Frequently asked questions

Anxiety & OCD Treatment Services works with insurance on a limited, provider-specific basis. Many of our clinicians are in-network with Wellmark Blue Cross Blue Shield (including BCBS PPO plans) and Aetna. Insurance participation varies by provider, and not all clinicians in our practice are in-network with these plans. If your clinician is in-network with your insurance plan, claims will be submitted on your behalf as a courtesy. Please note that all charges are your responsibility from the date services are rendered. If your insurance company does not pay a claim, or only partially reimburses it, you are responsible for any remaining balance. Anxiety & OCD Treatment Services is not a Medicare or Medicaid provider, and we are unable to work with clients who utilize those plans. For other commercial insurance plans (non-Medicare and non-Medicaid), we may submit claims electronically as a courtesy filing to help facilitate out-of-network reimbursement. Coverage, deductibles, and reimbursement rates vary by plan, and payment is not guaranteed. We recommend that you contact your insurance company directly to obtain information about your specific mental health benefits. Clients who choose not to use insurance, or whose provider is out-of-network, may request a Good Faith Estimate in accordance with federal law.

If your clinician is not in-network with your insurance plan, you may still be able to use out-of-network benefits, depending on your specific policy. For commercial insurance plans (non-Medicare and non-Medicaid), Anxiety & OCD Treatment Services may submit claims electronically as a courtesy filing to help facilitate potential out-of-network reimbursement. Coverage, deductibles, and reimbursement rates vary by plan, and reimbursement is not guaranteed. Clients are responsible for all charges regardless of insurance payment. We strongly encourage clients to contact their insurance company prior to starting therapy to understand their out-of-network mental health benefits. When speaking with your insurance provider, consider asking the following questions: • What are your "out-of-network" benefits for behavioral health services? • What is the annual deductible? When does my deductible reset (start of year or another date)? How much do I have remaining before my deductible is met? • What is the amount reimbursed (after the deductible has been met) for the following services (CPT codes): • Initial evaluation - 90791 • Individual psychotherapy - 90834 (38-52 min), 90832 (16-37 min), and 90837 (53+ min) • Psychological or neuropsychological test administration and evaluation services - 96130, 96131, 96136, and 96137 • Do you provide reimbursement for services provided by telehealth? Noted that this is identified as place of service [POS] code of 10 • Are there limits to the number of visits per week or year? Please make sure to take notes of your call, including the date, time, name of customer service representative, and reference number for the call.

Anxiety & OCD Treatment Services’ psychotherapy fees are charged by professional time. Our fees reflect the specialized services we provide and the experience and expertise of our providers. The private pay rates for clients not using insurance are listed below: Initial intake appointment (90791) - $260 53+ min therapy session (90837) - $258 38-52 min therapy session (90834) - $215 16-37 min therapy session (90832) - $129

Anxiety & OCD Treatment Services’ psychological testing and evaluation fees are charged based on professional time, similar to our therapy services. Your out-of-pocket cost will depend on your individual insurance benefits, including deductible, co-insurance, and authorization requirements. It is recommended that you contact your insurance company prior to receiving services in order review your specific benefits to determine if your plan requires preauthorization prior to obtaining mental health evaluation services as well as your copay and deductible amount. For clients not using insurance, testing services are $258 per hour of professional time. Total fees depend on the referral question, the amount of testing required, scoring, interpretation, and report preparation. We are happy to provide an estimated range of total hours prior to scheduling. For private pay clients, we do provide clients with a superbill that has all of the necessary information required by the insurance company to submit a claim for out-of-network reimbursement.

All of our providers specialize in the provision of cognitive behavioral therapy (CBT),(undefined) which refers to a collection of treatments that are well-established and highly effective. Within CBT, exposure-based therapies such as exposure and response prevention (ERP) (undefined)are considered to be the most effective treatments for anxiety and OCD-spectrum conditions. All of our providers are experts in the delivery of exposure-based treatments, and also incorporate other evidence-based treatment techniques such as acceptance and commitment therapy (ACT), mindfulness, and motivational interviewing.(undefined)

All of our providers have a commitment to continued learning and education so that we can stay atop of the most recent research advances and provide the best care for our clients. Across our anxiety specialists, we are professional members of a number of national and international organizations, including: International OCD Foundation (IOCDF)(https://iocdf.org/) Association for Behavioral and Cognitive Therapies (ABCT)(https://www.abct.org/) Anxiety and Depression Association of America (ADAA)(https://adaa.org/) TLC Foundation for Body-Focused Repetitive Behaviors (https://www.bfrb.org/index.php) National Register of Health Service Psychologists(https://www.nationalregister.org/) American Psychological Association Society of Clinical Psychology (APA Div 12)(https://div12.org/)

We want to ensure that you find a provider who is a good fit for you, that online therapy is appropriate, and that you get answers to any questions that you may have prior to starting treatment. Therefore, we offer a free 15-minute phone consultation to prospective clients.

We do not believe in a one-size-fits-all approach, and instead, strive to tailor treatment to each client. As the very first step in the treatment process, it is essential that we conduct a comprehensive assessment in order to obtain baseline information and to help determine the best course of treatment. After completing intake paperwork and questionnaires, the initial assessment is scheduled for 60 minutes. However, it often takes multiple sessions to complete the assessment process, depending on the complexity of the client’s presenting problem(s). Following the assessment process, your provider will give you feedback and provide you with recommendations for treatment. You and your provider will work together to determine your treatment goals and develop an initial treatment plan.

Therapy sessions are generally scheduled on a weekly basis, though your provider may make a different recommendation depending on a number of factors (presenting concerns, severity of symptoms, treatment progress). Some individuals start with twice weekly appointments if their symptoms are more severe and impairing. As clients make progress, they are usually seen less frequently. We do our best to arrange a regular session time for each client.

Treatment length and treatment outcomes depend on a number of factors such as the extent to which your problems are interfering with your life, whether you attend regular appointments, your level of engagement in therapy, and whether you are actively applying the skills that you learn in treatment. In order to be most successful, it is imperative that you work on things that you discuss with your provider outside of sessions (these are often referred to as "between-session exercises" or "homework").