Rates & Insurance

Rates

Rates vary based on the service rendered, the practitioner, and the terms of your insurance plan. It is important to contact your insurance provider to learn about any copay, coinsurance, or deductible that may apply to your plan.

CWMHA’s Standard Rates

Masters Level Psychologist

Initial Mental Health Intake:
$255.00 $280.00

Initial AODA Assessment:

$280.00 $300.00

30 Minute Session:

$125.00 $135.00

45 Minute Session:

$170.00 $185.00

60 Minute Session:

$190.00 $205.00

Family/Couples Session:

$205.00 $220.00

Group: $125.00/hour $135.00/hour

Testing: $200.00 /hour $250.00/hour

Additional fees may be charged for (including but not limited to) form completion, consults with attorneys, letter writing, phone calls, meetings, etc. This will be billed at a rate of $130.00 per hour, prorated in 15-minute increments. If the therapist is required to testify or is required to appear as a witness, the party responsible for the therapist’s participation agrees to reimburse Central Wisconsin Mental Health Associates, SC at a rate of $200.00 per hour for the therapist’s time spent traveling, preparing reports, testifying, being in attendance and any other related costs. These fees are not billable to insurance; therefore, you will be responsible to pay these fees in their entirety.

No Show/Late Cancel Policy

A $80.00 late cancellation fee is charged if you fail to cancel prior to 24 hours of your appointment, or fail to show up for an appointment. Three missed/late canceled appointments shall result in being placed on “day-of” appointment scheduling or discharge from treatment.

Insurance Billing

Therapy services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:

Do I have mental health insurance benefits?
What is my deductible and has it been met?
How many sessions per year does my health insurance cover?
What is the coverage amount per therapy session?
Is approval required from my primary care physician?

While we are not in-network with all insurances, we will bill your carrier on your behalf for any out-of-network benefits. As a courtesy, we offer this service to save clients the hassle of having to submit the bills themselves.

If you have insurance, a claim will be filed with your insurance company at no charge. This is done as a service to you, but this office cannot accept responsibility for collecting your account. You will be responsible for any deductibles, co-insurance or co-payments at time of service. In addition, you will be responsible for payment of the unpaid balance on your account due to total denial, or denials of any other type by your insurance company including those due to you not reporting insurance changes resulting in timely filing limits. CWMHA does not engage in balance billing so what is on your EOB is what you will pay. We will email you a receipt.

Insurance Companies

At CWMHA, we are continuously working to coordinate coverage with various Insurance Companies. Currently, we are able to bill the following plans:

Anthem BCBS
Anthem BCBS-Medicaid
Aspirus/Preferred One
Cenpatico Medicaid- MHS & NHP
CCS-Marathon/Portage/Waupaca
EAP's ERC/Health Advocate
Evernorth-Cigna
Group Health
Health Partners MN
Humana Commercial
Humana/Tricare
Inclusa
Molina & Molina Medicaid
Network Health Plan
Optum/United Healthcare
UHC Medicaid
Security Health Plan/SAS/SHP-MA
Wisconsin Medicaid – Forward
WPS Health

Please view each providers web page for insurance your particular provide accepts. Not all providers can accept the insurance companies listed above.

Cash Pay

If you do not have insurance or if you prefer to pay out of pocket, the fee per hour will be payable at the time of service. Fees are $200.00 per assessment and $130.00 per hour for additional therapy sessions. Testing fees will not be discounted.

Payment on your balance is expected upon insurance processing. Valid payment information is required to be on file and clients will be charged upon receipt of the EOB. A fee of $15.00 will be added each month for any account with a balance not paid in full each month. A charge of $45.00 will be assessed for any returned checks/ACH/declined credit cards. It will not be allowed to have services without valid payment information and that scheduled appointments will be cancelled until valid payment information is received and account is cleared.

Central Wisconsin Mental Health Associates, SC reserves the right to seek legal means to secure reimbursement if left unpaid longer than 60 days. If necessary, this may include release of information such as: names, dates of treatment, unpaid fees, etc. to attorneys, the courts or collection agencies. In the event any unpaid balance is placed for collections, with any 3rd party collection agency, and/or placed with an attorney to obtain judgment or otherwise satisfy payment of this account, a fee of 33.33% of the unpaid balance will be added to the total amount due. This amount shall be in addition to any other costs incurred directly or indirectly to collect amounts owed under this agreement such costs include, but are not limited to court costs, service fees, filing fees and other incidentals associated with our collection efforts. Clients are entitled to a copy of this fee policy.

In-Network Insurance Plans

Please note that not all of CWMHA's independent practitioners are in-network with this provider. Please verify before scheduling.

Payment

Cash, check and all major credit cards accepted for payment.

Request an Appointment Online

Request a therapy appointment online here.

Questions?

Please contact us for further information.

Notice to Clients and Prospective Clients

Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.

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.

The Consolidated Appropriations Act of 2021 was enacted on December 27, 2020 and contains many provisions to help protect consumers from surprise bills, including the No Surprises Act under title I and Transparency under title II. Learn more about protections for consumers, understanding costs in advance to avoid surprise bills, and what happens when payment disagreements arise after receiving medical care.