Billing Information

In Network Insurances Accepted:

    • Blue Cross Blue Shield
    • Nebraska Medicaid (Molina, UHC, Nebraska Total Care)
    • Ambetter
    • United Health Care
    • Medica
    • Tricare
    • UMR
    • Midlands Choice
    • Aetna
    • Private Pay

Out Of Network Insurances Accepted:

    • Meritain
    • Cigna
    • Aetna

 

 

 

** Each Provider’s profile will note what insurances are accepted. If yours is not listed, just ask!

We encourage you to call the phone number located on the back of your insurance card to learn your specific benefits. Ultimately, it is the client’s responsibility to know their insurance coverage. We are happy to walk you through that process and hold your hand as much or as little as you need. Contact Bobbie (bobbie@redcouchcounseling.org) if you would like assistance in this area.

We understand that beginning counseling can raise many questions and we want to make the process as easy as possible. Each individual’s payment situation can vary depending on insurance plan, copays and other factors.

Please use this helpful guide to understand some of the insurance world terminology.

Billing & Invoice Process:

  • Insurance- If you are using insurance, following your session we will submit claims to your insurance company on your behalf. Once the claim has been processed by your insurance company, if there is a client responsibility you will receive an invoice. You may choose to pay this invoice directly or as a matter of convenience, your card on file will be used.
  • Private pay- The amount due will be charged at the time of the session.
Your Rights and Protections Againts Surprise Medical Bills

Billing services are managed by Danielle. She is happy to help you with absolutely whatever she can! Call her at 402.205.8998 or email her at welcome@redcouchcounseling.org

If you believe you’ve been wrongly billed, you may contact:

Danielle and/or Bobbie Alley-Tonnniges at bobbie@redcouchcounseling.org or 402.710.0564

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

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What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for Emergency services. If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
  • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.


Certain services at an in-network hospital or ambulatory surgical center – When you get services from an in-network hospital or ambulatory surgical center, certain providers may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.