Verify Coverage

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 We accept most major insurance. However, coverage depends on the plan's service limitations (benefits, deductible, cost share, sessions covered, and amount covered). Please contact your insurance company for specific details about your plan. 

We require service-specific explanation /verification of benefits for behavioral health services. Call the number on the back of your card to obtain coverage verification. Ideally, the following questions will help determine coverage:

• What services (behavioral health, EPA, medical, preventative, ) are covered, and how many visits are covered?
• If you schedule a behavioral health service confirm which codes (ex 90837- therapy, 99404- preventative) are covered.
• Ask if our office and your scheduled provider are in the network.
• Ask if preventative care or wellness services are covered under my plan. If yes, ask for the number of visits per year.
• Ask if you have a copayment. If so, the payment is collected before your visit.
• Ask if you have a deductible. If applicable, the visit is not covered until the deductible is met.
• Ask if coverage is based on medical necessity. If so, ask what medical diagnoses are covered.
• Ask if a PCP referral or authorization is needed. If so, contact your PCP and request that the information be faxed to 804-451-4586.
• Please get a REFERENCE NUMBER for your call.
• All insurance verifications are required atleast 3 days before your appointment. Email the information to info@ephmentalhealth.com.

 Please note that the following guidelines help us provide optimal quality driven service:

• All intake paperwork is required atleast 1 day before  your visit.
• We ask that you login atleast 10minutes before the start of a virtual visits.
• Providers will reschedule clients that are late for an appointment. 
• A 24 hour notice is required to avoid a $50 no show fee.
• Any paperwork or refills request should be made during your visit. 

Please note that EPH Mental Health Services requires a 24-hour notice for all cancellations. If a 24-hour notice is not provided, a $50 fee will be added to your account.