Coverage & Payment
Insurance Information
We want to make the insurance process as straightforward as possible.
In-Network Insurance Plans
Hope Springs Behavioral Consultants is currently in network with:
- Wellmark Blue Cross and Blue Shield of Iowa**
- HealthPartners*
- Midland's Choice*
* Coverage depends on your individual plan. Benefits, deductibles, copays, and authorization requirements vary. We encourage you to verify your benefits before your first appointment.
** Although we participate with Wellmark Blue Cross and Blue Shield of Iowa, many out-of-state Blue Cross Blue Shield and Anthem plans do not provide in-network coverage for services at Hope Springs.
Out-of-Network & Self-Pay
If your insurance is not listed above, you may still choose to receive services at Hope Springs.
Out-of-network benefits
Many plans offer out-of-network benefits. We can provide a superbill (itemized receipt) you may submit to your insurer for possible reimbursement.
Self-pay welcome
We welcome self-pay patients. Contact our office with questions about fees, payment options, or scheduling.
Insurance Benefits and Coverage
Courtesy verification
As a courtesy, we may verify your benefits before your appointment. However, this is not a guarantee of payment or coverage.
Your responsibility to verify
It is the client or guardian's responsibility to contact their insurer to verify eligibility, mental health benefits, prior authorization, deductible, copay, coinsurance, and any plan limitations.
Financial responsibility
You are ultimately responsible for all charges not covered or paid by your insurance company, regardless of any information provided by our office or your carrier.
Before Your First Appointment
To help avoid unexpected costs, we recommend that you:
- 1
Call the Member Services number on the back of your insurance card.
- 2
Ask whether Hope Springs Behavioral Consultants is in network for your specific insurance plan.
- 3
Verify your deductible, copay, coinsurance, and any prior authorization requirements for psychological or neuropsychological services.
- 4
Contact our office if you have questions. We're happy to help whenever we can.
Good Faith Estimate & Your Rights
Under the No Surprises Act
Insurance & Out-of-Network Care
Hope Springs participates with some insurance plans but is not in network with every insurance company. If we are not in network with your plan and you wish to receive in-network benefits, you may choose to receive services from a provider who participates with your insurance.
If you choose to receive services at Hope Springs while we are out of network with your insurance, you will be responsible for charges according to our current fee schedule. Depending on your insurance plan, you may be able to submit claims for out-of-network reimbursement.
Your Good Faith Estimate
Before treatment begins, we will provide a written Good Faith Estimate outlining the expected cost of your services.
Your estimate:
- Is based on the information available when it is prepared.
- May include the highest anticipated cost of treatment so you can plan for potential expenses.
- Is valid for 12 months unless your treatment plan changes.
- Is not a contract and does not obligate you to receive services.
If additional services become necessary during treatment, we will provide an updated estimate.
Your Rights
A Good Faith Estimate is only an estimate. Your actual charges may differ if your treatment needs change.
If you receive a bill that is substantially higher than your Good Faith Estimate, you have the right to:
- Contact Hope Springs to discuss the difference.
- Ask us to review or adjust the bill if appropriate.
- Request information about payment options or financial assistance, if available.
- Begin the federal patient-provider dispute resolution process through the U.S. Department of Health and Human Services (HHS).
Please keep a copy of your Good Faith Estimate for your records.
Have questions about your coverage?
Our team is happy to help clarify your benefits and answer any billing questions before you get started.
Request an Appointment