Wise Mind Counseling | Therapy in Green Bay & Sturgeon Bay

Insurance & Fees

Out-of-Network & Private-Pay Therapy

For clients who wish to pay out-of-pocket or utilize out-of-network insurance benefits, fees and billing codes are transparently outlined below:

  • Intake Assessment (CPT code 90791): $255
  • Individual Therapy Session (CPT code 90837 for 53+ minutes): 205
  • Individual Therapy Session (CPT code 90834 for 38-52 minutes): $155
  • Couples or Family Session (CPT codes 90846 & 90847): $205

Using Out-of-Network Insurance Benefits

You may have coverage for therapy even if Wise Mind Counseling is not directly in-network with your insurance plan. Many insurance plans include out-of-network behavioral health benefits, which may reimburse a portion of your therapy costs.

The process works as follows:

  1. Payment: You pay the session fee at the time of your appointment through the secure client portal.
  2. Superbill: A monthly itemized receipt (superbill) is provided to you with the information needed to submit a claim to your insurance company.
  3. Reimbursement: You submit the superbill to your insurance company according to your plan’s procedures. Your insurance company processes the claim according to your plan’s out-of-network benefits. Depending on your coverage, the amount may be reimbursed to you, applied toward your out-of-network deductible, or not covered..

You are responsible for verifying your insurance benefits and coverage before beginning therapy. Keep in mind that coverage varies by insurance plan and your insurance company can explain your benefits to you.

Why Choose Private-Pay Therapy

Some clients choose private-pay therapy because they prefer greater control over how they access and finance their mental health care.

Greater privacy: When you use insurance, your insurance company requires a diagnosis to determine coverage and reimbursement.With private pay, no insurance claim is submitted, so your diagnosis is not shared with an insurance company for reimbursement. Clinical documentation and other legally required disclosures still apply.

More flexibility in treatment planning: Insurance companies determine medical necessity and may limit the number of sessions covered. Private-pay treatment allows you and your therapist to make clinical decisions based on your individual needs and goals without seeking insurance approval for continued care.

Private pay can be a good option for people who value timely access to therapy, greater flexibility in treatment planning, prefer not to submit mental health claims to insurance, or are seeking specialized treatment approaches.

In-Network Insurance

Wise Mind Counseling is in-network with the following insurance plans:

  • Prevea 360
  • Advocate Aurora employee insurance
  • UnitedHealthcare Medical Assistance (Medicaid)

If you have one of these plans, your copay, coinsurance, or deductible will depend on your specific coverage. Please verify that your particular plan and network are accepted before scheduling.

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