $25 for 30 minutes and $50 for 60 minutes.
* PEBB & Intel Plans - $21.75 for 30 minutes and $43.50 for 60 minutes.
To be eligible and book a session you must upload into the booking software:
• An active insurance ID Card for:
* Priority Health (HMO, POS & PPO; Benefit Plan)
• A valid Photo ID card such as a driver license, state issued photo ID or passport.
• A referral from your doctor or ASH Group Contracted Chiropractor for therapeutic massage for musculoskeletal pain - unless your plan is DIRECT ACCESS.
Once your session is booked, we will complete the Medical Necessity Review Form which is required for reimbursement to MBSWC. We prefer this will be completed and approved before any services/bookings take place. If we do not receive this prior to your booking your session may be canceled or you maybe responsible for the self-pay cost. Any services not approved by your insurance provider will get invoiced to you to pay the reimburse rate of services for this plan.
To be eligible and book a session you must have:
• An active insurance ID Card for:
HMSA (HMO, PPO & Medicare Advantage PPO)
Health Net Health Plan of Oregon, Inc. (EOP, HMO, POS & PPO)
Providence Health Plan (OR) (Signature, Choice, Connect, Extend, PEBB & Intel Connected Care)
• A valid Photo ID card such as a driver license, state issued photo ID or passport.
• A referral from your doctor or ASH Group Contracted Chiropractor for therapeutic massage for musculoskeletal pain - unless your plan is DIRECT ACCESS.
Once your session is booked, we will complete the Medical Necessity Review Form which is required for reimbursement to MBSWC. We prefer this will be completed and approved before any services/bookings take place. If we do not receive this prior to your booking your session may be canceled or you maybe responsible for the self-pay cost. Any services not approved by your insurance provider will get invoiced to you to pay the reimburse rate of services for this plan.
To be eligible and book a session you must have:
• An active Aetna ID Card with (Medicare Advantage PPO; Benefit Plan).
• A valid Photo ID card such as a driver license, state issued photo ID or passport.
• A referral from your doctor for therapeutic massage for musculoskeletal pain.
Once your session is booked, we will complete the Medical Necessity Review Form which is required for reimbursement to MBSWC. We prefer this will be completed and approved before any services/bookings take place. If we do not receive this prior to your booking your session may be canceled or you maybe responsible for the self-pay cost. Any services not approved by your insurance provider will get invoiced to you to pay the reimburse rate of services for this plan.