Information

At S&M Behavior Manager Corp, based in Miami, Florida, we understand that navigating insurance can be complex. We strive to make our high-quality psychological services accessible to everyone. This section provides an overview of how we work with various insurance providers to support your mental health journey, ensuring you receive the care you need with peace of mind.

Frequently asked questions

We believe that understanding your financial options shouldn't be a barrier to receiving the psychological care you need. Here are answers to some common questions about using insurance for our services at S&M Behavior Manager Corp.

What are the main insurance plans or companies you currently work with?

S&M Behavior Manager Corp proudly partners with several leading insurance providers to ensure our services are accessible. We currently accept: Gigna Healthcare, AmeriHealth Caritas, Community Care Plan, United Healthcare, Wellcare, Medicaid, and Medicare. Please contact our office to verify your specific plan and coverage details.

Once a client decides to use their insurance for your services, what's the first thing they need to do, or what should they expect from your office regarding their insurance?

The first step is to contact our office at 786-536-2234 or by email: smbehaviormanagement2020@gmail.com so we can verify your benefits and eligibility. We will guide you through the process, confirm your coverage, and explain any co-pays, deductibles, or out-of-pocket expenses you might have. Our goal at S&M Behavior Manager Corp is to make this as seamless as possible for you.

If someone's insurance isn't directly accepted, are there other ways they can use their benefits (like out-of-network) or pay for your services?

Yes, even if we are not directly in-network with your insurance, you may still be able to use your benefits. Many plans offer 'out-of-network' benefits, which means they might reimburse you for a portion of our services. We can provide you with a 'superbill' (a detailed receipt) that you can submit to your insurance company for potential reimbursement. We also offer flexible self-pay options, and our team can discuss these alternatives with you to find a solution that works.

How can I confirm my specific insurance benefits for psychological services?

The best way to confirm your benefits is to call your insurance provider directly using the number on your insurance card. You can also contact our office, and we'll be happy to assist you in understanding your coverage at S&M Behavior Manager Corp.

What is a co-pay and how does it relate to my visits?

A co-pay is a fixed amount you pay for a healthcare service, like a therapy session, at the time you receive the service. Your co-pay amount is determined by your insurance plan and will be collected at each visit. We will inform you of your co-pay amount during your benefits verification.

What is a deductible and how does it work?

A deductible is the amount you must pay out of pocket for healthcare services before your insurance company starts to pay. Once you've met your deductible, your insurance plan will begin to cover a percentage of your services, often with a co-insurance. Our team can help you understand where you stand with your deductible.

Will my insurance cover all types of services offered by S&M Behavior Manager Corp?

Coverage varies widely between insurance plans and the specific services offered. We recommend checking with your insurance provider about coverage for specific psychological services, such as individual therapy, group therapy, or assessments. We'll do our best to help you understand your benefits.

Who can I contact if I have further questions about billing or insurance?

For any additional questions regarding billing, insurance, or payment options, please do not hesitate to contact our administrative team directly at [[phonenumber]] or via email at [[email]]. We are here to assist you.

Understanding your coverage

We're here to help you navigate the complexities of insurance and ensure you receive the psychological support you need from S&M Behavior Manager Corp. Don't let financial concerns prevent you from seeking essential care in Miami, Florida. Contact us today to discuss your options and take the first step towards better mental health.