Insurances Partnered with KEGE

KEGE Center for ADHD is in-network and accepts Aetna, Cigna & United Healthcare for direct billing.  KEGE Center is “out of network” with all other insurance plans.

Accepted Insurance Plans 

Note: We do not accept Medicare or AHCCCS plans

Optum 

• UnitedHealthcare  
• UnitedHealthcare Shared Services (UHSS) 
• GEHA - UnitedHealthcare Shared Services (UHSS) 
• Oscar 
• Harvard Pilgrim 
• Oxford 
• UHC Student Resources 
• UMR 
• All Savers (UHC) 
• Health Plans Inc 
• Medica (commercial only) 
• Surest (formerly Bind)

Aetna  

• Meritain 
• Nippon 
• Allied Benefit Systems 
• GEHA - United Healthcare Shared Services (UHSS) 
• Trustmark 
• Trustmark Small Business Benefits 
• Health Scope 
• Christian Brothers Services 

Cigna 

Out-of-Network Insurance

If we do not accept your insurance, most patients are able to get part, or all fees paid by insurance using their “out of network” reimbursement option. Please verify with your insurance carrier prior to scheduling or paying for services. 

We are an out-of-network provider with all other health insurance plans, which means that we don't have a contract with your insurance company. However, we can still help you get reimbursed for your appointments.

When you come to KEGE Center for treatment, you will pay directly for your appointments. Your provider will give you a receipt for services called a superbill, which includes all the information your insurance company needs to reimburse you for your visit. You will then submit the superbill to your insurance company for reimbursement.

Every insurance plan is different, and reimbursement rates for out-of-network psychiatric care can vary widely. We recommend that you contact your insurance company to find out what your reimbursement rate is for out-of-network psychiatry. Ask your insurance company the following questions:

• Do I have mental health coverage?
• Is there a deductible that has to be met before you reimburse for out-of-network psychiatric treatment? If so, what is it and how close am I to meeting it?
• What is the maximum allowable rate my insurance will pay for an out-of-network provider for a specific code? 
• For the initial psychiatric evaluation, ask about reimbursement for procedural codes 99205 and 90833. 
• For follow-up medication management appointments, ask about code 99214 or 99215.
• If you will be seen for video visits (telehealth), ask which modifier is used for telehealth, GT or 95?

In addition to insurance, you may also be able to use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for your visits. This option allows you to use pre-tax dollars to cover the cost of your treatment and can be a convenient way to save money.

Billing Partner

KEGE Center for ADHD works with a billing partner called Alma to manage medical insurance billing. Alma specializes in handling insurance billing matters, including copayments and coinsurance, on our behalf. They are a trusted partner, and handle insurance plans copayment, and or coinsurance.

At KEGE Center, we are committed to providing our clients with the highest level of care. We believe that our personalized approach to treatment is the best way to help our clients achieve their goals. If you have any questions about our payment options or insurance process, please don't hesitate to ask.