FAQs

The confidentiality of all communications between a client and the team at be Collaborative Care are generally protected by law and we cannot and will not tell anyone else what you have discussed or even that you are in the IOP program without your written permission. In most situations, our team can only release information about your treatment to others if you sign a written Authorization Form that meets certain legal requirements imposed by HIPAA. With the exception of certain specific situations described below, you have the right to confidentiality of your IOP experience. You may request to share information with whomever you choose and you may revoke that permission in writing at any time. For more information, please review the HIPAA Notice of Privacy form.

Therapeutic services are most effective when session times are regular and consistent. We require a 48-hour cancellation. If you need to cancel or reschedule a session or program attendance, you must provide at least 48 hours’ notice or a valid note from a medical provider. Our team works to accommodate many schedules so if you miss a session without canceling, or cancel with less than 48 hours notice, you will be charged the full fee for the missed session. You are responsible for coming to your session on time. If you are late, your appointment will still end on time.

Insurance companies, managed care, and other third-party payers are given information that they request regarding services to the client. Information which may be requested includes type of services, dates/times of services, diagnosis, treatment plan, description of impairment, progress of therapy, and summaries. When payment for services are the responsibility of the client, or a person who has agreed to providing payment, and payment has not been made in a timely manner, collection agencies may be utilized in collecting unpaid debts. The specific content of the services (e.g., diagnosis, treatment plan, progress notes, testing) should not disclosed. If a debt remains unpaid it may be reported to credit agencies, and the client’s credit report may state the amount owed, the time-frame, and the name of the clinic or collection source.

We are contracted with a variety of major commerical insurance providers BUT not all, and not all of our programs/providers are contracted with each insurer. We strongly recommend you contact your insurance carrier’s member services team so that you are fully informed as what fees you are likely to incur at our facility.

Please see a list of the commercial insurance plans that we participate with below; if you do not see your insurance carrier on this list, you should assume that our services will be private pay unless you are able to secure a Single Case Agreement.

Intensive Outpatient (3 hours)

• Blue Cross Blue Shield
• United Behavioral Health
• United Healthcare Student Resources (student insurance plan)
• Tufts Health Plan

Outpatient Group (2 hours)

• Blue Cross Blue Shield

Behavioral Health Therapy (Individual)

• Blue Cross Blue Shield
• United Behavioral Health
• United Healthcare Student Resources (student insurance plan)
• Tufts Health Plan

Nutrition Therapy (Individual)

• Blue Cross Blue Shield
• United Behavioral Health
• United Healthcare Student Resources (student insurance plan)
• Tufts Health Plan
• Harvard Pilgrim Healthcare

Public Insurance and Community Plans:

We only accept commercial insurance. We are not contracted with any Public or Community plans. Commercial health insurance is health insurance provided and administered by public and private companies, rather than by the government. We do NOT accept Medicare, Medicaid, or other State funded community or public health plans (i.e., UnitedHealthcare Rite Care, Neighborhood Health Community Plan).

Co-payments, Co-insurances, and Deductibles:

Most health insurance coverage also involves deductibles, co-payments and/or co-insurances. We cannot guarantee health insurance coverage and any out of pocket-expenses will be billed to you and payment is expected upon receipt

Billing Frequency:

We normally bill on a daily basis and will provide statements upon request. We ask all patients to post a credit card on file and we will bill such credit card for deductibles, co-payments, and co-insurances.

Primary and Secondary Insurance Coverage:

Some patients may have primary and secondary insurance coverage. Coordination of care benefits remains the responsibility of the insured. We will list secondary insurance information on Form 1500 filings so long as we are made aware of the secondary coverage, and we contract for such coverage. For example, a patient may have UHCSR as their primary coverage and BCBS of RI as their secondary coverage. Sometimes, the primary insurer will deny coverage unless the patient provides information of other health benefits and even then, insurance coverage cannot be guaranteed.

Pre-Certifications and Referrals:

Some insurance plans may require pre-certification and/or a referral. Pre-certifications may delay your admittance to our program. We will endeavor to secure pre-certification as quickly as possible, but they can take some time and may involve multiple steps.

Additional Suggestions: Insurance prior-authorizations are typically required for admission into our Intensive Outpatient Program (IOP). We cannot guarantee the number of days that your provider will authorize. It is important to keep in mind that absences can impact continuity of coverage and may result in discharge from the program. You may need to secure referrals and these can also take some time.

Single Case Agreements (SCA):

If your insurance is not listed above, SCA’s for our IOP level of care, not one-on-one services, have been entered into the past with the following insurance providers – Aetna Health, Harvard Pilgrim Healthcare and All Savers. Such agreements are specific to each client and may take 30-60 days to implement. Please contact your health insurance carrier and ask if you are eligible for an SCA. We cannot begin to advocate for a SCA on your behalf before you call the insurance company and begin the conversation.