Fees & Insurance
Out-of-Network Fees for Therapy Services
For out-of-network clients who do not have CareFirst BlueCross BlueShield or Optum/UnitedHealthcare, these are the full rates which can then be reduced according to financial need through our sliding scale. We can provide Superbills for anyone wishing to seek out-of-network reimbursement from their insurance provider directly.
Additional out-of-network services include: Group Intake Assessment: $145; Check-in Session: $75.
Do you take insurance?
Yes! Rock Recovery is an in-network provider with the following providers:
CareFirst BlueCross BlueShield
BlueChoice Network
Blue Preferred
Healthy Blue
Carefirst Regional Provider Network
Optum/UnitedHealthcare
UBH General/Commercial
MAHP HMO Network
MAMSI OneNet PPO
MAMSI PPO
MAMSI Worker’s Compensation
Oscar Health Plan
Virginia Exchange
This means that you only pay co-pays and/or any deductible that applies at the time of service.
If you do not have CareFirst BlueCross BlueShield and are interested in accessing their out-of-network benefits, please inquire directly with your insurance company. We will provide you with a Superbill, which you can then submit to your insurance company for reimbursement.
How can I determine my out of network benefits?
Here are some questions you can ask your insurance company:
How do I know what my benefits are?
How do I find out if I will get reimbursed?
We recommend having the following conversation with your insurance company:
“Hello, I’m planning to see a therapist who does not take my insurance. Would I be eligible for reimbursement for these sessions through any out-of-network benefits I might have with my plan?”
If yes, ask the following questions:
1. How much is my out-of-network deductible?
2. How much of that deductible have I already met?
3. After meeting my deductible, what percentage of my session fees will you pay if the fee is $120? If the fee is $175?
4. Where can I find the out-of-network claims form?
5. Where do I send the claim form when I complete it?
Your insurance company may say that they can’t provide reimbursement information without procedure codes. While we cannot guarantee that these are the procedure codes that will be used for your sessions, commonly used procedure codes are 90853 for group sessions and 90837 for individual sessions. Providing these codes to your insurance company may help you get a better idea of what kind of reimbursement you can expect.
Are there cancellation fees?
If you are unable to attend a session, please provide at least 24 hours notice to your therapist. All “no show” appointments and late cancellations will be charged their usual session rate.
If 24 hours notice is not given, this is considered a late cancellation, and you will be charged their usual session rate. These charges hold your spot in their therapist's caseload and/or in the group, and they keep Rock Recovery operating, even in your absence. They are not intended as a penalty or a judgment on your reason for late cancellation.
How do I pay?
Payment for each session is due at the time of the appointment. You will be billed via our secure, online HIPAA-compliant records and billing platform, Theranest. We accept major credit cards, debit cards and HSA cards as forms of payment, and you may be eligible for reimbursement for out-of-network services from your insurance company.
No Surprises Act
You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. Under the No Surprises Act, health care providers need to give patients who are not using certain types of health insurance coverage an estimate of their bill for health care items and services before those items or services are provided.
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