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Insurance and Fees

Cigna Insurance for Lantern Mental Health
Aetna Insurance for Lantern Mental Health

Insurance​

We are in network with Cigna and Aetna. 

​​​​​We will be in network with Optum/United starting March 2025.

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Insurance Billing through Alma

​Lantern Mental Health partners with a company called Alma to manage insurance claims and billing.

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  • Once you have booked an intake appointment, we will submit your insurance information to Alma to verify your benefits.

  • ​Alma will send you an email with an ESTIMATE of your visit costs. This estimate is based on your specific insurance plan. 

  • Most insurance policies require the patient to cover a portion of visit costs directly. This can happen in one of three ways:​

    • Deductible​​: An amount of money you pay before your insurance company starts paying for covered expenses (ie. you must pay $750 toward your deductible before your insurance starts paying for visits)

    • Co-pay: a set amount that a patient pays for covered health care services (ie. $80 per specialist visit)

    • Coinsurance: the percentage of a covered health care service that a patient pays (ie. you pay 20% of all visit costs)

  • The best way for you to stay on top of your insurance benefits is to reach out to your health plan directly by calling the number on the back of your insurance card.

  • Visit costs will be automatically charged to your credit card on file on the day of service.

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Self Pay

Patients without insurance benefits may pay for visits directly through cash pay. 

  • Self Pay Fees: 

    • Intake - Assessment, Diagnosis, Initial treatment plan including medications (60 min) : $ 250

    • Follow Up - for ongoing med management (30 min) : $ 150 

  • Visit costs will be automatically charged to your credit card on file on the day of service.

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Out of Network Benefits​

  • Many insurance plans offer Out-of-Network benefits. This means that you are responsible for paying session fees up front and then you may be reimbursed by your insurance company if you have out of service network benefits. Contact your insurance provider for information and find out:

    • Do I have out-of-network benefits? What are they?

    • Do I have a deductible? How much is it?

    • What percentage of costs does insurance reimburse after I’ve met my deductible?

  • For patients using out-of-network benefits, we are able to provide a receipt (called a SuperBill) for you to send into your insurance company after each session for reimbursement.

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Other Fees and Services​

  • There is a No Show fee or Late Cancel fee (less than 24 hours notice) of $100 that will be automatically charged to the credit card on file on the day of service. 

  • ​​Paperwork, letter writing, filling out forms, care coordination, and any additional services are billed $50 for every 15 minute increment.

  • We do not provide ESA letters. 

  • We provide FMLA paperwork or Disability paperwork for patients that have been at the practice for at least 3 months

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