Do you take my insurance?

Kaleidoscope Wellness, LCSW, PLLC is considered out-of-network for many insurance providers. We also are happy to accept HSA/FSA cards.

Making an Informed Decision Regarding Insurance

When electing to use your out-of-network benefits, we recommend you contact your insurance company and gather information so you can make an informed decision about your coverage and the reimbursement rates. We advise that you ask the questions listed below. We also recommend that you have our NPI # available (Alana’s NPI number is 1184187262; Justin’s is NPI number is 1760945463) so you can provide your insurance company with the most accurate information.

• What is my behavioral health/mental health coverage?

• How many sessions of behavioral health interventions are covered?

• Does my benefit apply to out-of-network behavioral health providers?

• What is my copay or reimbursement rate for out-of-network behavioral health providers?

• How do I go about filing a claim for out-of-network services and how do I get reimbursed? What paperwork or forms do I need to complete? What information do I need from my behavioral health provider?

We understand that the claims process can be confusing and ambiguous; we are happy to support you in getting your reimbursement claims filed with your insurance company. Our job is to reduce your stress! The more information you have, the better we can help!

Finally, clients are often unsure whether or not they should use insurance benefits for mental health services. This is a complicated decision, with many factors, and only you can decide what is best. However, we are happy to guide you in developing a list of pros-and-cons so that you can make a thoughtful, informed decision that works for you. For example, when using insurance benefits, insurance companies can dictate what is “medically necessary” and they often make these determinations impersonally, without considering your unique, individual experience. Some clients prefer to make their own decisions about their needs. Also, insurance companies will often require that we provide a mental health diagnosis and clinical information from your chart to justify the necessity of your insurance claim. Unfortunately, once this information is part of your record, health insurance companies may use this information to deny you coverage in the future based on a pre-existing condition. We will help you weigh all of these factors when making your decision!

How long will therapy be?

What a great question! As I’m sure you can imagine, it truly depends on what brings you and/or your child to therapy. Some people come to work on a specific problem that can be resolved or reconciled in a few sessions. Some people may elect to continue therapy even as they start feeling better as a form of continued maintenance (e.g., full dose). We also have established clients that we see regularly as part of their general wellness routine and some that just come in for a ‘tune up’ every once in awhile. We do not dictate a number of sessions, but will work with you to decide what will be most effective.

We will say that especially when treating kids, you may see an increase in symptoms outside of sessions as they’re working through tough material (as we write this, we realize this is relatively true for grown-ups, too!) This is completely normal and we encourage you help them stick with it. Using play therapy, it takes an average of 20 sessions to resolve the problem that sparked treatment.

What will therapy be like?

We work hard to tailor treatment based on your unique needs. While we often trust our clients to lead us where they need to go, we’re always willing and able to ask the questions to help get you there. Depending on your reason for seeking therapy, we may provide you with some recommendations for interventions that are proven to be effective in treating a specific problem. Or you may find that we jump right in and it unfolds organically—that’s fine, too!

For younger kids, while it’s imperative that we hear from the parent/caregiver as to what seems for be going on for the child, it’s likely that the therapist will get on your kiddo’s level and let them lead the work. We’ll talk with you (the parent/caregiver) often and work together to monitor changes in symptoms in and out of session.