INSURANCE

Some of our psychologists participate in insurance plans. If you do not have these insurances, you can use out-of-network benefits or self pay.


Dr. Wellner and Ms. Castleberry do NOT participate with any insurance plans and are considered “Out-of-Network.”


Participating Insurance Plans

EHP-JHH

US Family Health Plan & Uniformed Services

TriCare

Conifer/Informed

CareFirst BlueCross BlueShield (Drs. Lewin and Benko in LINTHICUM ONLY)

Medicare (Only Dr. Mays will be credentialed SOON!)

  • Drs. Ticknor and Bowman will soon be participating with EHP, USFH, and Tricare. Please call to inquire when this will be effective.

When a clinician is considered "Out-of-Network," you can request reimbursement from your insurance company.  Payment is required at the time of service. Cash, check, and all major credit cards accepted.

If you have any questions about billing or insurance, please email us at waypointwellnesscenter@gmail.com.

OUT-OF-NETWORK TREATMENT CHECKLIST

Contact your member services department to verify if your plan offers out-of-network benefits for outpatient mental health. The number should be located on your insurance card.

If out-of-network benefits are available, you should ask:

  1. Claims Address

  2. Do I have a deductible?

  3. Deductible Amount

  4. What is the maximum number of visits per year?

  5. What percent of reimbursement is covered under my benefit?

  6. What is the reimbursement rate?

  7. The most used codes are as follows:

    1. 90801-Diagnostic Interview

    2. 90834-Individual Therapy

    3. 90846-Family Therapy w/o Patient

    4. 90847-Family Therapy

    5. 96100-Psychological Testing per Hour

  8. How do I submit the claim?

  9. Is Authorization Required? YES or NO

  10. How do I obtain authorization?

  11. Effective date

  12. Expiration date

  13. Number of visits

  14. Procedure Code(s) Approved

If the provider needs to complete a treatment plan you are responsible for notifying the provider.