Serenity Stables Therapeutic Learning Center is proud to be to be Delaware County’s premiere Equine Assisted Psychotherapy and Learning Center for children, adolescents, adults and families. In-office individual, group, and family sessions are also available. Clinicians at Serenity accept the following insurances and will need to complete the SSTLC Intake paperwork which will be emailed to you with your appointment confirmation:
- Anthem Blue Cross Blue Shield
- Caresource Marketplace
- Medicaid (Caresource, Molina)
- Med Mutual
- Ohio Health
- United Health Care
If you have any of the above insurances, you can book your appointment at the Serenity/Galena office location.
How To arrange your first appointment:
- First, read all the information on this website and assure this practice is a good fit for you and/or your family.
- Go to the “Book an Appointment” page and click on “I’m a new client.” A calendar will pop up on that page and you can request an appointment. If that appointment day/time is available, I will send the intake forms to complete.
- All forms must be completed prior to your first appointment.
- You will also be required to place a credit card on file that will be charged for the amount of your co-pay and any deductible amount you may have if that has not yet been met. Your credit/debit/HSA/FSA card will be charged following your session in the amount of your co-pay and any deductible amount to cover the full fee.
- You will need to scan your insurance card into the system, but please also bring your insurance card with you to your first session.
- Private pay clients will be charged the full fee on the date of service.
That’s it! I will look forward to meeting you.
Insurance (Everything you never wanted to know)
What is “in-network” vs. “out-of-network”?
These terms refer to a relationship your therapist has with an insurance carrier. If your therapist is “in-network”, they have gone through an application and credentialing process, and have been accepted/invited or to be a “preferred provider” or “in-network” provider. It can also be referred to as impaneled. Your therapist signed a contract and agrees to a specific fee schedule. This is typically much less than the base fees charged. For example, if your therapist charges $150/hour for a session, the insurance carrier you are enrolled with may pay $75 of this, and a copay is probably required from you, the client ($25) and the insurance company pays the difference ($50). The therapist cannot collect the other $50, because you have agreed to a specific fee rate with the insurance company.
Out-of-Network refers to your therapist not being enrolled or impaneled as a preferred provider for an insurance company. Typically the client is responsible for filing the insurance claim. The client is reimbursed and reimbursed at a lower rate. For example, your therapist will charge the client $150/hour. The client files with their insurance company. The insurance company pays $50 and the remaining $100 is the responsibility of the client.
How much will I have to pay and what is covered?
Many people have questions about what is covered and what may be owed after insurance is billed. Here is an explanation of the terms on your service agreement.
- Many plans have a deductible. A deductible is a fixed dollar amount during the benefit period – usually a calendar year – that an insured person pays before the insurance company starts to make payments for covered services. If you have a deductible that needs satisfied, that will be indicated on the service agreement. The number you see on your service agreement is the yearly deductible but will not reflect how much you have left to pay.
- Copay is a fixed dollar amount due at the time services are rendered. The insurance company then covers the remaining cost. This will be owed at the time of service.
- Coinsurance is a percentage of the services you are responsible for once the deductible has been satisfied. If the service agreement indicates you have a 20% coinsurance, which means the insurance company will pay 80% and you will be responsible for the remaining 20% of the cost of services. This amount may be collected at the time of service. You may have a copayment, a coinsurance, or both.
- Sometimes your behavioral health benefits are carved out from another company. For example, you may have Blue Cross/Blue Shield, but Magellan actually covers behavioral health, so your service agreement will say Magellan.
- Please be aware that different services may be covered at different rates. For example, you may have a copay when you see your primary care physician, but you must pay a deductible and coinsurance for behavioral health.
Please contact your insurance company if you have further questions.
Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.
I’d recommend asking these questions to your insurance provider to help determine your benefits:
- Does my health insurance plan include mental health benefits?
- Do I have a deductible? If so, what is it and have I met it yet?
- Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
- Do I need written approval from my primary care physician in order for services to be covered?
Will insurance companies reimburse Equine Assisted Psychotherapy?
Insurance companies will not (yet) specifically reimburse for Equine Assisted Psychotherapy. It does not have an assigned code (CPT or HCPCS). Thus, if you called a carrier and asked them if they would reimburse for EAP, they would type into their system Equine Assisted Psychotherapy and get “0 matches”, and subsequently they will tell you “No” they don’t cover EAP. If you called and asked will they reimburse an hour of psychotherapy or a 90806 visit, the answer would most likely be yes. (This also depends on if you have mental health coverage.) Your therapist may use the model of EAP, but their academic, empirically-based, best practice paradigm is Cognitive Behavioral Therapy (CBT) or some other best practice. That is what your therapist is basing your sessions on and thus reimbursement.
I accept cash, check and all major credit cards as forms of payment.
Because we highly value our clients and want appointments available for those who need to be seen, please kindly cancel at least 48 hours in advance. Otherwise, a standard $50 cancellation fee will apply. Please note, most insurance companies do not cover this fee.
Emotional Support Animals
Currently, I do not provide, authorize or determine client’s need for a certified therapy dog and therefore, no documentation will be completed to endorse a request.
Any Other Questions
Please contact me at firstname.lastname@example.org for any additional questions you may have. I look forward to seeing you very soon!