Using your in-network insurance benefits for therapy:

Avani Counseling accepts many insurances depending on the therapist. These include Aetna, Anthem Blue Cross, Blue Cross / Blue Shield of California. Blue Cross of Massachusetts, Carelon Behavioral Health, Centivo, Cigna, Evernorth, GEHA, Magellan, OPTUM, Quest Behavioral Health, United Healthcare and UMR insurance plans.

Once you have shared your insurance card with us and we verify that you have mental health benefits, we will bill your sessions to your insurance plan. In order to bill your insurance, however, we must assign a mental health diagnosis and confirm that the sessions are considered ‘medically necessary’ by the insurance plan. We are happy to be in collaborative dialogue with you about the diagnosis. Keep in mind that you might have a limit on the number of sessions per year that your health plan will cover, and that if the services are no longer considered ‘medically necessary’ that you can opt to continue sessions through private pay or your Healthcare Savings Account (HSA).

Using your out-of-network insurance benefits:

For all other insurance plans we are not credentialed with, we have partnered with Mentaya, which helps clients get reimbursed for out-of-network claims through their PPO plans.

Mentaya is perfect if you:
• Have out-of-network benefits through your PPO plan
• Feel overwhelmed by superbills and insurance
• Have submitted superbills but failed to get any reimbursement
• Simply want to skip the hassle of paperwork!

Here’s how it works:
1. Sign up for Mentaya: https://mentaya.co/inviteclient/avanicounseling
2. Our practice will charge our full session fee ($200 for licensed therapists, $125 for associate therapists).
3. Our practice will enter your sessions into the Mentaya platform with the information that insurance plans require (i.e. CPT code, diagnosis, etc.).
4. Mentaya submits the claim and handles any insurance follow-up.
5. You get reimbursed by insurance!

Mentaya charges a 5% fee per claim, which includes handling any paperwork required, dealing with denials, and calling insurance companies. Mentaya guarantees claims are successfully submitted, or you’ll receive a full refund of their fees.

Use this tool below to see if you qualify for reimbursement for therapy services at Avani Counseling.