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Sugar Land, TX · Telehealth TX, ID, AZ, MD

Insurance and fees

Insurance, Self-Pay Rates and Your Good Faith Estimate

DanShalom Behavioral Clinic is in network with Medicare, Aetna, Cigna and UnitedHealthcare/Optum, plus Blue Cross and Blue Shield of Texas and Oscar in Texas, and Blue Cross of Idaho, Regence, SelectHealth, St. Luke's and other plans in Idaho. Self-pay is $200 for a first evaluation and $125 for a follow-up, with a sliding scale available. We confirm your benefits before your first visit.

Which insurance plans do you accept?

Networks are set state by state, so the plans below are listed by the state you are in at the time of your visit. A plan name on this list is not a promise of coverage: we confirm your specific benefits before your first visit.

Texas

In-network plans for visits in Texas
PlanPlan types
AetnaCommercial PPO and HMO, Medicare HMO and PPO
Blue Cross and Blue Shield of TexasBlue Advantage HMO, BlueChoice PPO, HealthSelect, Blue Premier HMO, Blue Essentials, Blue High Performance Network, Medicare Advantage HMO and PPO
CignaPPO, OAP, POS and HMO, Medicare HMO and PPO
MedicareIn network
Oscar HealthIn network
UnitedHealthcare / OptumUBH general, UnitedHealthcare Medicare, Texas Dual Special Needs (D-SNP) and Texas Exchange plans

Enrollment in progress: Texas Medicaid, Ambetter, WellCare, Superior HealthPlan. Call us to check whether we can see you under one of these plans yet.

Idaho

In-network plans for visits in Idaho
PlanPlan types
AetnaCommercial PPO and HMO, Medicare HMO and PPO
Blue Cross of IdahoIn network
CignaPPO, OAP, POS and HMO, Medicare HMO and PPO
Idaho MedicaidIn network
MedicareIn network
Moda HealthAll Moda Health plans
Mountain Health CO-OPAll Mountain Health plans
PacificSourceNavigator plan
Regence BlueShield of IdahoAll Regence BlueShield of Idaho networks
SelectHealthAll SelectHealth plans
St. Luke's Health PlanAll St. Luke's Health plans

Enrollment in progress: Molina Healthcare of Idaho. Call us to check whether we can see you under one of these plans yet.

Arizona

In-network plans for visits in Arizona
PlanPlan types
AetnaIn network
CignaCigna / Evernorth
MedicareIn network
UnitedHealthcare / OptumIn network

Enrollment in progress: AHCCCS (Arizona Medicaid), Arizona Complete Health, Banner - University Family Care, TriWest. Call us to check whether we can see you under one of these plans yet.

Maryland

We are not yet in network with any Maryland plans. Visits for patients in Maryland are self-pay for now; call us if you have questions about your plan.

Do not see your plan? Send a request or call (346) 855-6216 and we will check.

How insurance works here

  1. Tell us your planChoose your plan on the request form or tell us by phone. You do not need to send your member ID through the website.
  2. We verify your benefitsBefore your first visit we check whether the clinic is in your plan's network and what your plan says you owe: a copay, coinsurance, or the full rate until a deductible is met.
  3. You know the cost firstWe tell you what we found before your visit. Your insurance company makes the final decision on what it pays, so it is also worth calling the number on your card.
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Self-pay rates

If you do not have insurance, or choose not to use it, these are the clinic’s rates. A sliding scale is available: ask us when you request an appointment.

New patient

$200

Initial psychiatric evaluation, about 60 minutes

Returning patient

$125

Follow-up visit, about 30 minutes

What is the cancellation and no-show policy?

Your appointment time is reserved for you. Please give at least 24 hours’ notice to cancel or reschedule, by phone, voicemail (the time it was left counts) or the secure patient portal.

Cancellation and no-show fees
SituationFee
Cancelled or rescheduled with at least 24 hours' noticeNo fee
Cancelled with less than 24 hours' notice$150
No-show: missed without notice, or more than 15 minutes late$200 for an initial visit, $100 for a follow-up
  • Insurance does not pay for missed appointments, so these fees are paid out of pocket.
  • A valid credit or debit card is kept on file, and a fee is charged within 12 to 24 hours of the missed appointment.
  • Fees may be waived at the provider’s discretion for a medical or family emergency, severe weather or other unforeseen events.

Your right to a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Questions about cost

Which insurance plans do you take?

It depends on the state you are in. Texas: Aetna, Blue Cross and Blue Shield of Texas, Cigna, Medicare, Oscar Health, UnitedHealthcare / Optum. Idaho: Aetna, Blue Cross of Idaho, Cigna, Idaho Medicaid, Medicare, Moda Health, Mountain Health CO-OP, PacificSource, Regence BlueShield of Idaho, SelectHealth, St. Luke's Health Plan. Arizona: Aetna, Cigna, Medicare, UnitedHealthcare / Optum. We check your benefits before your first visit. Plans by state

What does a visit cost without insurance?

The self-pay rate is $200 for the initial evaluation (about 60 minutes) and $125 for a follow-up visit (about 30 minutes). A sliding scale is available. If you are uninsured or not using insurance, you have the right to a Good Faith Estimate of what your care will cost. Details

How do I find out what I will owe?

Tell us your plan on the request form or by phone. We verify your coverage before your first visit and let you know about any copay, coinsurance or deductible your plan applies, so the cost is not a surprise.

What is your cancellation policy?

Please give at least 24 hours' notice to cancel or reschedule. A late cancellation costs $150. Missing a visit without notice, or arriving more than 15 minutes late, costs $200 for an initial visit or $100 for a follow-up. Insurance does not cover these fees. Full policy

Published by DanShalom Behavioral Clinic. Last updated .

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