HOW DO THEY WORK.
treatment plans are informed and guided by your life journey and background. Our experienced and empathetic providers work with you to create an individualized and holistic roadmap that will optimize your mental wellness trajectory. Along with treating the presenting symptoms, we develop long-term solutions with lasting, sustainable results by getting to the “root cause” of what’s actually leading to your emotional pain and suffering.
PIVOT
Planning in the Volatility of Our Times
Goal
FAQs
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How much are sessions?
Our cash rate for individual therapy is $150/session. For psychiatry, initial sessions are $295 for a psychiatrist visit and $195 to see a nurse practitioner or physician assistant, and follow-up visits are $145 and $95 respectively. If you’re using insurance, copays can range from $5-$50, but we will check your coverage and confirm your out-of-pocket cost before scheduling your first session.
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Is there a separate fee to use Open Mind Health?
No, you are only responsible for your regular out of pocket expenses for your sessions. In other words, if you have a $20 copay, that is the only cost for your care.
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How long are sessions?
Most psychotherapy sessions are one hour which includes 53 minutes of therapy time and 7 minutes of note-taking time for Providers.
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When can I start?
We can usually schedule your first visit within a week
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Do you only offer therapy?
Our providers include therapists, psychiatry providers, and complementary care.
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Can I still see my therapist if I am traveling / on vacation?
Our providers are bound by their licenses to only treat patients who are physically located in the state(s) with which they hold their license. This is a possibility only if the provider is licensed in states you are traveling in other than your home state. Our providers may not see you if you are traveling outside of the United States. Please discuss with your therapist prior to any travel.
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Do you have therapists who speak other languages?
Yes. We have providers who speak English, Spanish, Farsi, Yoruba, and many others. Our network is always growing, and we are always adding new providers.
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Why do you need a credit or debit card?
We require a payment method to be kept on file for any out-of-pocket costs, which can include items deemed patient responsibility by. your insurance carrier such as deductibles and copays. We will only charge your card after your session is completed and your provider has documented their notes, and after we receive the Explanation of Benefits (EOB) from you insurance carrier. Please check with your insurance company for your annual deductible status and copay amounts.
Note: Payment card not required for TriWest clients.
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How do I meet with my provider?
All of our providers conduct visits through telehealth via our video chat portal. You will receive an email with a link to your session 24 hours before the scheduled appointment.
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Do you offer in-person appointments?
Not at this time.
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How do I cancel my appointment?
Please call us at 855.550.6463 or email us at info@openmindhealth.com to cancel your first appointment Once you are registered as a client with Open Mind Health, you can access your profile and manage appointments by clicking on "Client Portal" on the top right of the Open Mind Health home page. Please note that Open Mind Health maintains a five-day cancellation policy. After your first visit, you can also work directly with your therapist to schedule and manage future appointments.
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Can I use my EAP benefits?
Yes, you may with advance authorization. You will need to contact your EAP (e.g. ComPsych, Optum EAP, and others) prior to making an appointment to obtain an authorization form and number from the EAP carrier. Open Mind Health will make an EAP appointment with you only after you receive an advance authorization.
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Do you accept children?
Open Mind Health accepts children, but this varies by provider. Please review the provider listings on our website and verify which providers will fit your needs.
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Do you accept couples and families?
We do accept both.
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Do your therapists offer support for court-ordered therapy or disability requests?
We do not.
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Can my therapist write me a letter for an emotional support animal?
Providing ESA letters is always at the therapist’s discretion, and we usually recommend at least 2-3 sessions before a therapist provides an ESA letter.
INSURANCE INFORMATION
MIND-BODY-SPIRIT-WELLNESS
Does Open Mind Health accept my insurance?
