Getting Started with Therapy…

Congratulations on taking the first step!

We understand what a huge step it can be to start therapy and that is why we put a lot of thought, time and effort into finding the right Bhava therapist to fit your needs. Once we receive your inquiry for seeking therapy, our new client coordinator will reach out to schedule a brief phone call with you to learn more about what you’re looking for from therapy and so you can determine together if Bhava is the best fit for your therapeutic needs and next steps to follow.

Following this initial call, our new client coordinator will connect with our team of therapists to work on arranging an initial consultation session for you based on the therapist’s area of focus, approach and availability. Our new client coordinator will then reach back out to you to confirm this initial consultation session and forward necessary paperwork for you to complete no later than 48 hours prior to this scheduled consultation with a Bhava Therapist. This process can take anywhere between 3-5 business days

Fees and Insurance

Do we accept insurance?

We function as group of private psychotherapists working together under one name, BHAVA Therapy Group. What this means is that whereas one therapist may accept your insurance, others in our practice may not. Currently, some of our therapists are “in-network” with the following insurances:

– Aetna
– Cigna
– MetroPlus
– HealthFirst
– Medicare

What is the difference between “In-Network” and “Out-of-Network”?

“In-network” means that a contract exists between a therapist and the insurance company in which the insurance company will pay the therapist directly a set fee for the service provided which may or may not include a “co-pay” on behalf of the client, which accounts for a smaller portion of the set fee. In this case, there may be a deductible which is a set amount of money that needs to be met (paid out by the client) before the insurance provider begins to cover their portion of the fee, which means the client may be responsible for the full fee until the deductible is met.

“Out-of-network” means that there is no contract between a therapist and insurance company and the client is fully responsible for the therapist’s fee for the service provided. Then, once the fee is paid, your therapist will provide you with a receipt indicating your payment and other necessary information (such as therapists’s license number, procedure code for service rendered and a diagnosis code) for you to submit to your insurance company to request reimbursement for a portion of the fee. Although a majority of insurance providers do provide some reimbursement for “out-of-network” services, reimbursement rates differ on a case-by-case basis.

In either instance, it is important for you, the client, to be informed about your insurance coverage by calling your insurance company prior to seeking therapeutic services and ask the following questions:

1) Do I have coverage for “out-of-network” mental health services?

2) If so, do I have a deductible?

3) What percentage of the session fee is covered ?

3) How many sessions are covered per year?

4) Do I need pre-authorization for mental health services?

5) Does the insurance company establish an expected session fee on which they base their reimbursement rate?

Your insurance company may ask you if you have a procedure or CPT code for the therapy you wish to receive. If asked, you may give them the following information for the types of services we provide and ask what their rate of coverage for each code is:

CPT code 90791 is for the initial consultation/intake

CPT code 90837 is for a 53 minute therapy session

CPT code 90834 is for a 44 minute therapy session

If you have any additional questions about how to navigate your insurance, please call us. We are happy to assist with this process.