Paneled with the following insurance providers:
Medical Mutual of Ohio/ CareSource/ Cigna/Aetna/Anthem BCBC
If you have insurance through one of the carriers listed above, please call the Member Customer Service number on the back of your card and try to fill out as much of this form as possible. This is the information I collect when I call provider relations for your benefits and eligibility. I feel you have a right to fully understand your benefits. All co-pay and fees are collected at each session. Please see insurance form tab.
If you have insurance through a company I am not contracted with, you may want to call and ask what Out Of Network benefits you have. Once you know this, call me and we can discuss private pay sessions vs using your Out Of Network benefits. If you use your Out Of Network benefits, you must pay up front, as you go, and the insurance company will reimburse you some portion of the fee. This amount varies from plan to plan. I will provide a SuperBill.
In the event that you decide not to use your insurance benefits my fees are:
$100 for a 60 minute initial assessment (new clients/ 1st visit)
$100 for 60 minute counseling session.
Patient Forms To Print
Please bring all three of these forms filled out to your visit.
Forms of payment:
Checks payable to Lori Brady, LLC. A $25 process fee will be applied to returned checks
Cash, Checks & HSA