Insurance
Navigating insurance and mental healthcare can feel overwhelming and confusing. Rest assured, our knowledgeable team is ready to guide you and answer any questions you may have. Prior to your first appointment, you can expect a verification of your insurance benefits and a cost estimate for the services you plan to receive.
We offer two levels of care at our Durham office, and each is in-network with different insurance providers.
Outpatient Level of Care
For this level of care, we are in-network with:
- Aetna
- Blue Cross Blue Shield (except Blue Home policies)
- United Healthcare
- Optum
- MedCost
- Ambetter
Exceptions
- Insurance does not cover Recovery/Wellness Coaching.
- The strict rules about insurance billing requirements create significant ethical complications in regards to billing insurance for couples or family therapy. In an effort to provide the best care to our clients and maintain the highest ethical standards, Abhaya Wellness will not bill insurance directly for outpatient couples or family therapy, even if we are in-network with the insurance provider.
Abhaya Wellness does not offer out-of-network billing for outpatient services. However, our team can provide billing documents and statements as needed to support your efforts to seek reimbursement from an out-of-network provider.
Intensive Outpatient (IOP) Level of Care
This level of care applies to individuals engaging in our Gender Responsive, Mindfulness-Based, Substance Use Recovery IOP Program.
For this level of care, we are in-network with:
- Aetna
- Blue Cross Blue Shield (except Blue Home policies)
Additional Options
- Our team can also bill insurance as an out-of-network provider
when your policy includes out-of-network benefits. - We can appeal to your insurance provider to approve a Single Case Agreement (SCA), which allows us to use your in-network coverage even if we are not technically an in-network provider. We have a high success rate with SCA requests, especially with:
- Cigna
- BCBS Blue Home policies
- MedCost
Private Pay
Abhaya Wellness offers convenient cash pay rates for anyone who will not be using insurance. Please reach out to our office to inquire about current rates.
Ensuring Access to Care
In an effort to ensure access to care for as many people as possible:
- We offer flexible payment plans for clients who may have high out-of-pocket costs.
- Each clinician offers a limited number of sliding scale spots.
- During the academic year, we usually have an intern-level clinician offering limited services at a significantly reduced rate.
- We offer a limited number of need-based partial scholarships for the IOP program.
Please reach out to our office to inquire about availability and get more details.
Accepted Insurance
Have questions about coverage?
Explore more about our accepted insurance providers here