Open Mind Health accepts commercial plans from most major insurance carriers including Aetna, Anthem Blue Cross California, Blue Shield California, Carelon/Beacon, Cigna, ComPsych, Evernorth, Kaiser Permanente (by referral – Southern California, Northern California, Washington state, Mid-Atlantic States), Magellan, Optum, Tricare, TriWest, and United Healthcare. These vary by state. We can also work with some employer-based plans not listed. We do not currently accept Medicaid or Medicare plans, though we hope to in the future.
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What will my out-of-pocket session cost be if I am paying for insurance?
If your insurance plan has an annual deductible, you will pay at the rate negotiated with your insurance carrier until your deductible is met. After your deductible is met, your out-of-pocket costs will depend on your insurance plan. Usually, OMH clients pay between $5 and $50 per session.
As a benefit of using OMH, our team will contact your insurance provider to conduct an eligibility check. We will provide you with an estimate of your individual benefits to better understand your insurance and plan for your costs of care. You may also contact your insurance provider directly to confirm your expected out-of-pocket costs.
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What do in-network and out-of-network mean?
Our cash rate for individual therapy is $150/session. For psychiatry, initial sessions are $295 for a psychiatrist visit and $195 to see a nurse practitioner or physician assistant, and follow-up visits are $145 and $95 respectively. If you’re using insurance, copays can range from $5-$50, but we will check your coverage and confirm your out-of-pocket cost before scheduling your first session.
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What if you do not take my insurance?
If we are out-of-network with your insurance plan, your sessions would not be covered by your insurance. Our cash rate for individual therapy is $150/session. For psychiatry, initial sessions are $295 for a psychiatrist visit and $195 to see a nurse practitioner or physician assistant, and follow-up visits are $145 and $95 respectively. If you’re using insurance, copays can range from $5-$50, but we will check your coverage and confirm your out-of-pocket cost before scheduling your first session.
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What is my copay?
A copay or copayment is a fixed amount ($) that you will pay OMH for each session, depending on your health insurance plan. Copays can vary depending on your coverage but are typically $5-$50
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What is my deductible?
A deductible is a specified annual amount you must pay out-of-pocket before your insurance company will pay a claim. This means that you will pay for the full negotiated rate until you meet your deductible; then you will only have a coinsurance. Some insurance plans do not apply the deductible to therapy, so you will only be responsible for a copay. The deductible resets every calendar year.
MIND-BODY-SPIRIT-WELLNESS
What is my coinsurance?
A deductible is a specified annual amount you must pay out-of-pocket, before your insurance company will pay a claim. This means that you will pay for the full negotiated rate until you meet your deductible; then you will only have a coinsurance. Some insurance plans do not apply the deductible to therapy, so you will only be responsible for a copay. The deductible resets every calendar year.
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What is an out-of-pocket maximum (OOP)?
An OOP is the maximum out of pocket amount that you may pay each year for healthcare. The amount includes cost sharing, deductibles and any out of network expenses that a patient may pay towards care. Once the limit is reached, the plan pays for 100% of services.
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Do I have visit limits?
Maybe! We will ask your insurance company and help you keep track of the number of visits that they will cover per calendar year.
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What if my insurance changes?
If you have changed your insurance, please notify our team so that we can review your current insurance carrier and the impact that it may have on your coverage for services. Doing so may help avoid additional financial obligations
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When do I pay the patient responsibility portion?
We will charge your payment method on file after each visit; however, you may receive a bill later for the patient’s responsibility portion after insurance adjudication. Insurance can be confusing. OMH strives to provide an accurate estimate upfront, but coverage may change, and what the insurance actually covers is not determined until they review or adjudicate a claim for payment. This can lead to invoices that do not match your estimate.
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Can I use my HSA/FSA to cover the patient responsibility portion?
Yes! You may enter that card as the payment method on file, or you may submit a receipt for reimbursement.
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How can I use my out-of-network benefit?
In a PPO plan, you may have an out-of-network benefit to allow you to get care from providers who do not take the plan (out-of-network). OMH will charge you the self-pay rate, and you may submit a receipt to your insurer for possible reimbursement.