Mentaya

I have partnered with Mentaya, a service that streamlines getting reimbursed for your therapy sessions through out-of-network benefits. Unfortunately, at this time I can only do this with some insurance companies due to past contracts that I have worked with. Please inquire if your insurance is one that I can help you with at this time. To check out more about Mentaya click the “Insurance Friendly Practice” badge or visit their website https://www.mentaya.com.

Mentaya is perfect if you:

• Have out-of-network benefits

• 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/abeleegroff

2. Our practice will enter your sessions into the platform.

3. Mentaya submits the claim and handles any insurance follow-up.

4. 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. It's risk-free: They guarantee claims are successfully submitted, or a full refund of their fees.

Insurance Terms Commonly Used

In Network: Refers to providers that are paneled or contracted with your insurance company and are in the network.

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Out of Network: Refers to providers that are likely registered as an out of network provider with that insurance company.

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Self pay or Cash pay: Refers to the client paying out of pocket for the services and not using their insurance.

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Co-Pay: Refers to the amount of the fee that you share with the insurance. Providers are legally required to collect a co-pay for services rendered. 

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Co-Insurance: is referred to a percentage of the fee you share with insurance.

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Deductible: Means the client has a certain amount amount they have to reach/pay before insurance will begin paying. Example: You have a $500 deductible means you will pay out of pocket $500 and then your insurance will start paying a portion of the fee.

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PPO: If you have PPO on your card it means you pay for out of network benefits and can see providers outside of the network. Most clients using out of network benefits pay an average co-pay or co-insurance of $30 per session after they have met their deductible.

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HMO: If you have HMO on your insurance card it means your insurance will only pay for providers inside the network and you will have to cash pay to see an out of network provider.

fund of their fees.