Insurance
We participate in Medicaid, Medicare, Cigna, Aetna, Blue Cross/Blue Shield, Hopkins EHP and some other smaller plans. If you are not insured by a plan we do business with, payment in full is expected at each visit. If you are insured by a plan we do business with but don't have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage.
Medicaid and Medicare insurance will not reimburse for both therapy and medication management appointments in the same day. Other combinations of services may also be restricted. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage.
Proof of Insurance
We must obtain a copy of your driver's license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim.
Coverage Changes
If your insurance changes at any time, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim in 45 days, the balance will automatically be billed to you.
Co-Payments and Deductibles
All co-payments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. If for any reason you are unable to make your co-payment on the date of your appointment, all following appointments will be cancelled until the overdue balance has been collected in full. Please contact the billing department if you need to make a payment plan arrangement.
Claims Submission
You give Aspire permission to submit claims to your insurance company. We will submit your claims and assist you in any way, we reasonably can, to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.
Non-Covered Services
Please be aware that some, and perhaps all, of the services you receive may be non-covered or not considered reasonable or necessary by Medicare or other insurers. You must pay for these services in full at the time of visit unless you have made a payment plan arrangement with our Billing Department.
Non-Payment
If your account is over 30 days past due, you will receive a letter stating that you have 20 days to make a payment. Partial payments will not be accepted unless otherwise negotiated directly with our Billing Manager. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency and you may be discharged from this practice. For discharges, you will be notified by telephone and email that you have been discharged and referrals will be provided. Our medication management providers will provide a 30-day supply of medications at their discretion.
No Show Fees
Clients with Medicaid will not be charged a no show fee. Aspire Wellness Center considers a 'No Show" to be any unexcused absence with less than 24 hours notice. If you have private insurance or are a self pay client, you will be charged $50 for any no show with a therapist and you will be charged $100 for any no show with a medication management provider.