Question 1

Does Blue Lotus accept my insurance?

Accepted Answer

Blue Lotus is an in-network provider for Blue Cross/Blue Shield PPO, Aetna PPO, and United Healthcare PPO. We also accept private pay and can discuss cost option.

Question 2

What should I ask my insurance company?

Accepted Answer

Do I have out-of-network benefits for mental health services?If so, is there a deductible that needs to be met before I can start obtaining reimbursement? If so, how much is this deductible and how far am I in meeting it for this calendar year (or your plan’s year)? What percentage of my services will you reimburse for once my deductible is met? Is the coverage the same or different for telehealth? Is there a specific platform required for telehealth to be reimbursed? What is the process to submit out-of-network claims? Are there diagnoses that are not covered?

Question 3

What is a superbill?

Accepted Answer

A superbill is an itemized record of services provided that will allow you to submit your evaluation to your insurance company, using out-of-network benefits. Many policies will partially reimburse for services performed outside of their network. Please check with your insurance company to determine your benefits.

Question 4

Do you accept HSA, FSA, and HRA debit cards?

Accepted Answer

Yes, we can process these types of healthcare related debit cards.

Question 5

How long will testing take?

Accepted Answer

Each person and their concerns are different, which means the amount of time you will spend testing will be slightly different. The testing process includes several steps: The intake interview typically takes between an hour and 90 minutes. This is where we get to know you, your concerns, and your history. Generally, you or your child will be scheduled for (2) three to four hour appointments. Testing is where we gather the data on your functional abilities. Your feedback appointment will be an hour. In this appointment, you will review your results with your doctor and they will answer any questions you may have about how this impacts your life.

Question 6

What is the No Surprise Act?

Accepted Answer

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 847-220-4365.

Arusy Lemus

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